DigitrustNHIS claims resourcesGuides and tools for NHIS claims in Ghana
Practical guides for claims officers, administrators and medical directors: how G-DRG codes work, what your facility can claim, and how to stop losing money at vetting.
NHIS claims guides
NHIS claim deductions: where the money goes, and how to keep it
Why Ghanaian facilities lose 10–15% of NHIS claim value to deductions, the 12 most common causes found at vetting, and how to stop each one before the claim is submitted.
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G-DRG codes explained, from the first letter to the last
How Ghana’s NHIS G-DRG codes work: the 729 codes in the current schedule, the 15 MDCs, what the A and C suffixes mean, bundling, and why the tariff depends on your facility.
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Which NHIS codes can your facility claim?
How many NHIS G-DRG codes each facility level can claim under the current 2026 tariff schedule, from CHPS to tertiary hospitals, with the level-of-care rules that cause most deductions.
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The NHIS Medicines List and prescribing levels, explained
How the NHIS Medicines List works: the 551 medicines in the 2025 list, what prescribing levels A, M, B1, B2, C, D and SM mean, and how to avoid medicine deductions.
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Uploading NHIS claims to Claim-It, without the guesswork
A practical guide to uploading NHIS claims into Claim-It: how the claim month is decided, how to read the import report, why one-claim files fail, and what locked months mean.
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Put these rules to work in your facility
Digitrust HMS applies them to every claim, automatically.