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: https://openimis.atlassian.net/wiki/spaces/OP/pages/2681602059

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

https://openimis.atlassian.net/wiki/spaces/OP/pages/40468517

https://openimis.atlassian.net/wiki/spaces/OP/pages/40730649

https://openimis.atlassian.net/wiki/spaces/OP/pages/40501266

https://openimis.atlassian.net/wiki/spaces/OP/pages/2669936728

Cash Transfer

Learn more about the Cash Transfer solution at: https://openimis.atlassian.net/wiki/spaces/OP/pages/3061612549

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

https://openimis.atlassian.net/wiki/spaces/OP/pages/4303290369 https://openimis.atlassian.net/wiki/spaces/OP/pages/1704853521

Beneficiary Registry

Learn more about the Beneficiary Registry solution at: https://openimis.atlassian.net/wiki/spaces/OP/pages/4088365086

Employment Injury Insurance (EII)

Learn more about the employment injury insurance use case at: https://openimis.atlassian.net/wiki/spaces/OP/pages/2681765908

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

https://openimis.atlassian.net/wiki/spaces/OP/pages/1719697409

Voucher Program

Learn more about the Voucher Program solution at: https://openimis.atlassian.net/wiki/spaces/OP/pages/3594223617

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

Current implementations

https://openimis.atlassian.net/wiki/spaces/OP/pages/3594223617