The National Hospital Insurance Fund (NHIF) has been sued for allegedly not paying Ksh.10million.
Patanisho Maternity and Nursing Home, claims that from 2015 to date, NHIF has refused to pay for the services provided amounting to a debt of Ksh.10million.
The hospital argues that they entered in to a contract agreement from the provision of Comprehensive Medical Care and Treatment Services to Civil servants and Disciplined Services to both inpatient and outpatient.
The hospital further claims that despite the contract NHIF has terminated the provision of the said services without any prior notice.
The decision to terminate the provision of services is allegedly based on an audit carried out by the respondents.
The applicants (Patanisho) claim that the audit was done without prior, knowledge, participation or their representations
“The consequences is that NHIF decision will not only cause untold financial losses to the applicant but also expose the patients admitted and those who receive health services at the applicants facility harm since they will be left hopeless without any alternative access to healthcare, ”reads court documents
The hospital now want the decision by NHIF to terminate the provisions of services quashed on grounds that it had a legitimate expectation that it would continue providing health services until the year 2021 when the contract expires.