Revenue cycleLive · in the productMoney

SHADesk

Kenya’s Social Health Authority: eligibility, pre-authorisation and claims from your ClaimsLine claims.

Installs with ClaimsLine, whose screen it works on · Offered in: Kenya only.

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What it is

For Kenya’s Social Health Authority (SHA), which replaced NHIF under the Social Health Insurance Act 2023. The claim stays in ClaimsLine; here you pick it and prepare what SHA needs: an eligibility check, a pre-authorisation from the estimate, or the claim from the bill’s lines, each as a FHIR R4 message carrying the patient’s national ID, the visit’s coded diagnosis and your facility’s SHA code, with your service codes mapped to SHA’s where you have mapped them. Before it goes a person records how the patient agreed to the claim and marks it ready; it is sent once an administrator has entered your facility’s SHA account, which SHA issues after your facility is contracted and its system approved. Until then you file on SHA’s own portal and record its answer here. Whatever SHA says is kept as it said it — a cover that is not in force is recorded, never a reason to turn a patient away.

Who uses it: Built for: Every specialty
Reads: ClaimsLine claims, bills, diagnoses
Writes: SHA eligibility checks, pre-authorisations, claims
Never: It does not turn a patient away on a failed check, price or code a service itself, or send anything to SHA before a person has marked it ready and your facility’s SHA account is connected.
Access: Only people whose role includes it — the clinic owner decides who
Your data: Full PHI. Hosted in Boston, United States. On uninstall: Every record stays; only the workflow leaves.

In the product

Who uses it: Finance manager — the demo profile it is best tried as
Where it opens: Revenue cycle › SHA claims /sha
Permission: sha.read

Every revenue cycle app in the handbook →

How it works

Pick the claimThe claim stays in ClaimsLine. Pick it and prepare an eligibility check, a pre-authorisation or the claim, with the patient’s national ID, the diagnosis and the bill’s lines.
Basis, then readyRecord how the patient agreed to the claim and mark it ready. It goes to SHA once an administrator has entered your facility’s SHA account.
What SHA saidKept as SHA said it, with its reference. A cover not in force is recorded; the clinic decides on care.

Rules it keeps

What it does not do, by design. A listing with only benefits is an advertisement.

It does not turn a patient away on a failed check, price or code a service itself, or send anything to SHA before a person has marked it ready and your facility’s SHA account is connected.

AI in SHADesk

AskQuestions about what is on screen — “What needs attention in SHADesk today?” — answered with the records it read.

DraftSummaries and notes for the team, marked as drafts until a person signs.

Every answer shows its sources. Nothing AI writes is saved until a person accepts it.

See it on screen

SHADesk — SHA claims — Send SHA eligibility checks, pre-authorisations and claims from your ClaimsLine claims — 01SHA claims — Send SHA eligibility checks, pre-authorisations and claims from your ClaimsLine claimsCaptured from the running demo clinic

01SHA claims — Send SHA eligibility checks, pre-authorisations and claims from your ClaimsLine claimsCaptured from the running demo clinic

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Questions clinics ask

What does SHADesk do?

Kenya’s Social Health Authority: eligibility, pre-authorisation and claims from your ClaimsLine claims. For Kenya’s Social Health Authority (SHA), which replaced NHIF under the Social Health Insurance Act 2023. The claim stays in ClaimsLine; here you pick it and prepare what SHA needs: an eligibility check, a pre-authorisation from the estimate, or the claim from the bill’s lines, each as a FHIR R4 message carrying the patient’s national ID, the visit’s coded diagnosis and your facility’s SHA code, with your service codes mapped to SHA’s where you have mapped them. Before it goes a person records how the patient agreed to the claim and marks it ready; it is sent once an administrator has entered your facility’s SHA account, which SHA issues after your facility is contracted and its system approved. Until then you file on SHA’s own portal and record its answer here. Whatever SHA says is kept as it said it — a cover that is not in force is recorded, never a reason to turn a patient away.

What data does SHADesk read and write?

SHADesk reads ClaimsLine claims, bills, diagnoses and writes SHA eligibility checks, pre-authorisations, claims. Its data class is Full PHI. Every app works on the same patient record — nothing is copied into a silo.

What does SHADesk deliberately not do?

It does not turn a patient away on a failed check, price or code a service itself, or send anything to SHA before a person has marked it ready and your facility’s SHA account is connected.

What happens to our data if we uninstall SHADesk?

Every record stays; only the workflow leaves.

Is SHADesk available today?

Yes — SHADesk is live in clinics today. Set up your practice on MedAppz and install it from your dashboard.

Where is SHADesk offered?

SHADesk is offered in ke only: it is built on that market's own systems and rules.

Want to see SHADesk running on your own patients?

Tell us what you run and we will show you this app inside a practice shaped like yours — or answer the question the page above did not.

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