The register of Medical Services contains all medical services that can be included in packages of benefits of insurance products administered and remunerated by the health insurance scheme. Administration of the register of medical services is restricted to users with the system role of Scheme Administrator or with a role including an access to Administration/Medical Services.
A medical service may only be added or thereafter edited or deleted, after the approval of the management of the scheme administration.
Medical Services Control Page¶
Medical Services Control Pageis the central point for all medical service administration. By having Access to this panel, it is possible to add, edit, delete and search. The panel is divided into four panels (Img. 66)
The Search Panel allows a user to select specific criteria to minimise the search results. In the case of medical services the following search options are available which can be used alone or in combination with each other.
Type in the beginning of; or the full
Code; to search for medical services with a
Code, which starts with or matches completely, the typed text.
Type in the beginning of; or the full
Nameto search for medical services with a
Name, which starts with or matches completely, the typed text.
Type; from the list of types (Preventive, Curative) by clicking on the arrow on the right of the selector, to select medical services of a specific type.
- Show Historical Values
Show Historical Valuesto see historical records matching the selected criteria. Historical records are displayed in the result greyed out to distinguish them from current records (Img. 67)
- Search Button
Once the criteria have been entered, use the search button to filter the records, the results will appear in the result panel.
The Result Panel displays a list of all medical services found, matching the selected Criteria in the search panel.
The number of rows per page is limited to 10 by default but one can use the “Rows per page” drop-down in the bottom right of the search results. If there are more rows to display, one can use the page navigation. (Img. 68)
Medical Service Page¶
Enter the code for the medical service. Mandatory, 6 characters.
Enter the name of the medical service. Mandatory, 100 characters maximum.
Choose the category (Surgery, Consultation, Delivery, Antenatal, Other) which the medical service belongs to.
Choose one from the options available (Preventive, Curative), the type of the medical service. Mandatory.
Select from the list (Simple Service, Visit, Day of Stay, Hospital Case), the level for the medical service. Mandatory.
Enter the price a general price that can be overloaded in pricelists. Full general price (including potential cost sharing of an insuree) for the medical service. Mandatory.
- Care Type
Choose one from the options available (Out-patient, In-patient, Both), the limitation of provision of the medical service to the specific type of health care. Mandatory.
Enter the limitation of frequency of provision in a number of days within which a medical service can be provided to a patient not more than once. If the frequency is zero, there is no limitation. Note: By default the frequency is 0.
Choose one or a combination of the options available, to specify which patient type the medical service is applicable to. Note: By default all patient options are checked (selected).
Once all mandatory data is entered, clicking on the
Savebutton will save the record. The user will be re-directed back to the Medical Services Control Page, with the newly saved record displayed and selected in the result panel. A message confirming that the medical service has been saved will appear on the Information Panel.
If mandatory data is not entered at the time the user clicks the
Savebutton, a message will appear in the Information Panel, and the data field will take the focus (by an asterisk on the right of the corresponding data field).
By clicking on the
Cancelbutton, the user will be re-directed to the Medical Services Control Page.
Adding a Medical Service¶
Editing a Medical Service¶
Deleting a Medical Service¶
Click on the
Cancelbutton to delete the currently selected record; the user is re-directed the Medical Services Control Page.
Before deleting a confirmation popup (Img. 70) is displayed, which requires the user to confirm if the action should really be carried out?
When a medical service is deleted, all records retaining to the deleted medical service will still be available by selecting historical records.