OYSHIA Sets Pace in Health Insurance with NEXUSINSURE Software


Emma Okonji

The Oyo State Health Insurance Agency (OYSHIA) is set to deploy NexusMax Software 365, to power its operations in the state.

The system, based on NEXUSMAX’s commercial off-the-shelf NEXUSINSURE software, was implemented by a joint government and private-sector team comprised of the Oyo State Health Insurance Agency and NEXUSMAX.
The adoption of the software is to ensure that at least five per cent of the population of Oyo State is enrolled before the end of the first year of the Health insurance Scheme.

According to the Ag. Executive Secretary of OYSHIA, Dr. Olusola Akande, the agency chose NEXUSINSURE because it offers a one stop platform to manage the activities of the Agency.

It also comes equipped with a comprehensive biometric data capture which is critical when verifying enrollees at the point of accessing health care in the state.

The agency went live with the new system in July 2017 on schedule. The system allows all stakeholders like HMOs, Hospitals and Enrollees to conduct many activities online, including payments, renewal of premiums, and biometric registration of enrollees.

“One of our major goals was to ensure—from day one of production—that this system would continue to support our operations and provide an improved customer experience without issue,” Akande said, adding; “Our team accomplished this goal, and the system streamlines our processes and allows us to serve our customers with greater accuracy and efficiency,” he said.
NEXUSINSURE provides access to several portals for the use of OYSHIA portal which is a dedicated portal to members of the agency.

From the portal, access to required information on progress of the scheme can be viewed by users.
It also powers HMO Portal, a private portal for all HMOs involved in the scheme‎; Enrollees Portal, where subscribers can change their providers, manage their dependants and perform self-service functions through the internet or gsm/sms;‎ Providers Portal that allows providers to be more than just buildings, it allows them to be partners.

They can download enrollee lists, verify enrollee identification, lodge their claims online real time, view claims lodged, paid and outstanding etc. Enrollee verification can be done via sms.
NEXUSINSURE also supports different payment channels like scratch cards, online payment as well as USSD based payment alternatives.

Director of NEXUSMAX, Wahab Aminu-Sarumi, said: “Every NEXUSINSURE project has been delivered on time and on budget. This record of success is an important factor for agencies in project evaluation.”