Make NHIA statutory returns effortless and stress-free for your team.
The NHIA Act 2022 expands health insurance access across Nigeria and sets clear reporting, financial reserve, and quality-of-care standards for HMOs and hospitals. Manticore organizes daily hospital visits and monthly capitation records into ready-to-submit NHIA statutory schedules—saving weeks of manual spreadsheet preparation.
Ready-to-File Regulatory Schedules
One-click statutory returns for Nigerian healthcare regulators
Form CAP/01: Primary Care Capitation
Monthly primary healthcare clinic capitation register. Confirms hospital NHIA accreditation numbers, active registered members per clinic, and monthly capitation disbursements.
Form CLM/02: Secondary & Specialist Claims
Quarterly secondary and tertiary hospital claims summary organized by WHO ICD-10/11 diagnosis groups, surgical procedures, hospital bands, and tariff adjustments.
Form FIN/04: Financial Reserves & Solvency
Clear tracking of pending hospital bills, statutory reserve requirements, and medical care expenditure ratios in line with NHIA financial guidelines.
Supporting Universal Health Coverage
Built for Nigeria’s expanding health insurance landscape
Section 13: Universal Health Insurance Coverage
As health insurance expands across corporate, SME, family, and community associations, Manticore helps HMOs enroll and serve both formal sector employees and Group, Individual, and Family Social Health Insurance (GIFSHIP) members smoothly.
Section 34: Vulnerable Group Fund (VGF) Accountability
Keep public health subsidies, state social health schemes, and donor-supported maternal care funds clearly separated from private corporate plans—with transparent patient care records for every naira spent.
Standard ICD-11 Diagnoses & Essential Medicines
Manticore helps hospitals and HMOs speak the same clinical language by aligning diagnoses with WHO ICD-10/11 standards and the NHIA Essential Medicines List.
Complete Care & Payment History
Every prior authorization, clinical claim review, and hospital payment voucher is neatly archived with dates and reviewer notes—making annual NHIA accreditation visits calm and straightforward.
Stay effortlessly prepared for every NHIA review
Keep your HMO accreditation and statutory reporting up to date without burdening your medical and finance teams.