
Language
Shell
Tool Type
Web app, Mobile app, API
License
Creative Commons IGO 3.0
Version
1.4.2
openIMIS

OpenIMIS is a computer program that facilitates the administration of health financing and social protection schemes. Available as a web, mobile and API application, it allows efficient management of records, resources and services, becoming a comprehensive solution for health and social protection systems. This software is designed to manage the complex data flows of health financing and social protection systems, integrating beneficiary, provider and payer data into a single platform. Currently, it benefits more than 10 million people in 7 countries, managing health insurance, work accidents, cash transfers and voucher systems. Its mission is to facilitate the management of health financing and social protection schemes, contributing to Universal Health Coverage and Universal Social Protection.
OpenIMIS solves the complexity in the administration of health financing and social protection regimes, integrating data from beneficiaries, providers and payers. It facilitates the management of insurance and transfers, supporting Universal Health Coverage and Universal Social Protection.
Beneficiary management: openIMIS supports the enrollment of individuals and families, as well as employers and employees, into schemes. Enrollment information can be captured directly in openIMIS, or imported from existing beneficiary management systems. Service delivery: openIMIS supports the verification of scheme membership. When beneficiaries present their ID cards at health facilities, healthcare workers can check their eligibility for services via openIMIS. Claims management: openIMIS supports the submission and review of claims. Health facilities which use openIMIS can electronically submit claims to insurance scheme operators for review. Payments: openIMIS supports the management of payments to service providers and to beneficiaries of cash transfer schemes. The payer or scheme operator can use openIMIS to define the criteria for cash transfers and to generate payroll with the amounts to be disbursed to beneficiaries in a given payment cycle. Monitoring: openIMIS allows scheme operators to monitor and analyze the performance of the scheme through the generation of reports and data visualization, e.g. dashboards.
Adheres to the FHIR standard for information exchange, facilitating interoperability with systems like DHIS2 and OpenMRS. Utilizes Python/Django for backend development and JavaScript/React for the frontend, ensuring a modern architecture. Supports components based on Microsoft and Android technologies, adapting to diverse environments. Employs Docker scripts for efficient deployment. Actively manages deprecated components, ensuring continuous maintenance. Adopts a web-based application model accessible from standard browsers.

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OpenIMIS screen, version 1.4.0, displaying "Insurees and Policies", "Claims", "Administration" menus, etc. List with 114 insured, including information such as policy number and date of birth.

This image represents a healthcare insurance cycle, detailing processes from beneficiary registration to claims management, service delivery, and monitoring with associated external interactions.

This image illustrates six benefits of a system or service, highlighting improved data and claims management, reduced paperwork, optimized processes, and resource savings.
Software for the administration of health and social protection financing schemes.
Official list of open source tools endorsed by the Digital Public Goods Alliance. This tool is part of this registry.
Article that presents the global alliance to promote digital public goods and its relationship with the IDB.
