This document provides a high-level overview of the UHC / Health Insurance activities for 2019.

2019

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Roadmap

Working directory: https://drive.google.com/drive/folders/11HZDMd2F8U8f0ZK-H4BQjLHLzGoa8eW5 

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• Pre-validation of claims
• Claim submission
• Beneficiary enrolment

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• Pre-validation of claims
• Claim submission
• Beneficiary enrolment

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• Pre-validation of claims
• Claim submission
• Beneficiary enrolment

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Ideas/Backlog (Ideas to be confirmed and scheduled):

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• Client / Beneficiary registration
• Client / Beneficiary validation
• Claim submission
• Claim result

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1. wip - Bugfix latest standards document:
1.  https://github.com/openhie/arch-spec 
2. https://github.com/openhie/openhie-specification/tree/5.0/introduction/openhie-finance-and-insurance-services-workflows
2. wip - IHE application for an FISh profile
1. Proposals: https://github.com/IHE/IT-Infrastructure/tree/master/Proposal
3. Which are the next workflows? 
1. Reporting
2. Patient level reporting
3. JLN review for other workflows
   
4. Object model
5. NP use case documentation
   

1. Curation of available platforms (such as OpenIMIS etc) and other that are involved in the workflows