CMS Health Insurance Management Information System
Seamless Health Insurance Digitisation
CHIMIS digitises the entire journey from member enrolment to provider payment. Beneficiaries verify eligibility quickly; providers submit, track, and reconcile claims; administrators monitor spend and performance in real time. Standardised data and APIs connect with national systems for seamless reporting and control.
Our role spans product design, integrations, training, and support models so state teams can run the platform confidently.
The Problem
- Fragmented enrolment processes leading to delays, errors and poor tracking.
- Slow claims reimbursement which discourages providers.
- Fraudulent claims leading to wasted resources.
- Limited data visibility leading to oversight for state insurers.
KEY FEATURES
Member Management
Enrolment, eligibility checks, ID verification.
Claims Management
Submission, automated adjudication, fraud detection
Provider Portal
Track payments, manage reconciliation.
Admin Dashboard
Monitor spend, performance, KPIs
Integration Layer
APIs for NHIS/NHIA, state systems
End-to-end enrolment and claims for state insurers, faster reimbursements, less fraud, and clearer oversight under one secure platform.
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PROJECTS
CMS Health Insurance Management Information System
End-to-end enrolment and claims for state insurers, faster reimbursements, less fraud and clearer oversight under one secure platform.
CMS Health Insurance Management Information System
End-to-end enrolment and claims for state insurers, faster reimbursements, less fraud and clearer oversight under one secure platform.
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Insights from CMS
Shaping the future of health, data, and social development through evidence-driven solutions and transformative ideas