NHIS Regulatory Setup
Manage Health Facility codes, accreditation levels, billing formats, and Claim Check Code (CCC) generation modes.
NHIA Accreditation Details
Provider Tier Active: Tertiary Hospital (Category 1)
Because this system is configured for a Tertiary facility, high-tier G-DRGs (e.g. specialized surgeries) and complex prescribing levels are automatically unlocked for your clinicians.
CCC Generation Mode
Enable Automatic API Sync Fetch Claim Check Codes directly from NHIS servers. Disables manual typing at front desk.
Claims Export & Billing Rules
Auto-Bundle Claims on Discharge Automatically group itemized services into G-DRG codes when a patient is marked as discharged.
The local network or server folder where XML claims are deposited for the ClaimIT application.
Affiliations & Referrals
Accept External NHIS Referrals Allow billing for patients transferred from Primary/Secondary clinics.
Tariff & Coding Dictionaries Open Full Mapping Studio

G-DRG Tariffs Master

Manage payouts for Adult, Child, & Maternal

ICD-10 Dictionary

Manage active diagnosis classifications

NHIS Medicines List

Link generic drugs to NHIS formulary
Recent Service Mappings Preview
Internal Service Name Type Mapped NHIS Code (G-DRG) Required ICD-10 Category Adult Payout Child Payout
Malaria RDT (Rapid Test) Laboratory INV-MAL-001 B50-B54 (Malaria) GHS 15.00 GHS 15.00
General Adult Consultation Consultation OPD-CON-A Universal (Any) GHS 35.50 N/A
Normal Delivery (Spontaneous) Maternity MAT-SVD-01 O80 (Single spontaneous delivery) GHS 350.00 N/A
Appendectomy (Surgery) Surgery SUR-APP-02 K35-K38 (Appendicitis) GHS 1,200.00 GHS 1,200.00