openIMIS Solutions
openIMIS is a versatile open source software which powers solutions for the management of health financing and social protection programs. Selected openIMIS modules can be bundled into solutions for specific program needs. Designed in accordance with industry standards for interoperability, openIMIS offers a standardised but adaptable way to manage information flows related to various forms of health insurance, employment injury insurance, cash transfer, voucher schemes and beneficiary registries by bringing together beneficiary, service provider and scheme operator data into a single platform. The key openIMIS solutions are highlighted below.
Social Health Insurance
Learn more about the Social Health Insurance solution at: Social Health Insurance Solution
openIMIS supports the following business processes for social health insurance
Beneficiary Management
Collecting and managing contributions
Issuing membership ID cards to beneficiaries
Verifying scheme membership
Health service claims generation and submission
Medical review of selected claims
Processing and payment of claims
Data Analysis
Current implementations
Nepal - Health Insurance Board
Cash Transfer
Learn more about the Cash Transfer solution at: Cash Transfer (CORE-MIS) Solution
openIMIS supports the following business processes for cash transfers
Data collection of individuals and households
Targeting
Registration of beneficiary households
Registration of payment service providers
Definition of payment criteria and generation of payroll
Disbursements of payments to beneficiaries
Data analysis
Current implementations
Burundi The Gambia / Unconditional Cash Transfer
Beneficiary Registry
Learn more about the Beneficiary Registry solution at: Solution Package: Universal/Dynamic/Social Beneficiary Register
Employment Injury Insurance (EII)
Learn more about the employment injury insurance use case at: Employment Injury Insurance Solution
openIMIS supports the following business processes for EII
Enrolment
Accident reporting
Health service utilization
Health service claims generation and submission
Claims review process
Processing and payment of claims
Current implementations
Employment Injury Insurance - Social Security Fund Nepal
Voucher Program
Learn more about the Voucher Program solution at: Project: Customization Moldova - Workers Voucher Management
openIMIS supports the following business processes for voucher programs
Voucher acquisition and management
Assignment of vouchers to workers or beneficiaries
Verification of voucher validity
Integration with government authorisation platforms
Mobile-based voucher verification