The NHIS Department coordinates healthcare services for National Health Insurance Scheme (NHIS) enrollees, ensuring access to outpatient and inpatient care, laboratory investigations, and prescription dispensing under NHIS guidelines.

Services & Functions

• General outpatient consultations for NHIS enrollees.
• Inpatient care and management of NHIS enrollees in the wards.
• Acceptance and management of referrals from other health facilities.
• Referral of patients to specialised clinics (medical, surgical, etc.) for further care.
• Basic laboratory investigations for enrolled patients.
• Dispensing NHIS-approved drugs to enrollees at the NHIS-prescribed discount.
• Counselling and orientation of enrollees on NHIS procedures and entitlements.
• Preparation, reconciliation, and submission of NHIS bills to Health Maintenance Organizations (HMOs).
• Daily documentation and entry of NHIS statistics and service records.
• Communication with HMOs to request and receive authorization codes.
• Issuance of service-rendering forms and assistance with claims processes.

Clinic Schedule / Notes

• Routine NHIS outpatient clinics run regularly; patients and HMOs should confirm clinic days and times with the NHIS office or hospital reception.
• Referral and authorization processes operate during standard working hours.