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IMIS, adapted from the Tanzania and Cameroon implementations, was used from the very beginning to manage all core business processes of the insurance scheme, from beneficiary management to claims adjudication. The Health Insurance Board has been using openIMIS since the master version became available in 2018.
openIMIS has been instrumental in helping Nepal implement greatly enhanced the implementation of social health insurance in Nepal. Complicated processes, particularly around enrollment and claims processing, have been made easier. The availability of Android-based apps for enrollment has meant that enrollment assistants can go door to door to bring households into the scheme. A web-based claims entry and adjudication module significantly diminishes paper-based transactions and reduces paperwork for health facilities. This has enabled the Health Insurance Board to achieve a rapid rate of expansion.
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