Nigeria

Overview

Country/Region

Nigeria

Solution

Health Insurance

Program Operator

Kaduna State Contributory Health Managament Authority (Kadchma)

Program type

Kaduna State Health Insurance / ‘KADCHMA scheme’

Implemented since

2023

Implementing Partner(s)

ILO

Supporting Partner(s)

2M Corp

Version

 

Functionalities used

Beneficiary enrollment, Claims management

Coverage

To be implemented in Kaduna State

Number of beneficiaries

400.000 enrolees, potentially 1 Mio

Number of users

 

Number of health facilities

 

Last update

April 2024

Scheme Features

Health scheme implemented since

 

Name of openIMIS focal point

 

Total number of health scheme employees

 

Total number of employees using openIMIS

 

Total number of employees not trained on openIMIS

 

Number of health insurance products managed by the health scheme and using openIMIS

 

Product Features

Number of households covered

 

Number of households covered

 

Average size of a household

 

Household contribution amount

 

Individual contribution

 

Average amount paid for a claim

 

Specifications of the openIMIS used

Version

 

Version

 

Has anything been modified (customization)

  • Preauthorization: A pre request issuance for the issuance of authorization to access care in secondary/tertiary Health Facilities

  • Auto generation of Insuree Number and claim ID

  • A custom percentage income for formal sector

  • Custom Reports

  • Cleaning, transforming and migration Data from the existing system to openIMIS

  • Grievance Module

  • Employer Portal

What standards are used to code services, items, diagnosis and products

 

 



 

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