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Table 1 Summary of the medical claims data

From: Reducing medical claims cost to Ghana’s National Health Insurance scheme: a cross-sectional comparative assessment of the paper- and electronic-based claims reviews

Healthcare facility type

No. of facility

No. of submission

No. of claims submitted (%)

Cost of claims Submitted in GHS (%)

Pharmacies

19

127 (10.7)

84,904 (4.1)

2,563,466.00 (3.8)

Health centres & Clinics*

78

596 (50.4)

438,123 (21.1)

11,271,330.00 (16.7)

Polyclinics & District hospitals

67

404 (34.2)

1,157,698 (55.9)

36,802,348.00 (54.4)

Regional hospitals

6

27 (2.3)

206,673 (10.0)

7,307,068.00 (10.8)

Tertiary/Teaching hospitals

3

28 (2.4)

184,725 (8.9)

9,646,613.00 (14.3)

Total

173

1,182 (100.00)

2,072,123 (100.0)

67,590,825.00 (100.0)

  1. GHS: Ghana Cedis; Currency exchange rate of USD1.00:GHS3.81; *includes diagnostic centres and maternity homes