Modules in Healthcare

What are the main modules in the Healthcare arena?
Thanks
Guillaume Massey
RDBMS Manager
[email protected]

In a nutshell Oracle has a small number of Modules that work well in the healhcare space. Of primary interest on the technology stack is a product from their Advanced Technology Group called Transaction Hub. This solution is designed to allow you to comply with complex integration needed to connect your trading community as well as transact via HIPPA compliant transaction sets and security protocols.
Oracle is also working on a technology foundation that will be used as a next generation architecture on which Healthcare ISV's can develop their clinical applications.
Hope this helps a bit.
RGB

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    HI,
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    Note:  The system does not allow for an employee to enroll in more than one benefit plan per plan type (i.e. employee can not enroll in both the Medical Indemnity and Medical HMO, but they do have a choice of one or the other).
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    IMG>Personnel Management>Benefits>Basic Settings>Plan attributes>Define benefit plan status
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    - Enter an identifier to represent each status
    - Enter a status description
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    CL           Closed                     
    LK           Locked                     
    OP           Open                      
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               - Hit the “Save” button
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                          - Enter the Low and High values for the salary group
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    - Enter the Low and High values for the age group
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    - Enter the Lowest and Maximum values
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               Menu Path:
    IMG>Personnel Management>Benefits>Basic Settings>Define employee groupings>Define coverage groupings
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    - Hit the “New entries” button
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    - Hit the “Save” button
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               Menu Path:
    IMG>Personnel Management>Benefits>Basic Settings>Define employee groupings>Define employee contribution groups
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    - Hit the “New entries” button
    - Enter identification and description for employee contribution group
    - Hit the “Save” button
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    Menu Path:
    IMG>Personnel Management>Benefits>Basic Settings>Define employee groups>Define employer contribution groups
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    - Hit the “New entries” button
    - Enter identification and description for employer contribution group
    - Hit the “Save” button
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    Menu Path:
    IMG >Personnel Management>Benefits>Plans>Health Plans
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    - Define health plan general data                                
    - Define options for health plans
                          - Define dependent coverage options
                          - Define cost variants          
                          - Define cost rules
                          - Assign health plan attributes          
                          - Define evidence of insurability conditions
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    Menu Path:
    IMG >Personnel Management>Benefits>Plans>Health Plans
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    - Define options for health plans
    - Define dependent coverage options
               - Define cost variants          
    - Define cost rules
    - Assign health plan attributes          
    - Define evidence of insurability conditions
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    •           for salary levels above $120,000:  $0.07 below age 50, $.10 above age 50
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    Menu Path:
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                          - Define coverage formula          
                          - Define coverage rules
                          - Define cost variants
                          - Define cost rules
                          - Assign insurance plan attributes          
                          - Define evidence of insurability conditions
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    IMG >Personnel Management>Benefits>Plans> Insurance Plans>Combined coverage
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                          - Define combined coverage limit expressions
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    - Define employee contribution variants
    - Define employee contribution rules
    - Define employer contribution variants
    - Define employer contribution rules
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    - Define vesting portions
    Menu Path:
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    - Define investment groups
    - Assign investments to groups
    Menu Path:
    IMG >Personnel Management>Benefits>Plans> Savings Plans
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    Menu Path:
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               - Define employer contribution variants
               - Define employer contribution rules
               - Assign spending account attributes
               - Define spending account claim types
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    Menu Path:
    IMG >Personnel Management>Benefits>Plans> Credit Plans
    Steps:
    - Define credit plan general data
    - Define credit variants
    - Define credit rules
    - Assign credit plan attributes
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    Menu Path:
    IMG >Personnel Management>Benefits>Plans> Miscellaneous Plans
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    IMG >Personnel Management>Benefits>Flexible Administration>Prerequisites and \Corequisites>Define prerequisites/ Define corequisites
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               Menu Path:
    IMG >Personnel Management>Benefits>Flexible administration>Programs>Employee Eligibility>Define eligibility groupings
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    - Hit the “Save” button
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    - Hit the “Save” button
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    - Hit the “Save” button
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    - Select Benefits termination rule criteria
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    - Select your Employee status
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    Regards,
    Phani.

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