Seven public hospitals had not reconciled National Health Insurance Management Authority (NHIMA) claims worth K4.08 million as at August 31, 2026. The 2025 Auditor General’s Report seen by the Zambian Business Times-ZBT showed that the hospitals submitted claims amounting to K59.37 million to NHIMA, of which K54.82 million was deemed eligible, leaving K4,078,730 in rejected claims. The report attributed the rejected claims to various irregularities, including unauthorised patients, mismatched ages, duplicate age entries and unauthorised diagnoses. According to the audit, the failure to update and reconcile the rejected claims with NHIMA had resulted in a loss of collectable revenue for...
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