OpenIMIS Workshop

January 23^rd and 24^th, 2019

Test Scenario

1.   For Enrollment Assistant

1.1. Enrollment App

• When in online mode, capture the photos and Membership no and send it to openIMIS Server.
• When in offline mode, capture the photos and Membership no. and send it to phone storage device.
• Again, connect to the network to be in online mode and send the locally stored photos to the server.
• When in online mode, see the statistics of photos that were sent by you from statistics button from menu. Verify the photos send with the given no. in selected date range

1.2. Enquire App

• When in online mode enquire the details of members by entering the membership no.

2.   Enrollment Officer

2.1. Add family into the program

• Add the family with 5 family members into the system. Also, add the product and contribution.
• Add the family with 7 family members into the system. Also, add the product and contribution.

2.2. Modify family details

• Edit the date of birth and photos of any member of the family.
• Add 1 family member into the family with 5 family members. Also add contribution amount of Rs 425
• Move members for 1 family to another
• Change the head of the family

2.3. Policy Renew

• Renew Policy for following Membership NO: Kaski: XXXXXXXXX, XXXXXXXXX, XXXXXXXXX

Palpa: XXXXXXXXX, XXXXXXXXX

2.4. Search Members

• Search members with Membership No. XXXXXXXXX, XXXXXXXXX, XXXXXXXXX, XXXXXXXXX
• Search member with name: Search Mr. XXX XXXXX of XXXXXXX Municipality

3.   Claim Administrator

3.1. Claim Entry

Enter 10 claims including following conditions. While entering claim use both the Health Facility Claim from Claim menu and from Membership profile

• Enter claim for OPD
• Enter claim for IPD >40,000
• Enter claim for Emergency case

3.2. Claim Submission

• Submit single claim
• Submit multiple claims

3.3. Claim Overview Report

• Select the report for submitted, valuated and rejected claim separately from 23^rd January, 2019

4.   Claim Reviewer

4.1. Review Claim

• Review claims >1,000
• Valuate the reviewed claims
• Reject or reduce quantity with explanation of any item from the claim

4.2. Valuate Claim

• Directly valuate claim <1,000 without review

4.3. Claim Overview Report

• Select the report for submitted, valuated and rejected claim separately from 23^rd January, 2019