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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
Luis



-- 
Dr. Luis Falcon, M.D., BSc
President, GNU Solidario
GNU Health: Freedom and Equity in Healthcare
http://health.gnu.org




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