Title: JLN Process - OpenIMIS Mapping  
Owner: Patrick Delcroix
Creator: Patrick Delcroix Nov 05, 2019
Last Changed by: Marco Kalin Jan 25, 2023
Tiny Link: (useful for email) https://openimis.atlassian.net/wiki/x/CQBaO
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External Links (13)
    https://openimis.atlassian.net/wiki/spaces/OP/pages/1108639…
    https://openimis.atlassian.net/wiki/spaces/OP/pages/1089536…
    https://openimis.atlassian.net/wiki/spaces/OP/pages/1108213…
    https://openimis.atlassian.net/wiki/spaces/OP/pages/1108672…
    https://openimis.atlassian.net/wiki/spaces/OP/pages/1079607…
    https://openimis.atlassian.net/wiki/spaces/OP/pages/1091960…
    www.jointlearningnetwork.org/uploads/files/resources/NHIIS_…
    https://openimis.atlassian.net/wiki/spaces/OP/pages/1100546…
    https://openimis.atlassian.net/wiki/spaces/OP/pages/1079738…
    https://openimis.atlassian.net/wiki/spaces/OP/pages/1091731…
    https://openimis.atlassian.net/wiki/spaces/OP/pages/9632153…
    https://openimis.atlassian.net/wiki/spaces/OP/pages/1100677…
    https://openimis.atlassian.net/wiki/spaces/OP/pages/1100939…
openIMIS (30)     Page: JLN Process - Enroll beneficiary
    Page: JLN Process - Reserve Fund Management
    Page: JLN Process - Claims status inquiry
    Page: JLN Group - Care Management
    Page: JLN Process - Identify chronic disease management cases
    Page: JLN Group - Accounting
    Page: JLN Process - Set premium
    Page: JLN Group - Audit and Fraud Management
    Page: JLN Supportive Processes
    Page: JLN Process - Actuarial management
    Page: JLN Process - Claims processing
    Page: JLN Core Processes
    Page: JLN Group - Utilization Management
    Page: JLN Group - Provider Management
    Page: JLN Process - Eligibility inquiry by provider
    Page: JLN Group - Medical loss
    Page: JLN Group - Premium Management
    Page: JLN Process - Identify fraudulent cases
    Page: JLN Process - Claims adjustment and voids
    Page: JLN Process - Pre-authorization
    Page: JLN Group - Beneficiary Management
    Page: JLN Process - Provider agreement
    Page: JLN Process - Eligibility inquiry by beneficiary
    Page: JLN Process - Monitor chronic disease management cases
    Page: JLN Group - Provider Quality Management
    Page: JLN Group - Claims Management
    Page: JLN Process - Claims dispute and appeals
    Page: JLN Process - Accounts receivable
    Page: JLN Process - Enroll into chronic disease management programs
    Page: JLN Process - Manage fraudulent cases