Track NHIS claims — raised here, or settled in your EMR/ClaimIt portal — and the refunds that become member cashback.
Your EMR or the ClaimIt portal handles the NHIS claim — enter what is being claimed and we track the refund and cashback. Duplicate claim numbers are ignored.
API: POST /api/v1/claimit/ingest with { "claims": [ ... ] } — your EMR can push these automatically.
Cashback is the refund received from the sponsoring insurer (up to 100% of the NHIS amount). If the refund lands with the provider, a member-charged margin is netted from the cashback and the balance is owed on to the member. If the insurer pays the member directly, nothing is owed on and the margin is invoiced instead. Set the margin in the Revenue Console.