Nanto Health

SHA claim readiness

Prepare the claim from the clinical record.

Nanto Health keeps patient details, preauthorisation, treatment evidence, the itemised bill and correction work on one visible readiness trail.

Who makes the decision

SHA makes the final decision on every claim.

Nanto Health helps the facility prepare a consistent record, validate what can be checked locally and preserve the evidence and status trail used for correction and follow-up. Our guide to SHA dialysis claims in Kenya sets out what the record needs to prove, and the claim-readiness checklist is a working review you can run today.

Before hand-off

Resolve visible gaps while the record can still be corrected.

Readiness connects the clinical record, signatures, documents and itemised bill without representing a complete checklist as an approval guarantee.

Claim readinessSession NH-0142
Patient and coverageReady
PreauthorisationReady
Clinical recordComplete
!Doctor reviewAwaiting
!Itemised billReady
!Supporting documentsCheck

The working sequence

Prepare, validate and track.

  1. 01

    Patient and coverage

    Keep identity, coverage and consent status attached to the session.

  2. 02

    Preauthorisation

    Track the course and the evidence available before treatment.

  3. 03

    Clinical evidence

    Bring observations, review, signatures and supporting documents together.

  4. 04

    Itemised treatment bill

    Build charges from what happened during the session.

  5. 05

    Correction and follow-up

    Preserve status changes, return reasons, actions and payment reconciliation. See the seven checks before correcting a returned claim.

Electronic submission

Connection to SHA requires approval and setup.

Nanto Health builds and validates the clinical and billing record needed for SHA claims. Direct electronic submission is activated only after the required facility onboarding, testing, certification and production credentials. Our guide to DHA certification in Kenya explains what that certification assesses and how to verify a vendor claim. The clinical record behind the claim is described on the dialysis EMR page.

A facility-specific demonstration

Map your current claim-preparation workflow.

Bring the documents, systems and hand-offs your team uses today. We will show which parts Nanto Health supports now and what still requires another system or approval.

Request a demo