Appeal ID | Type | Facility | Appealed By | Categories & Claims | Appeal Submission Date | Last Updated | Status | Assign To | Actions |
|---|---|---|---|---|---|---|---|---|---|
APP-2025-001 | Individual | Adabraka Clinic | BA Bright Addae | Incorrect coding - procedure miscoded1 claim • 1 category | DEC 10, 2024 | DEC 12, 2024 | Submitted | ||
APP-2025-002 | Batch | Agomeda CHPS Compound | CA Chris Ampeh | Missing documentation - lab reports2 claims • 1 category | DEC 5, 2024 | DEC 10, 2024 | Under review | ||
APP-2025-003 | Individual | Ayikuma CHPS | DB Dennis Boachie | Denied for medical necessity1 claim • 1 category | NOV 28, 2024 | DEC 9, 2024 | Approved | ||
APP-2025-004 | Batch | Abokobi Health Centre | MB Michael Budu | Policy exclusion - cosmetic procedure1 claim • 1 category | DEC 2, 2024 | DEC 5, 2024 | Submitted | ||
APP-2025-005 | Individual | Adenta Clinic | AS Abdul Salaam Fuseini | Incorrect patient information1 claim • 1 category | DEC 1, 2024 | DEC 2, 2024 | Under review | ||
APP-2025-006 | Batch | Apenkwa CHPS Compound | BF Basit Fuseini | Duplicate claims detected1 claim • 1 category | NOV 20, 2024 | NOV 28, 2024 | Submitted | ||
APP-2025-007 | Individual | Aggiemay Medical Centre | WJ Wisdom Jasper | Late submission of claim1 claim • 1 category | NOV 18, 2024 | NOV 29, 2024 | Declined | ||
APP-2025-008 | Batch | Ashaiman Polyclinic | AH Abdul Hafez Mahamah | Unapproved medication cost2 claims • 1 category | DEC 3, 2024 | DEC 4, 2024 | Under review | ||
APP-2025-009 | Individual | Betmis Clinic | PN Prince Nedjoh | Missing NHIS card copy1 claim • 1 category | NOV 25, 2024 | NOV 27, 2024 | Submitted | ||
APP-2025-010 | Batch | Bortianor Health Centre | SB Selina Boateng | Service above NHIS tariff rate1 claim • 1 category | NOV 30, 2024 | DEC 1, 2024 | Submitted | ||
APP-2025-011 | Individual | Bethany Medical Services | CA Chris Ampeh | Patient not found on NHIS database1 claim • 1 category | DEC 4, 2024 | DEC 10, 2024 | Approved | ||
APP-2025-012 | Batch | Bob Freeman Clinic | BA Bright Addae | Service exceeds treatment guidelines2 claims • 1 category | DEC 6, 2024 | DEC 7, 2024 | Under review | ||
APP-2025-013 | Individual | Adabraka Clinic | DB Dennis Boachie | Unclear diagnosis description1 claim • 1 category | DEC 8, 2024 | DEC 9, 2024 | Submitted | ||
APP-2025-014 | Batch | Agomeda CHPS Compound | MB Michael Budu | Facility not accredited for service1 claim • 1 category | DEC 7, 2024 | DEC 9, 2024 | Under review | ||
APP-2025-015 | Individual | Betmis Clinic | AS Abdul Salaam Fuseini | Mismatch in claim amount vs receipt1 claim • 1 category | DEC 9, 2024 | DEC 11, 2024 | Approved |