NATIONAL HEALTH INSURANCE SCHEME
 
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Designated Roles

National Health Insurance Authority

  • Policy, Planning, Monitoring and Evaluation
  • Registration & Regulation of Schemes
  • Accreditation
  • Management of Funds
  • NHIS Drug List Review
  • Tariffs Setting

Health Insurance Schemes

  • Membership Registration & Management
  • Claims Administration
  • Provider Contracts Management
  • Complaints Handling
  • Publicity

Service Providers

  • Membership Authentication
  • Healthcare Delivery
  • Claims Submission
  • Enforcement of Gatekeeper System
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