NHIS Notice to the NHIS-Accredited Healthcare Providers and Health Maintenance Organisations (HMOs)

On 09/Aug/2017 / In Medical Advertorials

In pursuance of its statutory responsibility, National Health Insurance Scheme (NHIS) has directed all Health Maintenance Organisations (HMOs) to obtain letters of non-indebtedness from all Healthcare Providers on their network, as one of the prerequisites for reaccreditation of the HMOs
 
Health care providers are advised to fully cooperate with the HMOs, and issue the letters of non-indebtedness, using the approved template as given to the HMOs
 
Management of the scheme also cautions that any HCP that issues a letter of non indebtedness to any HMO with indebtedness overhanging on it, would be estopped from complaining afterward to the scheme of any debts owed it by the HMO within the relevant period.
 
Furthermore, healthcare facilities accredited for secondary services, which stand-alone, and are not sub-sets of accredited primary providers (eg community pharmacies, laboratories, optometry clinics, dental clinics etc), that are owed fee for services rendered, should forward such complaints to the respective HMOs, providing sufficient details of their claims, which shall include but not limited to; name of HMO, authorization code, date, services provided, amount owed, etc
 
A copy of such complaints should also be forwarded to the scheme and is to be received not later than 2nd october 2017
 
Dated at Abuja, this 9th Day of August 2017

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