Double penalty to deter imposters in NHIF use

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Economy

Thursday September 30 2021

nhif-biometrics

A member of the general public scans his finger at some stage in NHIF mass biometric registration in Nyeri County on June 2, 2021. FILE PHOTO | NMG

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By JOHN MUTUA

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Abstract

  • Parliament has doubled the finest for fraudsters caught impersonating Nationwide Clinic Insurance Fund (NHIF) enrolled contributors in a listing to guard the blueprint’s revenues.
  • Persons stumbled on fraudulently the use of the blueprint to resolve scientific payments face a Sh1 mllion finest or a two-yr jail term or both after Individuals of Parliament on Tuesday handed the changes to the NHIF Act of 1998.

Parliament has doubled the finest for fraudsters caught impersonating Nationwide Clinic Insurance Fund (NHIF) enrolled contributors in a listing to guard the blueprint’s revenues that possess increasingly been focused by cheats.

Persons stumbled on fraudulently the use of the blueprint to resolve scientific payments face a Sh1 mllion finest or a two-yr jail term or both after Individuals of Parliament on Tuesday handed the changes to the NHIF Act of 1998 and imposed the stiffer penalties to kind out mistaken and fictitious claims from participants and hospitals that possess considered the Voice-backed insurer loses as much as Sh16.5 billion yearly.

The Voice had pushed for a Sh10 million finest or three years in jail or both for these stumbled on responsible of impersonation in the wake of the increasing losses nevertheless Individuals of Parliament reduced the penalties while passing the Bill on Tuesday.

Impersonation involves NHIF contributors giving their cards to patients no longer eligible for therapy the use of the Voice insurer’s services and products while hospitals possess additionally been mendacity about their mattress numbers.

“We now possess got been experiencing mistaken cases and makes an strive price far more which is moderately disappointing,” NHIF chief govt Peter Kamunyo said.

The fraud in most cases involves forgery of paperwork, particularly MRI and CT Scans. This has been rampant ensuing from lack of biometrics to identify contributors and their dependents.

In Also can, NHIF flagged claims forwarded by a scientific institution in Nairobi difficult a lady who tried the use of her daughters’ card claiming services and products price Sh1.246 million, highlighting the gravity of fraud on the Voice-backed insurer.

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