This document provides a high-level overview of the current activities of the Health Financing towards UHC / Health Insurance activities for 2019.
2019
...
- Pre-validation of claims
- Claim submission
- Beneficiary enrolment
...
- Pre-validation of claims
- Claim submission
- Beneficiary enrolment
...
- Pre-validation of claims
- Claim submission
- Beneficiary enrolment
...
Roadmap
Working directory: https://drive.google.com/drive/folders/11HZDMd2F8U8f0ZK-H4BQjLHLzGoa8eW5
Ideas/Backlog (Ideas to be confirmed and scheduled):
...
- Client / Beneficiary registration
- Client / Beneficiary validation
- Claim submission
- Claim result
...
- wip - Bugfix latest standards document:
- wip - IHE application for an FISh profile
- Proposals: https://github.com/IHE/IT-Infrastructure/tree/master/Proposal
- contact to HL7 / Gravity project
- Define functional requirements for the FIS component: https://guides.ohie.org/arch-spec/openhie-component-specifications-1/openhie-finance-and-insurance-service
- Which are the next workflows?
- Reporting
- Patient level reporting
- JLN review for other workflows
- Object model
- Nepal use case documentation (find write up or publication)
- Curation of available platforms (such as
...
- openIMIS etc) and other that are involved in the workflows
- e.g. client registry
- Anything to prepare for Sri Lanka - OHIE24