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Government Platform

One Health Platform for a State of Millions

StateHIS connects hospitals, primary health centres, pharmacies, insurers, and policymakers on one platform — patient records, appointments, insurance claims, inventory, and GIS analytics that drive better health outcomes at lower cost.

12M+
Lives covered by the platform
90 → 7
Claim processing days
$3.2M
Fraudulent claims detected
1,000+
Facilities connected

Executive Summary

Why Organisations Choose StateHIS (coming soon)

State Health Information Platform — Facilities, Patients, Insurance & Analytics

The Business Problem

States run health systems across disconnected facilities, paper registers, and manual insurance claims. Patients wait weeks for appointments, records are lost between facilities, pharmacies stock blindly, and insurers process claims for ninety days — while fraud and leakage drain finite budgets. Policymakers lack the data to plan, allocate, and prove outcomes.

Who It's For

StateHIS is built for state ministries of health, health insurance agencies and schemes, teaching and general hospitals, primary health centres, pharmacies, and development partners — serving clinicians, administrators, insurers, and policymakers.

Business Value

  • Claims processing compressed from ninety days to seven — releasing working capital for providers
  • AI fraud detection identified $3.2 million in irregular claims in the first year alone
  • Centralised procurement and inventory intelligence cut medicine wastage and stockouts

Operational Value

  • Unified patient records across every facility — continuity of care without paper
  • Appointments, pharmacy, and inventory workflows digitalised at facility level
  • GIS facility mapping shows coverage gaps and referral flows across the state

Strategic Value

  • Evidence-based policy — resource allocation driven by live utilisation and disease data
  • Universal health coverage programmes supported by enrolment, capitation, and actuarial modelling
  • Sovereign data control with on-premise deployment and full auditability

Key Features

Enterprise Capabilities

Every feature engineered with business, operational, and technical benefit.

Citizen Health Registry

A lifelong digital health identity for every enrolled citizen — with biometric deduplication.

Business
Clean, de-duplicated membership is the foundation of fair capitation and credible coverage numbers.
Operational
Enrolment centres verify identity in seconds instead of weeks of paper vetting.
Technical
Biometric deduplication engine with national ID integration and offline enrolment capture.

Facility & PHC Management

Registration, appointments, consultations, and referrals across hospitals and primary health centres.

Business
Standardised facility operations improve quality, utilisation, and reporting consistency.
Operational
Clinicians see complete patient history — no more lost folders or duplicate tests.
Technical
Clinical workflows with role-based records, offline mode, and referral tracking.

Claims & Insurance Engine

Enrolment, capitation, claims submission, adjudication, and provider payment on one engine.

Business
Claims settle in seven days instead of ninety — providers stay solvent and services stay available.
Operational
Adjudication rules automate routine decisions; reviewers handle exceptions only.
Technical
Rules-based adjudication with AI fraud screening, batch APIs, and audit trails.

AI Fraud Detection

Machine-learning screening flags duplicate, inflated, and collusive claims before payment.

Business
Millions in irregular claims intercepted — preserving scheme funds for genuine care.
Operational
Investigators receive ranked risk queues instead of paper-stacked desks.
Technical
Anomaly and network models over claims graphs, retrained on adjudication outcomes.

Pharmacy & Inventory

Pharmacy dispensing, stock management, procurement, and expiry control at every facility.

Business
Medicine wastage and stockouts reduced through visibility and forecast-based replenishment.
Operational
Pharmacists dispense against prescriptions with live stock and batch traceability.
Technical
Inventory engine with batch/lot tracking, reorder logic, and distribution analytics.

GIS Health Intelligence

Facilities, populations, and disease patterns mapped — revealing coverage gaps and referral flows.

Business
Resources allocated where evidence shows need — not where lobbying wins.
Operational
Emergency planners route referrals and stock by live facility status.
Technical
PostGIS analysis with thematic mapping and catchment modelling.

