Re: [Health] Health Insurance module

[Luis Falcon]

Dear Armand
El Sat, 13 Jul 2024 10:04:36 +0100
Armand MPASSY <armand.mpassy@gnuhealth.org> escribió:
> Dear Luis
> 
> Thank you so much for your prompt reply
> 
> On 13.07.24 08:19, Luis Falcon wrote:
> > Dear Armand
> > El Sat, 13 Jul 2024 00:18:54 +0100
> > Armand MPASSY<armand.mpassy@gnuhealth.org>  escribió:
> > The "health_services" package provides the functionality to
> > invoice directly the insurance company.
> >
> > I am attaching a screenshot with that shows the functionality
> >
> > https://imgur.com/DTk4O0g.png
> >
> > Is this what you need?  
> 
> 
> Yes thank you. However there is still a small issue
> 
> Assume that patient Ana Betz has a health insurance that cover 80% of 
> the cost. She has to pay 20%.
> 
> Do we need to process the health service twice. The first one to 
> generate the invoice with a 80% discount which she will pay, and the 
> second one to generate an invoice with a discount of 20% which will
> be send to the insurance company?
> 
> Is there a better way of handling it by creating a single health
> service which will generate both invoices?
> 

That scenario looks like a "copayment"[1]. It's used also in
prescriptions in different countries. 

We currently don't have it automated, but is something that could be
included in the upcoming GH HIS 5.0 .

Let me know if that's the idea.

All the best
Luis


1.- https://en.wikipedia.org/wiki/Copayment