---
title: "Healthcare Service Insurance Coverage"
space: "Wiki"
url: "https://support.aakvatech.com/wiki/healthcare-service-insurance-coverage"
updated: "2026-07-22"
---

**This is a document that is used to create and maintain the services that are covered in an Healthcare Coverage Plan (insurance plan).**

This is a place where by the coverages of the services such as lab tests, radiology examination, clinical procedures, medications and therapies are kept together with their start and end date.

To access it, go to search bar and type: **Healthcare Service Insurance Coverage** list or HSIC;

![](/files/dK7XUr0.png)  


### **Prerequisites**

Before creating a HSIC of a certain service, it is recommended to create the below;

1. Clinical Procedure Template
2. Lab Test Template
3. Radiology Examination Template
4. Medication
5. Therapy Type
6. Healthcare Service Unit Type

### Creating a New Healthcare Service Insurance Coverage

To create a new HSIC;

1. Go to **Healthcare Service Insurance Coverage** list.
2. Click on **Add Healthcare Service Insurance Coverage** button.
3. Choose the **Healthcare Service** from the list of options provided.
4. Click on **Is Active** checkbox.

  


![](/files/tow6srI.png)
5. Choose the Service you want to create the coverage for in **Healthcare Service Template**, please consider below;

  


![](/files/ITTm6q8.png)
6. Then choose the insurance plan in **Healthcare Insurance Coverage Plan.**

  


![](/files/3WLw2Kb.png)
7. Choose the **Company.**
8. Then scroll down, and fill in **Coverage details** as shown below, the required things to keep here are **Coverage**, **Start** and **End Date** as shown below;

  


![](/files/Iqj9dQj.png)
9. Additionally, if you tick **Approval Mandatory for Claim** and **Manual Approval Only**, it will ask for **Service Reference number** to be kept before submitting any service in the system. Consider below;

![](/files/e9OCJyj.png)  


![](/files/iwtizIE.png)
10. Then click on **Save** button.


> Note: If a Healthcare Service Coverage does not exist, then it will not be covered in the insurance plan.
> 
> 

### Auto Creation of Healthcare Service Insurance Coverage (HSIC)

For NHIF company, when the **Only Process NHIF Records** button is clicked in [Healthcare Insurance Company](https://docs.aakvaerp.com/healthcare_insurance_company), the HSIC are automatically created for all the insurance plans. And it marks as **Is Auto Generated** in the HSIC.

### Covering all Healthcare Services In The **Insurance Plan**

If all services are covered in the insurance plan, then go to Healthcare Insurance Coverage Plan (HCP), and tick on **Has HSIC as Exclusions**, this will cover all services in that insurance plan.

![](/files/Rl1EGsM.png)  



> Note: If you create HSIC and Has HSIC as Exclusions is ticked, then those services will be considered as Not Covered
> 
> 

### Related Topics

1. Healthcare Insurance Coverage Plan
2. [Healthcare Insurance Company](https://docs.aakvaerp.com/healthcare_insurance_company)