Insurance billing that splits the bill correctly

Treat NHIS, HMO and private patients on the same system. HealthFlow splits co-payments, tracks HMO pre-authorizations and gives insurance work to one accountable role.

  • NHIS co-payments
  • HMO pre-authorization
  • HMO Officer role

Sound familiar?

Co-pays worked out by hand

Bills show the patient's share and the scheme's share automatically.

Approvals chased by phone

Pre-authorization codes and decisions are recorded against each request.

Insurer balances go unbilled

The scheme's share is tracked on every bill, not forgotten once the patient pays.

Insurance work lands on anyone

A dedicated HMO Officer role owns claims and authorizations.

Everything you need, in one place

Patient insurance details

Record each patient's NHIS or HMO membership from their card.

NHIS co-payment split

Each bill separates what the patient pays from what the scheme covers.

Your HMO list

The HMOs your hospital works with, and each patient's member ID.

Pre-authorization tracking

PA codes and whether each request was approved, denied or partly approved.

HMO Officer role

A staff role dedicated to insurance work.

Audit trail

Every billing change is logged.

Up and running in 4 steps

Our team helps with setup, training and data entry.

  1. 1

    Add your HMOs

    List the HMOs your hospital is accredited with.

  2. 2

    Assign an HMO Officer

    Give insurance work to the right person.

  3. 3

    Record patient cover

    Capture NHIS or HMO details at registration.

  4. 4

    Bill as normal

    HealthFlow splits each bill between patient and payer.

What our customers say

Before HealthFlow, closing the books at the end of the day meant three staff members comparing notebooks. Now I open one dashboard and I know exactly what came in.
Medical DirectorMulti-branch clinic, Lagos
Our pharmacy used to run out of stock without warning. The batch tracking alone paid for the subscription in the first month.
Hospital AdministratorPrivate hospital, Abuja

Plans, pricing and full details

See HealthFlow's plans and subscribe on the HealthFlow website.

Questions, answered

Does HealthFlow verify NHIS enrollees online?

There's no public real-time NHIA verification service, so HealthFlow records enrollee details from the patient's card.

Do HMO approvals happen inside HealthFlow?

HMOs approve requests on their own portals. HealthFlow records each pre-authorization request, its PA code and the HMO's decision.

Can insured and private patients use the same system?

Yes. Every patient has one record; insurance details simply change how their bills are split.

See it running in your business

Book a free demo and we'll set it up around how you actually work.