The register of Medical Services contains all medical services that can be included in packages of benefits of insurance products administered and remunerated by the health insurance scheme. Administration of the register of medical services is restricted to users with the system role of Scheme Administrator or with a role including an access to Administration/Medical Services.

Pre-conditions

A medical service may only be added or thereafter edited or deleted, after the approval of the management of the scheme administration.

Navigation

All functionality for use with the administration of Medical Services can be found under the main menu Administration, sub menu Medical Services.

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Img. 65 Navigation Medical Services

Clicking on the sub menu Medical Services re-directs the current user to the Medical Services Control Page.

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Img. 66 Medical Services Control Page

Medical Services Control Page

The Medical Services Control Page is the central point for all medical service administration. By having Access to this panel, it is possible to add, edit, delete and search. The panel is divided into four panels (Img. 66)

Search Panel

The Search Panel allows a user to select specific criteria to minimise the search results. In the case of medical services the following search options are available which can be used alone or in combination with each other.

Code

Type in the beginning of; or the full Code; to search for medical services with a Code, which starts with or matches completely, the typed text.

Name

Type in the beginning of; or the full Name to search for medical services with a Name, which starts with or matches completely, the typed text.

Type

Select the Type; from the list of types (Preventive, Curative) by clicking on the arrow on the right of the selector, to select medical services of a specific type.

Historical

Click on Historical to see historical records matching the selected criteria. Historical records are displayed in grey and with a Valid date to clearly define them from current records (Img. 67)

Search Button

Once the criteria have been entered, use the search button to filter the records, the results will appear in the result panel.

Result Panel

The Result Panel displays a list of all medical services found, matching the selected Criteria in the search panel. Double click re-directs the user to the actual record for detailed viewing if it is a historical record or editing if it is the current record.

A maximum of 10 records are displayed at one time( can be changed Img. 41), further records can be viewed by navigating through the pages using the page selector at the bottom of the result Panel (Img. 42)

Button Panel

Material UI add button can be used to add medical itemsDouble click on a line open the serviceDelete button at the end of the line delete the service“Open in new tab” button enable the user to open the service in a new tab.

Information Panel

Page selector- Result Panel

Medical Service Page

Data Entry

Code

Enter the code for the medical service. Mandatory, 6 characters.

Name

Enter the name of the medical service. Mandatory, 100 characters maximum.

Category

Choose the category (Surgery, Consultation, Delivery, Antenatal, Other) which the medical service belongs to.

Type

Choose one from the options available (Preventive, Curative), the type of the medical service. Mandatory.

Service Level

Select from the list (Simple Service, Visit, Day of Stay, Hospital Case), the level for the medical service. Mandatory.

Price

Enter the price a general price that can be overloaded in pricelists. Full general price (including potential cost sharing of an insuree) for the medical service. Mandatory.

Care Type

Choose one from the options available (Out-patient, In-patient, Both), the limitation of provision of the medical service to the specific type of health care. Mandatory.

Frequency

Enter the limitation of frequency of provision in a number of days within which a medical service can be provided to a patient not more than once. If the frequency is zero, there is no limitation. Note: By default the frequency is 0.

Patient

Choose one or a combination of the options available, to specify which patient type the medical service is applicable to. Note: By default all patient options are checked (selected).

Saving

Once all mandatory data is entered, clicking on the Save button will save the record. The user will be re-directed back to the Medical Services Control Page, with the newly saved record displayed and selected in the result panel. A message confirming that the medical service has been saved will appear on the Information Panel.

Mandatory data

If mandatory data is not entered the Save button won’t be active

Adding a Medical Service

Click on the Add button to re-direct to the Medical Service Page.

When the page opens all entry fields are empty. See the Medical Service Page for information on the data entry and mandatory fields.

Editing a Medical Service

Double click on the service line to re-direct to the Medical Service Page.

The page will open with the current information loaded into the data entry fields. See the Medical Service Page for information on the data entry and mandatory fields.

Deleting a Medical Service

Click on the < button to delete the currently selected record; the user is re-directed the Medical Services Control Page.

Before deleting a confirmation popup (Img. 69) is displayed, which requires the user to confirm if the action should really be carried out?

When a medical service is deleted, all records retaining to the deleted medical service will still be available by selecting historical records.