Capture it once, use it everywhere
When a clinician documents the visit in FlowMed — diagnosis, procedures, charges — that data flows directly into the pre-auth request and claim. Your billing team stops re-typing and starts submitting.
Get Claims Paid, Stop Chasing Paper
Insurance Pre-Auth and Claims Workflow for Facilities in Kenya
Your billing team re-types diagnosis codes, chases clinicians for notes, and submits claims that get rejected for missing information. FlowMed captures the clinical data at the point of care — so when it is time to submit a pre-auth or a claim, the information is already there. No re-entry, no guesswork, no lost revenue.
Faster Pre-Auth
Clinical context auto-attached — submit in minutes, not hours
Cleaner Claims
Diagnosis, charges, and notes flow straight from the encounter
Works With
SHA, NHIF legacy, Jubilee, Britam, CIC, and private insurers
Pre-auth requests go out with the right clinical detail attached. Claims submit clean the first time. Aging claims get flagged before your revenue stalls.
Why it matters
Claims that carry complete clinical context from the encounter get paid faster and rejected less.
Pre-auth requests submitted with diagnosis, cost estimate, and clinical notes attached clear quicker.
Your finance team spends time on follow-up that matters — not re-entering data that already exists.
How It Connects
FlowMed HMIS
Captures every clinical encounter, charge, and service — the clean source data your claims depend on.
Ops Intelligence
Flags aging claims, approaching pre-auth deadlines, and underpayments so your team acts before revenue is lost.
Your Bottom Line
Fewer rejected claims, faster insurer payments, and a finance team that stops drowning in paperwork.
Submit pre-auths with everything the insurer needs
Pre-auth requests go out with the diagnosis, estimated cost, and clinical justification already attached. Your team tracks every pending request and gets alerted when follow-up deadlines approach — no more approvals expiring because someone forgot.
See exactly where your money is stuck
After submission, you see which claims are pending, which are aging past 30 days, which came back underpaid, and which need escalation. Your finance team knows where to focus every morning.
Common Questions
Answers for healthcare facilities evaluating staffing and HMIS options in Kenya.
See it in action
Book a walkthrough and see how staffing, HMIS, and operations work together for your facility.