The Western Regional Director of the National Health Insurance Authority (NHIA), Francis Asante Mensah, has identified fraudulent claims by contractors, double and over-payment due to over invoicing by service providers, as some of the great challenges facing the Authority.
[contextly_sidebar id=”lQR9DBWqLegHnJzrjICFQIbEeqRqJ3kT”]He mentioned that other irregular activity was the behaviou r of some clients of the service who hopped from one pharmacy to the other for the same service, just to misuse the system.
Mr. Asante -Mensah said this during a donation of a 10,000-litre Polytank to the Archbishop Porter Girls Senior High that both clients and service providers were using different ways to dupe the service.
He appealed to service providers and clients of the NHIA to desist from engaging in these activities, to ensure sanity and efficiency.
On the delay in the payment of contractors and service providers, the Regional Director mentioned that the NHIS had a lease period of three months within which to pay, and therefore entreated them to be conscious of this clause in the performance contract.
The introduction of the Capitation Programme, he added, was to complement the current payment methods being used by the NHIA to make the scheme more efficient and prevent the abuse of the health insurance system.
Mr. Asante -Mensah disclosed that another project, “the Biometric” System, had been introduced by the NHIA to deal with such abuses.
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Source: GNA