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OpesCare

Core platform

UHC IS

Universal health coverage information system

Universal health coverage works only if a facility can confirm coverage at the counter; UHC IS answers that and shows administrators where the money goes.

Request UHC IS All systems

Modules (6)

  • Beneficiary enrolment

    Households and individuals registered with the documents each scheme requires, linked to a Health ID.

  • Eligibility at the point of care

    Facilities confirm coverage in seconds, before treatment.

  • Claims capture and submission

    Claims built from the clinical record, reducing rejections.

  • Adjudication and settlement

    Rules applied consistently, exceptions routed to people, settlement tracked per facility.

  • Fraud and anomaly detection

    Flags duplicate claims, implausible service patterns and outlier facilities.

  • Programme reporting

    Coverage, utilisation and expenditure by region, facility and service.

Who it is for

Scheme administrators, mutual health organisations, regional health delegations and hospitals taking part in coverage schemes.

Every OpesCare system includes

  • The Patient Chart app

    Clinicians open the patient chart on their phone: history, results, prescriptions and vitals in one place, for patients they are treating.

  • The OpesCare interoperability layer

    Each patient has one Health ID. With the patient's consent, one hospital can request records from another, and every exchange is logged on both sides.

Buy it, or receive it free

  • For sale

    Any facility can buy any of these systems, alone or together.

  • Donated free

    Community health centres, hospitals and NGO hospitals that have no system can receive one free of charge.

Make a request Ask for a free system

Source: https://opesware.com/health/uhc-is.html