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openIMIS offers a range of functional modules which can be combined into tailored solutions for the delivery of specific social protection schemes. The health insurance solution powered by openIMISallows scheme operators to manage beneficiaries, contracts, products, contributions, providers, claims and accounting in a single software. A key strength of openIMIS is its capacity to support the digital creation, submission and review of claims, including AI-supported review. It also connects seamlessly with other open source products, such as DHIS2 and openMRS, using FHIR standards.
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Supported processes
openIMIS supports the following business processes for health insurance:
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