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NATIONAL HOSPITAL INSURANCE FUND P.O. BOX 30443 00100, NAIROBI TEL 020 2723255/6 WEBSITE: WWW.NAIF.OR.KE EMAIL: INFO@NHIF.OR.KEREFFERAL FORM FOR PET CTSCANPART A: PATIENT PARTICULARS (To be completed
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How to fill out inpatient hospital claim formnhif
How to fill out inpatient hospital claim formnhif
01
Fill in all the required personal information such as name, address, contact number, and NHIF number.
02
Provide information about the hospital where the treatment was received, including name, address, and contact details.
03
Specify the dates of admission and discharge from the hospital.
04
Include details of the medical treatment received during the hospital stay, such as diagnosis, procedures, and medications prescribed.
05
Attach any supporting documents such as medical reports, bills, and receipts.
06
Submit the completed form along with all supporting documents to NHIF for processing.
Who needs inpatient hospital claim formnhif?
01
Anyone who has received inpatient hospital treatment and is a member of NHIF will need to fill out an inpatient hospital claim formnhif.
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What is inpatient hospital claim formnhif?
Inpatient hospital claim formnhif is a form used to request reimbursement for medical services received during an inpatient hospital stay.
Who is required to file inpatient hospital claim formnhif?
The patient or their authorized representative is required to file the inpatient hospital claim formnhif.
How to fill out inpatient hospital claim formnhif?
The inpatient hospital claim formnhif should be filled out with accurate and complete information regarding the medical services received during the hospital stay.
What is the purpose of inpatient hospital claim formnhif?
The purpose of inpatient hospital claim formnhif is to request reimbursement for the medical services provided during an inpatient hospital stay.
What information must be reported on inpatient hospital claim formnhif?
Information such as patient details, hospital details, dates of service, diagnosis codes, procedure codes, and costs must be reported on the inpatient hospital claim formnhif.
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