Across the country, more than 76 billion shillings in claims sits unpaid. About one in five claims to SHA comes back rejected or returned. For you, that is not paperwork. It is treatment already given, cost already carried, and money that is stuck. CRW exists to unstick it.
What we do
Three things eat a facility's week, and we take all three off you.
Money that has not come in. Your team submits fresh claims. We take on the rejected, returned, underpaid and denied ones, find the exact fault on each, refile or appeal it, and follow it to payment before the deadline closes. We also reconcile what SHA actually paid against what was billed, so underpayments are caught rather than absorbed.
Records that must go out. Every request from an insurer, a law firm or an employer, run from the day it arrives to the day it is released, on the seven day clock the Data Protection Regulations set. The party who asked is billed. The patient never is.
Licences that must not lapse. Every registration, credential and renewal date tracked in one place, with a standing answer ready for an SHA query or an audit before one arrives.
Eleven other services sit behind those three, from coding to staff training to joint purchasing. You take what you need and leave the rest.
How we work
We do not replace your claims office or your HMIS, and we do not put anyone on your premises. We add the capacity and the deadline discipline a busy office cannot spare, keep one shared and audit-ready record of every action, and report back on why things fail so that fewer fail over time.
On claims recovery you are paid first and we are paid from what comes back. The other services carry a plain monthly figure by facility level, published on the website rather than quoted by mood.
Our promise, and our honest limits
We do not guarantee that any single claim will be paid, because that decision sits with SHA and the insurers. What we promise is that every recoverable claim is worked properly and on time, that on recovery work you carry no upfront cost, and that your money always flows straight from SHA to you and never through us.
We are a small office and we say so. We handle administration, records and compliance. We have no clinical or medical role, we are not advocates, and where something falls outside what we do well we will tell you rather than take the work.
Get your free review
The first step costs nothing. Send us a sample of your rejected claims and we will show you, in shillings, what looks recoverable and where the money is leaking.
Request a free review