Sub-vertical · Health insurance and managed care
Branch member-service desk
walk-in members.
Peripheral Planned
What is distinctive
walk-in members.
The edge case to test
cash drawers and receipts. A system that cannot handle this will frustrate this kind of business.
Shared with the wider industry
Typical flows
- enrol members
- collect premiums
- adjudicate claims
- pay providers
Tenders
- premium payments by bank transfer
- cards
- payroll deduction for employer plans
Roles
- underwriter
- claims examiner
- member services agent
- provider relations
Known gaps for health insurance and managed care
- policy administration, claims adjudication, actuarial and provider-network systems are all out of scope
- at most a branch cash desk or an agent's collection point could use cash and receipt features
Catalog pointers
- Double-entry journal BK-0008
- Multi-currency ledger BK-0027
- Cost centers / classes / locations BK-0030
- Cross-outlet reports MULTI-0012
- Fixed assets register BK-0083
- Pharmacy lot & prescription flags INV-0119
- Batch / lot tracking INV-0034
- Product expiry tracking INV-0033
Back to Health insurance and managed care. Planned catalog only; nothing is built.