Page Comparison

Claim module scope

• Seems outdated (last change in 2020)

• Documents JLN-Process, Access Rights, IT-Integration, Status, Actors & Roles and diverse features

• Business processes

  • Page under construction since 2019

• Claim Screens mock-ups [DEPRECATED: development is now completed, please refer to user guide for "real" screenshots]

  • Deprecated since 2019

Claim

“Beneficiary Enrollment” \ Policies module scope

• Seems outdated (last change in 2021)

  • Refers to legacy code

  • Refers to functional spec from 2017

  • Refers to Windows service

• Seems incomplete (contains remarks, questions and/or arbitrary formatting)

• Top-Level-Content: Business definition of the policy dates, Access Rights, Actors & Rights, Policy Management Features

Policy

“Beneficiary Enrollment” \ Persons & Families module scope (->insuree) ()

• Seems outdated (last change in 2020)

  • Refers to legacy code

  • Refers to functional spec from 2017

  • Contains old screenshots

• Seems incomplete (contains remarks, questions and/or arbitrary formatting)

• Mixes two “Modules”

Persons - Missing in diagram

Families - Missing in diagram

“Beneficiary Enrollment” \ Contributions & Payment module scope

• Seems outdated (last change in 2020)

  • Refers to legacy code

  • Refers to functional spec from 2017

  • Contains old screenshots

• Seems incomplete (contains remarks, questions and/or arbitrary formatting)

• Mixes two “Modules”

Contribution

Payment

“openIMIS Administration Modules” \ Product module pages mockup

• Does not document the module, but a proposal -> Documentation is missing

Product

“openIMIS Administration Modules” \ Locations & Health Facilities module scope

• Seems outdated (last change in 2019)

  • Refers to legacy application

• Seems incomplete (contains remarks, questions or arbitrary formatting and / or seems overly brief)

• Mixes two “Modules” or naming issue?

Location

Health Facilities - Missing in diagram

openIMIS AI-based Claim Adjudication

• Describes a project

Claim AI - Missing in diagram

openIMIS Management Console

• Seems outdated (last change in 2019)

• Unclear scope, not describing a module

openIMIS FHIR modules

• Mixes two “Modules”

FHIR V3

FHIR V4

Invoices (and bills)

• Mixes multiple “Modules”

• Seems incomplete (contains remarks, questions or arbitrary formatting and / or seems overly brief)

Invoice

Others? (e.g. Contribution Plan ?)

Calculations Module

• Seems incomplete (contains remarks, questions or arbitrary formatting and / or seems overly brief or overly technical)

Calculations

Contract Module

• Seems incomplete (contains remarks, questions or arbitrary formatting and / or seems overly brief or overly technical)

Contract

PolicyHolders Module

• Seems incomplete (contains remarks, questions or arbitrary formatting and / or seems overly brief or overly technical)

Policy Holder

Policy holder portal moduleacceptance criteria

• Seems incomplete (contains remarks, questions or arbitrary formatting and / or seems overly brief or overly technical)

Policy Holder Portal - Missing in diagram

Bulk CHFID Generator (insuree)

• Seems incomplete (contains remarks, questions or arbitrary formatting and / or seems overly brief or overly technical)

Bulk CHFID Generator- Missing in diagram

Claim processing up to batch run

• Seems incomplete (contains remarks, questions or arbitrary formatting and / or seems overly brief or overly technical)

  • “Under construction”

Claim Batch

Report module

• Seems incomplete (contains remarks, questions or arbitrary formatting and / or seems overly brief or overly technical)

Report

Missing modules from diagram

• Module page is missing (or mixed in)

• Language Packs

• Insuree

• Insuree Batch

• Core

• Payer

• Medical

• Medical Pricelist

• Tools / Home

• Contribution Plan

Missing modules on the diagram?

• Login is mentioned in openIMIS Modules, but the page is missing

• User & Roles management is mentioned in openIMIS Modules, but the page is missing

• “Insurance Products” is mentioned in openIMIS Modules, but the page is missing