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Not all digital systems are created equal, however. Interoperable digital solutions based on open source technology enable the seamless exchange of data between different information systems, such as those maintained by social security agencies or health insurance scheme operators. This results in smoother, more efficient processes and removes the need to develop expensive custom-made software from scratch.
openIMIS: A versatile open source solution for employment injury insurance schemes
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openIMIS supports the following core processes:
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Enrolment
Accident reporting
Health service utilization
Health service claims generation and submission
Claims review process
Processing and payment of claims
For employees, openIMIS simplifies enrolment procedures, makes it easy to verify one’s coverage status at point of care and ensures prompt receipt of benefits in case of injury. For employers it provides a one-stop solution for managing both enrolment and accident reporting, with seamless links to information from hospitals about treatment and rehabilitation. For health facilities, it streamlines the processes associated with a health financing scheme and makes it easy for them to receive reimbursements. For scheme operators it reduces operational costs, allows for better monitoring and analysis of the scheme’s overall performance, and enables information to be shared between different health and social protection schemes.
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