Important Documents from other Implementations
Function | Nepal | Tanzania | Congo (DRC) | Chad | Mauritania | Niger | Cameroon (BEPHA) | Cameroon (HIV UF) |
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Collection of public health data (location of health facilities (HF) , types of HF, related services, population covered) |
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Presentation of the users of the application : |
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| Manuel d'utilisation plateforme OpenIMIS
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Administration of beneficiaries (members and their dependents) | Manual (1st part) |
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| page 26 manuel de procedure HIV User Fees
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Collection and management of contributions |
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Information on eligibility for benefits |
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| Page 18 manuel de procedure HIV User Fees |
Issuance of membership cards to beneficiaries |
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Checking eligibility for benefits (insurance coverage) |
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| checking test vih code tarv
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Use of health care services (access to benefits; coverage) |
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| processus de gratuite dans les fosa |
Elaborating of claims statements |
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| page 27- 28 manuel de procedure HIV User Fees |
Submission of claims for reimbursement of benefits |
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| page 21 manuel de procedure HIV User Fees
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Medical review of claims |
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| page 39 manuel de procedure HIV User Fees |
Preparation of claims payment statements |
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page 30 manuel de procedure HIV User Fees |
Claims payment |
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| page 30 manuel de procedure HIV User Fees |
Generating indicators: membership, contributions, claims, health services use etc. |
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Import and export data from/to other applications |
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Annex
Manuel Operationelle/Operational Manual for Cameroon HIV User fees
2. Standard of Procedures/ Standard des procédures (Nepal)
3. Standard of Procedures/ Standard des procédures (Nepal) Employment Injury Insurance
Employment Injury Insurance - Social Security Fund Nepal
4. Functional Scope - The Gambia
Gambia: Scheme workflows and openIMIS adaptation - openIMIS - openIMIS Wiki (atlassian.net)
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