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The link with the Source and actor won’t be in a form a database foreign keys because those could be from different table.

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accountPayable

referenceActor {
  "label":"",
  "code":"",
  "type": "batchRun/commissionOverview/capitationReport",
  "id":"UUID",
  "address":{"text":"",...}
}

referenceSource {
  "label":"",
  "code":"",
  "type": "HF/Insuree/PH/payer/user",
  "id":"UUID",
  "address":{"text":"",...}
}

tax details {
  "lines": [
    {"label":"", "rate":"", "base":"", "amount":""}]
    …
  ],
  "total":""
}

...

assets

tax details {
  "lines": [
    {"label":"", "rate":"", "base":"", "amount":""}]
    …
  ],
  "total":""
}

Save the different account payable

Ideally the “batchrun“ would be rename “close accounts payable”, closing account will be on a defined scope:

1. area: if not national, will take only the product define on the level selected or below

2. type: the type below could be checked

   1. supplier payment method (notion not yet existing)

      1. Claim valuation (fee for service - batchRun): https://openimis.atlassian.net/browse/OTC-10

      2. Capitation payment: https://openimis.atlassian.net/browse/OTC-10

   2. operation fee payment method (notion not yet existing)

      1. Commission payment:

      2. Payment fees

   Fee-for-service

   2. insuree Cash payment (doesn’t exist yet)

3. an account payable param report will be generated for each of the bellow Item when required by the payment method

   1. Product / payment period for “supplier payment method”

   2. actor / payment period for “operation fee payment method”

   3. insuree for the insuree payment period

Convert the different account payable following the new structure

1. Claim valuation (batchRun):​

2. Capitation payment: ​

3. Commission payment

4. Payment fees

5. Fee-for-service

   1. two way of creating the accountPayable are possible for the valuation, in both case there will be one “accountPayable” per HF

      1. One asset (line) per claim, claim details as asset description: claimed amount as unit price, net amount as net price, discount calculated based on net and unit price

      2. one asset (line) per item or service with claim detail as asset description: item/service claimed unit price as unit price, net as valuated price, quantity as quantity, discount calculated based on net and unit price

6. Capitation payment:

   1. two way of creating the accountPayableare possible for the valuation, in both case there will be one “accountPayable” per HF

      1. one asset (line) per weighted indicator I for product P : Allocated contribution/ Sum(indicator for P) as unit price , indicator I as quantity, (1-weight) as discount;

         1. Population living in catchments area of the health facility

         2. Number of families living in catchments area of the health facility

         3. Insured population living in catchments area of the health facility

         4. Insured number of families living in catchments area of the health facility

         5. Number of claims (contacts) with the health facility by insured in the catchment area

         6. Adjusted amount

      2. asset (line) per product with the detail of the calculation as asset description

7. Commission payment:

   1. one accountPayable per EO,

      1. one asset (line) per product/commission, sum of policy value as quantity, commission as unit price, product account code as ledger account

      2. one asset (line) per policy : policy value as quantity, commission as unit price, product account code as ledger account (dependent detail as asset description)

8. Payment fees

   1. one accountPayable per type of payment (TBC)

      1. one asset (line) per product/commission, sum of policy value as quantity, Payment fees as unit price, product account code as ledger account

      2. one asset (line) per policy : policy value as quantity, Payment fees as unit price, product account code as ledger account (dependent detail as asset description)

9. insuree Cash payment (doesn’t exist yet)

   1. one accountPayable per insuree (for all dependant), one line per cash payment (level of Item and service)

   2. one accountPayable per period, one line per cash payment claim

Create a FHIR interface for the accounting systems

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