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Re: [Health] Insurance workflow

From: Luis Falcon
Subject: Re: [Health] Insurance workflow
Date: Wed, 18 Jan 2012 14:35:37 -0300

Hi Heydayat !

The concept of an insurance plan is to create the association between
the insurance company and the product(s), so :

- If you're the insurance, you know how much the patient will have to
pay monthly
- If you're the Health center, you can create pricelists for the
services associated to that insurance plan.

That being said, it's a generic concept. What we try to do at this
point is to create the associations, to easily make connections among
the objects (products -services, medications,... - , health centers,
insurance companies, insurance plans and patients).


On Tue, Jan 17, 2012 at 7:42 AM, Hedayat Vatankhah <address@hidden> wrote:
> Hi!
> Luis Falcon <address@hidden> wrote on Sun, 15 Jan 2012 18:54:56
> -0300:
> Hi Bashar !
> On Sun, Jan 8, 2012 at 2:20 PM, Bashar <address@hidden> wrote:
>> Hi,
>> I'm wondering if any one could give me some explanations about how
>> insurance work in GNU health with all the details and with examples will be
>> better.I need this explanations a lot because I will use the insurance in
>> the health center.
> We have the insurance company as a party. The insurance (and it's plan) can
> be assigned to the patient.�
> You can create the insurance companies either from the party menu or form
> the Health Configuration menu.
> In this menu, you can also create the insurance plan and assign it to the
> patient.
> Remember that the plan is a product, so that means that you can can assign a
> price and invoice.
> Thanks a lot for the description. However, I have not figured out how we can
> configure a plan. What I expect from an insurance "plan" is a way to specify
> how the plan affects users costs. For example, a plan can have a list of
> hospitals services and medicines and specify how much of the costs is paid
> by the insurance company and how much of it should be paid by the patient.
> And therefore, when we assign an insurance plan (and the corresponding
> insurance company) to a patient, patient costs (and also the money which
> should by paid by insurance company) is automatically computed based on the
> medicines and services that the patient have used. Unfortunately, I can't
> find out how much of the process is currently implemented in GNU Health and
> how to use it. Would you please explain a bit more about the way insurance
> works in GNU Health?
> Thanks a lot,
> Hedayat
> I will be updating the repository to add the insurance plans in the product
> categories.
> Hope it helps !
> Luis�
>> Best Regards and thanks in advance
>> Bashar
> --
> Luis Falcon
> GNU Health

Luis Falcon
GNU Health

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