The Social Health Authority (SHA) has urged all members to carefully review their hospital bills and visit details whenever they receive treatment at SHA-accredited healthcare facilities.
In a public notice issued on October 8, 2025, SHA emphasized the importance of confirming that hospital visits are properly recorded in its system and that all billed services match those received.
The move is aimed at strengthening transparency and ensuring members are not overcharged or inconvenienced due to billing errors.
“Members are reminded to ensure their visit is captured in the SHA system on the actual date of visit or service,” the notice stated.
“You will receive a confirmation message on your SHA-registered phone number once your visit has been started in the system. Kindly review the details in the message to confirm accuracy,” the Authority added.
SHA also advised members to check their hospital bills before leaving the facility to confirm that all services received are correctly captured and billed as per gazetted rates.
“Members should not incur any additional costs arising from delays or errors in visit entry or billing by the facility,” the notice read in part.
For medical procedures requiring prior authorization, the notice urged members to confirm that approval has been obtained before the procedure, except in emergencies.
In cases where discrepancies arise, members have been asked to immediately contact the healthcare facility or call SHA’s toll-free line, 147, for assistance.
The Social Health Authority (SHA) and the Kenya Medical Practitioners and Dentists Council (KMPDC) handed over 1,188 files to the Directorate of Criminal Investigations (DCI) for investigation on September 1, 2025, following widespread complaints by Kenyans over alleged fraud that was ongoing within the health sector.
Health Cabinet Secretary, Aden Duale, claimed the files contained evidence targeting fraudulent and non-compliant healthcare facilities and individuals.
“This action targets fraudulent and non-compliant healthcare facilities and individuals, marking a critical milestone in the ongoing effort to protect public funds and safeguard the integrity of Kenya's healthcare system,” he said.