Published: 31 August 2026 (15 Bhadra 2083). Based on the Health Insurance Board’s official letter (dispatch no. 60, dated 2083/05/11) and its five-page institution-wise payment list, both reproduced below. We read the original documents directly.
Quick answer: The Health Insurance Board payment backlog is — for once — cleared. By its decision of 2083/05/11 (27 August 2026), the Board transferred Rs 2,06,43,34,772.44 into the bank accounts of 376 service-provider health facilities, settling every approved claim for services delivered up to Chaitra end, 2082. The largest single payment went to Bharatpur Hospital (over Rs 7 crore). The board says all dues through 2082 are now paid.
Key takeaways
- Rs 2,06,43,34,772.44 paid in one release, from the FY 2083/84 budget, on 2083/05/11.
- 376 health facilities across the country — from Achham District Hospital to L.B. Karki Smriti Limchungbung Aspatal, Udayapur — received money directly in their bank accounts.
- This clears all verified claims for services up to Chaitra 2082; claims from Baisakh 2083 onward are the next queue.
- 2% of the approved claim amount was deducted into the स्वास्थ्य बीमा कोष, per the Board’s earlier decision of 2081/12/19.
- A handful of institutions were held back — those with unsettled advances (Rs 2,36,925) and those with no bank account on file (Rs 9,32,218) — their money waits until paperwork is fixed.
- Why it matters: hospitals’ commonest excuse for turning away bima patients — “the Board hasn’t paid us” — just lost its foundation, at least through 2082.
The arithmetic, straight from the letter
The Board’s letter lays out the full reconciliation, which we reproduce because it is the part press summaries skip:
| Step | Amount (Rs) |
|---|---|
| Approved claims through Chaitra 2082 (verified via the IT branch) | 2,10,77,85,093.33 |
| − held: institutions with unsettled advances | 2,36,925.04 |
| − held: institutions with no bank account on record | 9,32,217.66 |
| + previously verified but unpaid claims | 24,47,362.63 |
| = Total approved for payment | 2,10,90,63,313.26 |
| − 2% deposited into the Health Insurance Fund (Board decision, 2081/12/19) | — |
| ± settlement of old outstanding advances | 25,44,939 |
| = Paid into providers’ accounts, 2083/05/11 | 2,06,43,34,772.44 |
Two details deserve a pause. The 2% deduction means every hospital effectively contributes a slice of its claim back into the scheme’s own fund — a Board policy in force since Chaitra 2081. And the institutions excluded for having no bank account on file is a quietly remarkable line: in 2083, some provider facilities still have not completed the paperwork to receive money electronically.
Who got the biggest payments
From the five-page list (largest figures we verified on the published pages):
| Facility | District | Payment (Rs) |
|---|---|---|
| Bharatpur Hospital | Chitwan | 7,04,02,271 |
| BP Koirala Institute of Health Sciences | Sunsari | 5,63,42,654 |
| Nepal Korea Friendship Municipality Hospital | Bhaktapur | 3,35,86,680 |
| Chitwan Medical College | Chitwan | 3,11,74,198 |
| Bakulhar Ratnanagar Hospital | Chitwan | 3,06,56,010 |
| BP Koirala Memorial Cancer Hospital | Chitwan | 2,80,54,373 |
| Khwopa Hospital | Bhaktapur | 2,74,70,795 |
| Province Hospital, Surkhet | Surkhet | 2,67,16,587 |
| Human Organ Transplant Center | Bhaktapur | 2,30,94,359 |
| Bheri Hospital, Nepalgunj | Banke | 1,86,90,435 |
Chitwan alone hosts four of the top payments — a reminder of how concentrated bima utilisation is around the big referral hospitals. At the other end sit entries like Auarahi PHC, Siraha, paid exactly Rs 1,372: the scheme’s ledger runs from crores to the price of a few consultations.
The documents
The full five-page, 376-facility list is published by the Board; the pages above are the letter and the first page of the list, reproduced unmodified for the record.
What this means for you as an insured patient
The health insurance programme’s worst reputation problem has been at the hospital counter: card-holders turned away, told to pay cash, or pointed to the “बिमा बन्द छ” notice — with unpaid Board dues as the standing justification. With dues cleared through Chaitra 2082:
- A provider refusing bima service can no longer cite old arrears. If you are refused, ask specifically what period the claimed dues relate to — and note the Board’s toll-free line 1660-01-11224 from the letterhead.
- Claims for Baisakh–Asar 2083 and onward are the next test. The letter covers services through Chaitra 2082; whether newer claims are settled on a faster cycle will decide if this is a turning point or a one-off catch-up.
- Enrolment and renewal have meanwhile moved online with digital cards, per recent reporting — the scheme is modernising on both the paying and the joining side.
Frequently asked questions
How much did the Health Insurance Board pay?
Rs 2,06,43,34,772.44, transferred to the bank accounts of 376 service-provider health facilities on 2083/05/11, from the FY 2083/84 budget.
What period does this payment cover?
All verified claims for services delivered up to the end of Chaitra 2082. The Board states dues through 2082 are now fully settled.
Why did some institutions not receive payment?
Facilities with unsettled advance balances (Rs 2,36,925 worth) and those with no bank account on record with the Board (Rs 9,32,218 worth) were held back until their paperwork is completed.
What is the 2% deduction?
Under a Board decision of 2081/12/19, 2% of the approved claim amount is deposited into the Health Insurance Fund itself before payout.
Which hospital received the most?
Bharatpur Hospital, Chitwan — over Rs 7.04 crore — followed by BPKIHS Dharan and Nepal Korea Friendship Municipality Hospital, Bhaktapur.
Can a hospital still refuse my bima card citing unpaid dues?
For services up to Chaitra 2082, that justification no longer holds per the Board’s letter. For newer periods, claims are still in process — ask the facility which period it means, and escalate to the Board’s toll-free 1660-01-11224 if refused.
The bottom line
A cleared ledger is the least glamorous and most important thing a health insurance scheme can produce. This Health Insurance Board payment — Rs 2.06 arba, 376 facilities, one release — buys the programme credibility it has badly needed at hospital counters. The next question is already on the calendar: how fast will the 2083 claims be paid? We will watch for the next release.
Digital Solution disclaimer: Digital Solution Pvt. Ltd. is an independent publisher, unaffiliated with the Health Insurance Board or any health facility. Figures are read directly from the Board’s letter (dispatch no. 60, 2083/05/11) and its published payment list; the documents above are reproduced unmodified. For claim-specific questions contact the Board on 01-4100223 or toll-free 1660-01-11224.
Rabin Paudel
Rabin Paudel is the Founder of Digital Solution, a Content Creator, and an AI Trainer. He shares practical and easy-to-understand content on Artificial Intelligence, Digital Literacy, Online Services, FinTech, and Technology. His mission is to make technology simple, accessible, and useful for everyone.
View all posts by Rabin Paudel →