CBHI Report
Complete all fields for the reporting period, then submit. Monetary amounts are in Ethiopian Birr (ETB).
Basic Information
CBHI Visits
Requested & Reimbursed Amounts (in Ethiopian Birr)
| Fee Type | Amount Requested (ETB) | Amount Reimbursed (ETB) |
|---|---|---|
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2. Health Insurance Fee (public facilities only)
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3. Exempted Fee
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4. 3rd Party Fee
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