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PHB/Public Health Bureau
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For providers NHIA & insurers

Insurance and public cover, on shared rails.

PHB works with NHIA and registered HMOs for eligibility checks, pre-authorisation and claims — all on the same network as the patient’s record. Sponsors can fund care for their members without ever seeing individual health data.

Connect with PHB →
For NHIA & HMOs

Eligibility and claims on the same rails as care.

Because PHB connects to the same network the patient’s record lives on, eligibility queries and claims happen in the same context as the care event — no separate portal, no duplicate data entry.

  • Real-time eligibility check at point of booking or check-in
  • Pre-authorisation requests and approvals without leaving PHB Connect
  • Claims submitted automatically when care is confirmed
  • Settlement via NIBSS directly to provider account
NHIA pre-auth flowPHB Connect
1
Eligibility check
Provider queries NHIA status by HPN
ELIGIBLE
2
Pre-auth request
Submitted for cardiology consult
PENDING
3
Pre-auth approved
NHIA approved ₦8,500 cover
APPROVED
4
Claim submitted
After care confirmation
SETTLED
Sponsored care for employers

Fund care for your team — without seeing their records.

PHB Sponsored Care (B2B) lets employers and organisations fund healthcare for members. A sponsor tops up a pool, members spend it on PHB-connected care.

Sponsors and insurers receive aggregated, k-anonymised wellness and membership data — never individual patient PHI. The privacy wall is architectural, not a policy promise.

What a sponsor sees
Members enrolled248
Pool balance₦ 4,120,000
Utilisation rate (30d)34%
Top service line (anonymised)Pharmacy
Individual patient names, diagnoses and treatment details are never shared with sponsors or insurers. This is not a configuration — it is an architectural guarantee.
The privacy wall

No insurer or employer ever sees individual PHI.

Every query from a sponsor or insurer passes through a Privacy Gateway. The gateway k-anonymises results, aggregates counts and strips all identifiers before returning data.

Any attempted query that would return fewer than the k-anonymity threshold returns an empty result — not a masked result, an empty one.

Patient layer — full detail
The patient sees their complete record: every visit, diagnosis, prescription and access event — in plain language.
Provider layer — consented clinical data
Providers see the clinical data the patient consented to share. No data outside the consent scope is returned.
Sponsor/insurer layer — aggregated only
Sponsors and insurers see k-anonymised aggregates. No individual names, diagnoses or treatment records — ever.

Connect your scheme to PHB.

NHIA, HMOs and B2B sponsors: contact the partnerships team to get set up on PHB’s insurance rails.

Get in touch →