KATHMANDU: The Health Insurance Board has urged healthcare providers not to conduct unnecessary medical tests, citing outstanding payments to service providers under the national health insurance programme.
In a statement issued on Friday, the board said it has cleared claims only up to mid-Mangsir 2082, while payments for subsequent claims will be made after the government allocates the required budget.
According to the board, it has disbursed Rs 23.44 billion to service providers on various dates during the current fiscal year. “With this payment, claim arrears of all service providers affiliated with the Health Insurance Board have been settled up to mid-Mangsir 2082,” the statement said.
The Board added that it is coordinating with the relevant authorities to secure the budget needed to clear claims submitted after mid-Mangsir and to ensure the long-term financial sustainability of the insurance programme.
It also urged all affiliated health institutions to continue providing quality healthcare services in accordance with programme standards and not to disrupt treatment for insured patients despite the pending payments.
The Board further appealed to insured service recipients not to seek unnecessary medical services or diagnostic tests and not to pressure doctors or health workers to prescribe investigations or treatments beyond what is medically required.
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