openIMIS has been implemented by the Health Insurance Board (HIB) in Nepal since 2016 to manage its national Social Health Insurance scheme. By April 2021, the Social Health Insurance covered 75 out of 77 districts and 3,7 Mio beneficiaries (53% women). Full coverage is to be achieved by summer 2021.
The video explains the core business processes supported by openIMIS from enrolment to verification at the health facility, claims submission at the health facility and review at the scheme operator, up to data analysis and reports at the scheme operator, here HIB.