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Function | Nepal | Tanzania | Congo (DRC) | Chad | Mauritania | Niger | Cameroon (BEPHA) | Cameroon (HIV UF) | ||||||||||||||||
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Collection of public health data (location of health facilities (HF) , types of HF, related services, population covered) |
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Presentation of the users of the application : |
| Manuel d'utilisation plateforme OpenIMIS
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Administration of beneficiaries (members and their dependents) |
Manual (1st part) |
| page 26 manuel de procedure HIV User Fees
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Collection and management of contributions | ||||||||||||||||||||||||
Information on eligibility for benefits |
Page 18 manuel de procedure HIV User Fees | |||||||||||||||||||||||
Issuance of membership cards to beneficiaries | ||||||||||||||||||||||||
Checking eligibility for benefits (insurance coverage) | checking test vih code tarv
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Use of health care services (access to benefits; coverage) | processus de gratuite dans les fosa | |||||||||||||||||||||||
Elaborating of claims statements | page 27- 28 manuel de procedure HIV User Fees | |||||||||||||||||||||||
Submission of claims for reimbursement of benefits | page 21 manuel de procedure HIV User Fees
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Medical review of claims |
| page 39 manuel de procedure HIV User Fees | ||||||||||||||||||||||
Preparation of claims payment statements | page 30 manuel de procedure HIV User Fees | |||||||||||||||||||||||
Claims payment | page 30 manuel de procedure HIV User Fees | |||||||||||||||||||||||
Generating indicators: membership, contributions, claims, health services use etc. | ||||||||||||||||||||||||
Import and export data from/to other applications |
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Annex
Manuel Operationelle/Operational Manual for Cameroon HIV User fees
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Gambia: Scheme workflows and openIMIS adaptation - openIMIS - openIMIS Wiki (atlassian.net)
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