C4A Service
Claims Recovery
Your hospital has already done the work. We get the payors to pay for it.
Why the money is stuck
Most of it is disputed, not refused.
Settle the dispute and the claim gets paid.
No authorisation code, or one that does not match what was billed
Retrospective authorisation, agreed with the payor's medical team
Billed on the wrong or an old tariff
Rebilled at the agreed rate, so the claim is paid rather than written off
Notes, results or a discharge summary missing
Records pulled and the claim resubmitted inside the payor's window
Submitted late, or never submitted
Negotiated case by case, with the payor's claims lead
How it works
Vet, reconcile, recover
Vet
Every claim is checked against the payor's tariff, the authorisation record and the paperwork before anyone chases it. Claims that will not pay as they stand are repaired first.
Reconcile
We match what you billed against what each payor says it owes and clear the difference claim by claim, with the people at the payor who decide.
Recover
We follow up, escalate and settle. You see every claim's status from submission to cash, the same view we work from.
Check your receivables
What is sitting outside your hospital?
Your numbers
₦60.0m
owed to you at any one time
₦12.0m
of that, held up in queries and disputes
₦15.0m
released for good if you are paid 30 days sooner
This is arithmetic on the figures you enter, not a forecast of what we will recover. The written read is.
Questions
Will this damage our relationship with the HMOs?
It should improve it. Most unpaid claims are disputes nobody has had time to settle. We settle them at claims level, with documents, and nobody is threatened.
Do you need our patients' records?
No. To start we need a list of 20 unpaid claims by claim reference, payor, date and amount. Records stay in your system, and when a claim needs a document we ask for that document only.
What does it cost?
The first review is free. After that we are paid from what we recover, so there is no fee on money we do not bring in. We agree the terms in writing before we start.
Which hospitals is this for?
Private hospitals, clinics, diagnostic centres and specialist practices that bill payors, corporate accounts or a state scheme, in Lagos, Abuja and beyond.
Can we be paid before the HMO pays?
We are setting up early payment against vetted claims for a first group of hospitals. If that interests you, say so in the form and we will tell you when it opens.
Confidential Engagement
Partner With Consult For Africa
We support hospital operators, investors, development partners, and institutions seeking disciplined execution, institutional strengthening, and measurable performance transformation.
Engagement Areas
- • Hospital management & embedded leadership
- • Turnaround & financial performance recovery
- • Strategy, service-line & revenue growth
- • Capital project planning & commissioning
- • Digital systems & performance dashboards
- • Healthcare HR & executive coaching (Maarova™)
- • Public sector & PPP transformation
Accreditation & Quality Readiness
- • JCI accreditation preparation
- • COHSASA accreditation readiness
- • SafeCare quality improvement pathways
- • Clinical governance & patient safety systems
Engagement Process
- • Confidential executive review
- • Diagnostic & performance assessment
- • Scope definition & transformation pathway
Discreet engagement • NDA available • Executive response within 48 hours