Bahmni Insurance Odoo Configuration

Bahmni-insurance-odoo is an addon developed in Odoo that is responsible to handle claim creation, submission, tracking and account voucher management to handle insurance payment. 

Before you start generating claim,  you should setup and configure your insurance app settings first.

Insurance Settings

This section includes all the settings related to insurance app. Go to "Menu / Insurance/ Configuration / Settings" and review the settings for:

• Username, password and base-url
  This section is used to setup credentials and url for the insurance connect service. Insurance connect service is a middleware for Bahmni and openIMIS that handles claims between Bahmni and openIMIS. 

• Claim id setup
  This section is related to claims.
  Start Range, End Range, Next Value:
  
  

Company setup

1. Goto Edit mode of your company

2. Select Hospital type one of two 

   1. Hospital

   2. PHC

3. Based on this hospital type, all the products are prepared for insurance claims
   For eg: OPD service can be of two types and may have two prices based on hospital type. 

   1. OPD Hospital can have price of Rs 200 and 

      OPD PHC can be Rs 100

Product Setup

Add product specific to insurance. Some of the products to be added are

• OPD Hospital/OPD PHC
  This product is used to map the type of service taken by the patient in the hospital type. The product can be different based on hospital and visit. For OPD visit,

  1. Goto Sales -> Products -> Add Product

  2. Add product OPD Hospital/OPD PHC based on hospital type mentioned in company page.

  3. Mention product type as Service

  4. Map this added product to OpenIMIS product in Insurance -> Insurance - Odoo Product mapping

Patient Attributes

Patient's insurance information like NHIS number, Primary Contact point etc are added in Odoo from OpenMRS. But in order for these additional information to be synced in Odoo we need to configure additional parameters in Odoo as follows:

1. Switch to Developer’s mode (Settings → Activate developer mode)

2. Go to Settings > Parameters  > System Parameters

3. Edit Parameters : openmrs_patient_attributes

4. Add NHIS Number, (comma ending required)