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Mapping between product actions and product entity
Ideal data structure
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Realist data structure for openIMIS
In addition the PP&R plan could be added under the HF to enable flexibility in the way of payment,
PP&R plan could include the price list with an additional column for origin (column to remove for Coverage plan Service and item list) and the limits : like price list they will overwrite the default set in insuree coverage plan
HF could have different PP&R plan (link between a product/pool and a calculation )
Insuree coverage plan are today configured in the product with
item and service list
limits on care (e.g. number of delivery …)
In the Realist data structure for openIMIS this part stays with the product because without the Insuree coverage plan, contribution plan , nor pool, nor PP&R plan the product will be a simple mapping table.
Provider Payment plan are today configured in the product with:
price list (not in product, but should be incorporated and location should have the possibility to have more than one price list)
deductible
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Contribution plan are today configured in the product with:
lumsum
policy value
threshold
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