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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- wip - Bugfix latest standards document:
- https://github.com/openhie/arch-spec
- https://github.com/openhie/openhie-specification/tree/5.0/introduction/openhie-finance-and-insurance-services-workflows
- wip - IHE application for an FISh profile
- Which are the next workflows?
- Reporting
- Patient level reporting
- JLN review for other workflows
- Object model
- NP use case documentation
- Curation of available platforms (such as OpenIMIS etc) and other that are involved in the workflows