Cover that Delivers ROI, and Trust.
Members expect more than a Helpline printed in a booklet. Heyrafiki gives Insurers a verified network, clean Claims and visible Outcomes, so Mental Health Cover becomes a product People renew for.
A Claim's Life, in Seconds.
Verified Practitioners in, coded Claims out, and settlement the same day the Session happens.
Claims that Check Themselves.
Licence verified, cover confirmed, codes validated, settled, with no paper, no phone calls and no ninety-day wait.
A Network you can Trust.
Every Practitioner is verified against the Official Records before their first Session, and re-checked continuously.
Dr. A. Wanjiru
Clinical Psychologist · Nairobi
Risk, made Measurable.
Standards-based data from every Session turns Mental Healthcare from an unpriceable risk into a product you can build.
Members expect more than another App.
A connected Ecosystem of Mental Health Cover: Prevention, Therapy, Crisis Support and Insight, built to reduce Risk, prove Value and fit cleanly into the Benefits you already offer.
- One continuum of Care, from proactive tools to Crisis Support
- Lightweight integration into your existing Schemes
- Cover your Members use, and renew for
One Umbrella, an entire verified Network.
Every Practitioner under the Heyrafiki Umbrella is licence-verified and credentialed before a single Claim reaches you. You contract one Virtual Facility and receive an entire verified network.
From Session to Settlement, Auditable.
Mental Health Claims have been expensive to verify and easy to doubt. These are the rails that change the economics: verification before settlement, structure at the source and Care matched to clinical need.
/01
A Network verified before the first Claim
Credentialing you never have to repeat.
Every Practitioner under the Heyrafiki Umbrella is licence-verified against the Official Records before their first Session, and re-checked on a standing schedule. You onboard one Virtual Facility and receive the whole verified network behind it.
- Continuous re-checks
- Licences, credentials and standing are monitored over time, not photographed once at signup.
- One accreditation
- One counterparty, one contract, one integration, an entire verified network behind it.
/02
Claims that arrive complete
Structured at the source, checked before money moves.
Codes attach the moment the Practitioner approves the SOAP Note, not weeks later from a paper receipt. Before settlement, every Claim is machine-checked: the licence, the cover, the codes and the record that the Session took place.
- An audit trail per Claim
- Booking, attendance and approval records ride with every Claim, so every billed Session has evidence behind it.
- Fraud checked on the rails
- Anomalies are flagged for human review before settlement, not discovered in next quarter's audit.
/03
The right level of Care, priced right
Stepped Care keeps Claims honest to clinical need.
Matching routes mild needs to Counselling and guided Self-Care, and reserves specialist Care for the cases that need it. Claim costs start reflecting clinical need, and early Screening reaches Members before a manageable concern becomes an acute one.
- Prevention counts
- Validated screenings and guided Self-Care sit in front of the Claim line, catching needs early.
- Outcomes, visible
- Aggregate utilization, adherence and recovery signals show what your Cover achieves.
Guided Self-Care
most Members
Counselling
when it helps more
Specialist Care
when clinically needed
Why Insurers Choose Heyrafiki.
Cover your Members use, and numbers you can stand behind at renewal.
Full-Spectrum Cover
Proactive tools, Therapy, Crisis Support and Insight under one accreditation.
Claims that Arrive Clean
Structured, coded and consistent, straight from the Session.
Fraud Resistance Built In
Checks live on the rails, not bolted on after the money moves.
Fits your Existing Schemes
Lightweight integration into the Benefits you already underwrite.
Outcomes you can See
Utilization, adherence and recovery signals, in aggregate, never identities.
Members who Renew
Members who can book Care straight from their Cover feel its value at every renewal conversation.
Legacy Panels vs. the Rails.
What changes when Claims are born structured instead of reconstructed.
| Legacy Panels |  On Heyrafiki | |
|---|---|---|
| Practitioner onboarding | Manual credentialing, facility by facility | One network, licence-verified continuously |
| Claim format | Paper receipts and scans | Structured, coded, consistent |
| Fraud posture | Investigated after payment | Machine-checked before settlement |
| Reporting | Monthly extracts | Live aggregate dashboards |
| Member experience | A helpline printed in a booklet | Cover Members book with, in the app |
What Insurers ask us First.
How heavy is the integration?
Light. Heyrafiki bills as one Virtual Facility, so onboarding looks like adding a single Facility to your panel, with structured Claims from day one. Deeper API integration into your claims systems is available when you want it.
What fraud controls run on the rails?
Every Claim is machine-checked before settlement: the Practitioner's licence and standing, the Member's cover, the codes, and the booking and attendance record behind the Session. Unusual patterns go to human review before money moves.
What data do we receive?
Aggregate, privacy-preserving reporting: utilization, adherence and outcome signals across your covered population. Identities and Session Content are never part of it, so you price risk on clean data without carrying the privacy exposure.
How do Members experience the Cover?
They see it inside the product: cover found and applied before payment, verified Practitioners they can book directly, and no reimbursement paperwork.
Can our auditors and regulators trace what was paid?
Yes. Every Claim carries its own audit trail: the booking, the attendance record, the SOAP Note approval behind it and the settlement event. An auditor traces any Claim end to end without ever touching clinical content.
Mental healthcare carries a $15B financing gap. The Insurers who move first will set the standard everyone else follows.