Executive & Donor Reporting

Dashboards and reports on utilisation, claims, costs, and outcomes — donor-ready and auditable.

Business
Credible numbers strengthen budget cases and donor relationships.
Operational
Quarterly reporting compiles automatically instead of consuming staff weeks.
Technical
Scheduled exports, open data APIs, and BI connectivity.

Interoperability Gateway

FHIR and standard APIs connect the platform to national health systems, labs, and partners.

Business
The state platform plugs into national health architecture instead of duplicating it.
Operational
Labs, registries, and payment systems exchange data without manual transcription.
Technical
HL7 FHIR, REST/OpenAPI, and webhook adapters with payload validation.

Business Benefits

Outcomes That Move the Executive Dashboard

Measurable results from production deployments across the region.

12M+

Lives covered

Citizens enrolled with lifelong health identity on the state platform.

7 days

Claim settlement

Down from ninety days — releasing provider cash flow and restoring service capacity.

$3.2M

Fraud detected

Irregular claims identified and intercepted in the first year of screening.

1,000+

Facilities connected

Hospitals and PHCs operating on one connected platform.

AI Capabilities

Intelligence Built Into Every Workflow

From prediction to prevention — AI that earns its place in mission-critical operations.

Predictive Analytics

Utilisation and disease burden forecasts guiding procurement and staffing.

Machine Learning

Claims and clinical models that learn from state-specific adjudication outcomes.

Anomaly Detection

Irregular claims, duplicate beneficiaries, and supply deviations flagged continuously.

Fraud Risk Prediction

Provider and claim risk scoring that concentrates investigators where risk is highest.

Document Intelligence

Legacy paper records and claim attachments processed with automated extraction.

Generative AI

Drafting claims correspondence, reports, and policy briefs for the scheme.

Spatial Health Intelligence

GIS models linking disease burden, facility access, and population coverage.

Product Tour

Platform Screenshots

Interactive previews of the StateHIS (coming soon) command experience.

State Health Command Centre

Live facility status, claims pipeline, and coverage KPIs across the state.

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Customer Success

Trusted in Production

What leaders say about working with StateHIS (coming soon).

"The fraud detection engine identified $3.2 million in irregular claims within the first year. Our claims processing time dropped from ninety days to seven. Provider satisfaction has never been higher."

Executive Secretary

State Health Insurance Agency

West African State Government

"Every PHC in the state now reports on one platform. For the first time, our ministry knows where facilities are, who they serve, and what they need."

Permanent Secretary

Ministry of Health

State Government

"Biometric enrolment cleaned our register of duplicates and ghost beneficiaries. Our capitation budget now goes to people who actually exist and receive care."

Director of Finance

State Health Scheme

African Government

FAQs

Frequently Asked Questions

Straight answers for executives and technical teams.

How is patient data protected?

Clinical records are encrypted at rest and in transit, access is role-based and fully audited, and on-premise deployment options keep records within the state. Processes follow ISO 27001-aligned controls.

Does it work in PHCs with poor connectivity?

Yes. Facility modules run offline and synchronise when connectivity returns — designed for remote primary health centres.

Can it integrate with our national health insurance system?

Yes. The platform exposes HL7 FHIR and REST APIs and has production integrations with NHIA-style systems, biometric identity, labs, and payment platforms.

How fast is a state rollout?

A pilot of ten facilities and an enrolled population is typically live in 8–12 weeks. State-wide rollout follows a phased plan covering facilities, enrolment drives, and claims migration.

How does the fraud detection work?

Machine-learning models screen every claim against beneficiary, provider, and clinical histories — flagging duplicates, over-billing, and collusion for investigator review with ranked risk queues.

What reporting is provided to the ministry and donors?

Executive dashboards plus scheduled reports on utilisation, claims, costs, coverage, and outcomes — compiled automatically and exportable for donor and audit review.

Connect Your State's Health System

See StateHIS running enrolment, facilities, claims, and GIS analytics for a live state-scale deployment.