How to use eClaim module in facility-wide KenyaEMR3.x

The eClaim module in KenyaEMR helps health facilities manage and submit claims electronically—especially for services covered under NHIF or other insurance schemes. It streamlines billing, reduces paperwork, and speeds up reimbursements.

How to Use It – Basic Steps

1. Log into KenyaEMR: Use your usual credentials to access the system.
   

2. Navigate to the Billing Module:
   

   From the overview menu, go to the Billing or eClaim section depending on your KenyaEMR version.

3. Select the Patient: Search for the patient whose services you want to claim for.
   

4. Review Services Rendered
   

   Ensure all services provided (consultation, lab, pharmacy, etc.) are correctly recorded in the system.

Bill the items under payment method as Insurance and Generate the Claim

1.  Click on Create Claim or Generate eClaim.
   

   The system will pull in all billable services for that patient visit.
   Validate the Claim

2.  Check for any missing or incorrect information:The system may flag errors or missing data.
   

Submit the Claim

• Once validated, submit the claim electronically.
  You can track the status (e.g., pending, approved, rejected).
  Follow Up

Use the platform to monitor claim feedback and resubmit if needed.

Helpful Video Guide
You can watch a detailed walkthrough here:
Billing Module in KenyaEMR (Refresher) – YouTube

More Help
Check the KenyaEMR 3.x Documentation for step-by-step guides