openIMIS offers scheme operators to generate pre-defined standard reports through its Reports function. There are 18 reports that are available as default in the openIMIS distribution, however all implementations are encouraged to review and configure/customize the list according to their needs.
Details on each of the reports, including explanations of the report design can be found in the http://docs.openimis.org
Primary operational indicators - Policies Report
Code | Primary indicators | Dimension | Description |
|---|---|---|---|
P1 | Number of policies | Time, Insurance product | The number of policies of given insurance product on the last day of a respective period (Status of the policy is Active, the last day of period is within <Effective date, Expiry day>) |
P2 | Number of new policies | Time, Insurance product | The number of new policies of given insurance product during a respective period (Enrolment date is within the respective period, there is no preceding policy with the same (or before converted) insurance product forgiven policy) |
P3 | Number of suspended policies | Time, Insurance product | The number of policies for given insurance product that were suspended during a respective period (Status of the policy is Suspended, suspension took place within the respective period) |
P4 | Number of expired policies | Time, Insurance product | The number of policies for given insurance product that expired during a respective period (Status of the policy is Expired, expiration took place within the respective period) |
P5 | Number of renewals | Time, Insurance product | The number of policies that were renewed forgiven insurance product (or a converte done) during a respective period ( Enrolment date is within the respective period, there is a preceding policy with the same (or before converted) product forgiven |
P6 | Number of insurees | Time, Insurance product | The number of insurees covered by policies of given insurance product on the last day of a respective period (An insuree belongs to a family with an active coverage on the last day of the respective period-see P1 ) |
P7 | Number of newly insured insurees | Time, Insurance product | The number of insurees covered by new policies of given insurance product during a respective period (An insuree belongs to a family with newly acquired policy during the respective period-see P2 ) |
P8 | Newly collected Contributions | Time, Insurance product | Amount of acquired Contributions (for policies of given insurance product) during a respective period ( Date of payment of a Contribution is within the respective period) |
P9 | Available Contributions | Time, Insurance product | Amount of Contributions that should be allocated for policies of given insurance product for a respective period provided a uniform distribution throughout the insurance period takes place. (If the respective period overlaps with <Effective date, Expiry day> of a policy then a proportional part of corresponding Contributions relating to the respective period is included in available Contributions) |
Primary operational indicators - Claims Report
The core indicators used for creating Primary operational indicators - Claims Report are:
Code | Primary indicators | Dimension | Description |
|---|---|---|---|
P10 | Number of claims | Time, Health facility, Insurance product | The number of claims for given insurance product that emerged during a respective period (Start date of a claim is within the respective period) |
P11 | Amount remunerated | Time, Health facility, Insurance product | Amount remunerated for claims for given insurance product that emerged during a respective period (Start date of a claim is within the respective period) |
P12 | Number of rejected claims | Time, Health facility, Insurance product | The number of claims for given insurance product that emerged during a respective period and were rejected (Start date of a claim is within the respective period and the Status approval of the claim is Rejected) |
Derived Operational Indicators Report
The core indicators for generating the Derived Operational Indicators Report in openIMIS are
Code | Derived | Dimension | Description |
|---|---|---|---|
D1 | Incurred claims ratio | Time, Insurance product | It is the ratio P11/P9 |
D2 | Renewal ratio | Time, Insurance product | It is the ratio P5/P4 |
D3 | Growth ratio | Time, Insurance product | It is the ratio P2/P1-for immediately preceding period |
D4 | Promptness of claims settlement | Time, Insurance product | It is the average (date of sending to payment- Date of submission of the claim) for all claims relating to given insurance product and emerging in a respective period Date of sending of payment is not in the structure of Claim, it has to be retrieved from a journal-can be?) |
D5 | Claims settlement ratio | Time, Health facility, Insurance product | It is the ratio (P10-P12)/P10 |
D6 | Number of claims per insuree | Time, Insurance product | It is the ratio P10/P6 |
D7 | Average cost per claim | Time, Health facility, Insurance product | It is the ratio P11/P10 |
D8 | Satisfaction level | TimeDistrict, Health facility | The average mark from feedbacks received in a respective period |
D9 | Feedback response ratio | Time, District, Health facility | The ratio of number of feedbacks received (up to time of creation of the report) and number of feedbacks asked for in a respective period |
Contribution collection report
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Product sales report
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Contribution distribution report
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
User activity report
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Enrolment performance indicator report
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Status of registers report
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Insurees without photos
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Matching funds
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Claim overview
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Payment category overview
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Families and Insurees Overview report
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Percentage of Referrals report
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Pending Insurees report
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Renewals report
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports
Capitation Payment Report
For detailed information regarding the report and the indicators within, please refer to the Official openIMIS Documentation on Reports