How to use eClaim module in KenyaEMR
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
Log into KenyaEMR
Use your usual credentials to access the system.
Navigate to the Billing Module
From the overview menu, go to the Billing or eClaim section depending on your KenyaEMR version.
Select the Patient
Search for the patient whose services you want to claim for.
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
Click on Create Claim or Generate eClaim.
The system will pull in all billable services for that patient visit.
Validate the Claim
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