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Beneficiary management
Collecting and managing contributions
Issuing membership ID cards to beneficiaries
Verifying scheme membership
Health service claims generation and submission
Medical review of selected claims
Processing and payment of claims
Benefits
For beneficiaries, openIMIS simplifies enrolment procedures, reduces the number of ‘touch points’ (therefore saving both time and money), and makes it easy to verify one’s coverage status at point of care. 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 and allows for better monitoring and analysis of the scheme’s overall performance. For decision makers, data from openIMIS can enhance policy making and planning related to health service delivery
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