SHA CONNECT · KENYA

Keep your HMIS. Get SHA-ready in 1–2 weeks.

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Ginja AI
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Lamu by Ginja AI

Stop rejections and rework before they happen.

Lamu checks claims in real time, catching errors and guiding your team through the fix—so more claims get paid the first time.

Cleaner claims. Faster payments. Less revenue lost to denials.

VISIT #48211 · A. WANJIRU Outpatient · Corporate scheme B
LIVE VISIT
VISIT
ConsultationDr. Achieng · A09
KES 3,500
CT scanabdomen
KES 12,800
RxAmoxicillin 500mg
KES 2,150
Invoice draft KES 3,500
CHECKS
Member eligibleverified
Balance covers visitKES 84,000
CT scan — pre-authrequested…
CT added to bill+ 12,800
Rx — no pre-auth neededadded · + 2,150
Amounts within tariffsall items
Stamp & signaturesdoctor + patient
Claim formcomplete & valid
Live visitCheckedCleanSentSettled
Fewer rejections
70%
Less rework
84%
Upfront cost
KES0
Why claims break

Your HMIS was built for care.
Not for claims.

Rejected claims Avoidable rework Ageing receivables

Lamu tackles all three.

How it works

Three steps from care to collection.

01

Connect.

Lamu connects your patient records with eligibility information, contracts, tariffs and payer requirements—all inside the HMIS or EHR your team already uses.

02

Clean.

At the point of care, Lamu checks approvals, codes, charges and supporting evidence—including paper forms, stamps and signatures. Every gap comes with an owner and a clear fix before submission.

03

Collect.

Lamu tracks payer responses, follows up outstanding balances and prepares denied claims for correction or appeal. Payment progress stays connected to the original claim.

Full-cycle revenue cycle management

One engine.
The whole revenue cycle.

See Lamu in action

Eligibility

Confirm membership, cover and benefit limits before care begins. Flag missing information before it becomes a payment problem.

Pre-authorisation

Identify required approvals, assemble supporting evidence and track requests through to a response.

Documentation and coding

Connect the care delivered to its evidence, codes and charges. Catch gaps and overlooked billable services before submission.

Claim checks and submission

Check payer requirements, resolve errors and prepare complete claims for SHA and private insurers.

Denials and revenue recovery

Bring rejection reasons and supporting records together. Prepare corrections and appeals, and keep outstanding claims moving.

Analytics and reconciliation

Match remittances to claims. See what was paid, what was underpaid and what still needs action.

The ROI of a clean claim

Collect more.
Spend less getting paid.

See Lamu in action

Faster cash

Fewer rejected claims. Less revenue tied up in receivables.

Lower collection costs

Less chasing, rechecking and resubmitting.

More revenue protected

Capture supported charges. Recover denials. Resolve underpayments.

Better customer experience

Fewer surprises at discharge. Clearer answers on cover, approvals and what is owed.

Your questions

Before we get started.

We have an EHR. Won’t this break it?

No—Lamu is EHR-agnostic and integrates with 40+ EHR platforms. Your clinical team keeps working in its existing EHR, with Lamu alongside the record.

What does Lamu automate—and what stays with our team?

Lamu runs checks, routes issues and prepares follow-up. We train your team to review exceptions, correct records and approve actions that need judgement.

How quickly can we go live?

For a combined rollout, SHA integration takes 1–2 weeks once prerequisites are ready; the wider rollout takes another 2–3 weeks. Ginja AI leads configuration, testing and onboarding around your existing system.

What needs to be ready before launch?

Your team provides an IT contact, a finance or clinical lead, system access, payer credentials and claims requirements. Ginja AI configures and tests the workflow with you; your leads approve it before go-live.

Can we start with one facility?

Yes. Start with one hospital or payer workflow, then add sites and products as your teams are ready.

Does Lamu support SHA and private insurers?

Yes—Lamu supports payer-specific checks and workflows for SHA and connected private insurers. SHA submissions run through SHA Connect, Ginja AI’s DHA-certified claims layer.

Can Lamu recover claims that have already been denied?

Yes—Lamu brings together the denial reason, claim history and supporting evidence to identify the next recovery action. It prepares corrections and appeals, assigns follow-up and tracks the claim through to resolution.

See Lamu in action

You already earned the revenue.
Let’s go get it.

See how Lamu catches an issue during the visit, guides the correction and keeps the claim moving towards payment.

Your patients. Your care. More of your revenue collected.

Start with a conversation.

Tell us your hospital and what you’d like to see. No claims or patient information are needed.

Prefer email? support@ginja.ai