This was edited from the idea “editing a claim”. It was deemed that editing a claim should not be allowed for fraud control purposes, rather it is more interesting to focus on the claims resubmission process. Indeed, it should be more clear exactly what the “standard” process should be if a submitted claim is incorrect and needs to be altered. This is particularly interesting for new implementations and programs that in the process of setting up a health insurance scheme, such as in Niger and Mauritania, where the claims management procedures are not necessarily in place yet. If the openIMIS Community could provide a standardized process on claim resubmission, scheme administrators would then already be guided on best practice when using openIMIS. |