Self-pay collection, HMO claims and adjudication, tariff versioning and denial management — in one system for clinics, hospitals and diagnostics. Cash is the main case, not the edge case.
NDPA-2023 aligned · Naira-native, integer-exact accounting · No patient-detention features, by design
Healthcare in Nigeria is not slow invoicing. Design for these four realities or produce incorrect bills to sick people and unrecoverable revenue for providers.
The payer decides line by line what it pays and remits weeks later at an amount the provider did not choose. We model that reality — never an invoice that happens to be slow.
Over 70% of Nigerian health spending is out of pocket. Cash is first-class here — fast collection at every point of care, not a stripped-down version of the insured flow.
Eligibility, authorisation codes and demographic accuracy at registration decide whether a claim is ever paid. We reach forward into registration, not just back into collections.
The April 2025 NHIA revision raised fee-for-service 378% in one directive. Tariff versioning, effective dating and mass re-tariffing are core engine features, not an admin screen.
POS, transfer, USSD and card at reception and pharmacy — consolidated into one patient balance, with instant SMS receipts and part-payment as normal.
Verify cover on the date of service and alert before a service is rendered without a required auth code — the highest-value control point in the product.
Per-payer, version-controlled, effective-dated tariffs with bulk re-tariffing, preview, impact analysis and rollback when a directive lands.
Every claim validated against payer-specific rules before submission, with a feedback loop from denials that makes the scrubber sharper with every use.
A first-class workbench: denials normalised to a taxonomy, routed by recoverable value and appeal window, tracked to resolution.
Reconcile expected against received per enrollee, and tell a primary provider — for the first time — whether a capitation contract is actually profitable.
Single-site, mostly self-pay
First bill within the hour.
Multi-department, mixed payer
Full claims & inpatient workflow.
High-volume, referral-driven
Order → result → bill.
Detaining patients, blocking discharge on medical grounds, or withholding emergency care for non-payment are violations of patients' rights. OneHealth Billing cannot be built or configured to do any of them. We support legitimate collection — deposits, payment plans, statements, lawful recovery — and decline the rest.
The console runs on live seeded data — register a patient, capture charges, take a payment, and watch the financial record and audit trail update.