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Re: [Health] How to process health insurance plan

From: Luis Falcon
Subject: Re: [Health] How to process health insurance plan
Date: Thu, 16 Jun 2016 13:57:52 +0000

Dear Armand
On Tue, 14 Jun 2016 12:41:42 +0100
Armand Mpassy-Nzoumba <address@hidden> wrote:

> Dear all,
> I am trying to integrate health insurance plans in GNU Health. For
> example a patient has a health insurance which reimburse 20% of
> specific health services and 40% of others. He will pay the remaining
> of the bill. How can i configure it with GNU Health, this means how
> can I:
> - issue the related invoices both to the patient and the insurance
> company/
> I checked the official documentation, but it is not clearly specified.
> I noticed that it is possible to record insurance companies as well
> as insurance plans. However how do you issue related invoices both to
> the patent and the insurance company?
> Thank you for your assistance,
Thanks for your mail !

You could use the sale_price_list module from Tryton. This module
allows you to integrate the pricelist with the party . Once you have
it, you can localize it to your implementation, so depending on the
specific insurance, it will choose the appropriate pricelist (eg,
discount) for that person / insurance / insurance plan combination.

That said, we should incorporate directly into GNU Health, in a module
insurance_price_list, so we don't have to depend on the sale module,
and can integrate it with our Health Service module.

Let me know your thoughts.

All the best

Dr. Luis Falcon, M.D., BSc
President, GNU Solidario
GNU Health: Freedom and Equity in Healthcare

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