On the device
Patient records and claim drafts are local.
Member details on file, the sale, the copay split, and the claim as drafted live in the local database, whether or not you are online.
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SHA · Kenya
For pharmacies and clinics, Omnix keeps member details, copay splits, and claims on the same local sale record. Verifying a member and submitting a claim are connected steps that go to SHA and depend on your own accredited provider account.
What Omnix does
The steps below stay within what the software does — keep the record locally, verify and submit to SHA when connected, and track the response.
Checking a member’s SHA status and cover is a connected step that calls SHA over the internet. The result is recorded with the visit so the counter knows what is covered before dispensing.
Where a scheme covers part of a bill, Omnix can split the sale into an insurance portion and a customer copay, both recorded on the same local sale and receipt.
Claims are prepared on the local record and submitted to SHA over a connection, in batches you control. Each line returns accepted or rejected with the reason SHA gives.
A claim moves through submitted, accepted, and paid as SHA responds. Matching payouts against your own records is a connected step; the claim records themselves stay local.
Responsibility ledger
SHA billing spans your device, SHA’s systems, and your accreditation. This ledger keeps those responsibilities separate so the claim boundary is clear.
On the device
Member details on file, the sale, the copay split, and the claim as drafted live in the local database, whether or not you are online.
Needs a connection
Checking a member’s eligibility and submitting a claim require internet access. When SHA cannot be reached, the sale and the draft claim stay on the local record until they can be sent.
Your accreditation
SHA verification and claims run against your own registered, accredited provider account and credentials. Omnix connects to that account; it does not make your business an accredited provider. Private schemes work only where Omnix supports the scheme and your business is set up with it.
SHA & the owner
Cover, benefit limits, and whether a claim is approved or paid are determined by SHA under its rules, not by Omnix. Submitting accurate claims and meeting provider obligations remain your responsibility.
When SHA cannot be reached
A missing connection defers verification and submission, not the visit.
If SHA cannot be reached, the sale is still recorded and the claim can be drafted and held rather than lost. Where your workflow requires verified eligibility before dispensing on insurance, that check waits for a connection, and the copay or cash arrangement is handled on the local record in the meantime.
When the line returns, verification can be repeated and queued claims submitted. Omnix does not decide cover or approve claims and does not promise a fixed turnaround; those outcomes belong to SHA, and it remains your responsibility to reconcile what SHA accepts and pays against your records.
See it with a real member