ntg proposal to medmark_v6

7/26/2019 NTG Proposal to Medmark_v6

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Proposal for Health

Insurance SystemMedMark Health and Life


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Proposal for Health Insurance System

Contents

1 Objective...........................................................................................................................3

2 Introduction......................................................................................................................3

2.1 Purpose.....................................................................................................................3

2.2 Sste! overvie".......................................................................................................3

2.3 #lossar....................................................................................................................$

3 Sste! scope....................................................................................................................%

3.1 Sste! co!ponents..................................................................................................%

3.1.1 H&MS 'd!inistration 'pp...................................................................................... %

3.1.2 H&MS Service Provider 'pp....................................................................................%

3.2 Operatin( )nviron!ent.............................................................................................%

3.3 *unctional re+uire!ents speci,cations......................................................................%

3.3.1 H&MS 'd!inistration 'pp...................................................................................... %

3.3.2 H&MS Service Provider 'pp..................................................................................3-

3. Main user scenarios.................................................................................................3%

3..1 H&MS 'd!inistration 'pp....................................................................................3%

3..2 H&MS Service Provider 'pp..................................................................................3/

3.$ 'ssu!ptions and dependencies..............................................................................30

3.% Out of Scope............................................................................................................3

3.%.1 H&MS 'd!inistration 'pp....................................................................................3

3.%.2 H&MS Service Provider 'pp..................................................................................3

eliverables....................................................................................................................3

.1 Obli(ation and responsibilities of 4# )(pt...........................................................3

.2 Obli(ation and responsibilities of Med!ark.............................................................3

$ &han(e control process...................................................................................................3

% evelop!ent Process......................................................................................................$

%.1 Inte(ration 'pproach...............................................................................................%

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%.1.1 Soft"are Inte(ration e,nition............................................................................%

%.1.2 Soft"are Inte(ration esi(n................................................................................./

%.1.3 Soft"are Inte(ration evelop!ent....................................................................../

/ Solution eliver 'nd Project Mana(e!ent....................................................................0

/.1 eliver of the Platfor!...........................................................................................0

/.2 Mi(ration strate(...................................................................................................0

/.3 Inte(ration and 4estin(............................................................................................0

/. Project Mana(e!ent................................................................................................

0 Pricin(................................................................................................................................$2

/.$ Pa!ent 4er!s........................................................................................................$2

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P6OPOS'L *O6 H)'L4H IS76'&) S5S4)M

1 OBJECTIVE

4# &larit is honored to be (iven the opportunit to propose our co!!ercial

solution for the MedMark Health Insurance Sste!.

2 INTRO!CTION

2.1 P76POS)

4he purpose of this docu!ent is to specif the re+uire!ents and previe" so!e ele!ents of the

analsis !odel of the application.

2.2 )8)&74I9) S7MM'65

HC"Sis a co!prehensive solution: "hich helps Med!ark as a !edical insurance co!pan

to keep track its !e!bers: their plans and their services ceilin(: and to avoid the! an loss

that !a be happened because of providin( the !edical services for uncovered !e!bers.

'dditionall:to allo" !edical service providers to validate and !aintain the !e!ber

services ceilin( before providin( an service for hi!hi!;her: and help those service

providers to co!plete the ccle of providin( an services in accurate and clear !anner.

Med!ark provides di


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2.3 #LOSS'65

Term e#n$t$on

=eb application 'pplication soft"are that runs in a =eb bro"ser.

Me!ber 'n custo!er joins the !edical insurance services.

Service provider 'n health care facilit or !edical practitioner as

Hospitals: phar!acies: labs: radiolo( centers: clinics.

4ransaction ' process of providin( !edical services to certain !e!ber

b certain provider.

>MS.? 'bbreviation for Med!ark staSub.? 'bbreviation for !e!ber.

>SP.? 'bbreviation for service provider.

% S&STE" SCOPE

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3.1 S5S4)M &OMPO)4S

%'1'1HC"S ("INISTR(TION (PP

It is a "eb application that "ill be used b Med!ark sta< and allo" the! to !ana(e all

services and keep track all service providers: !e!bers: their plans and their services ceilin(.

%'1'2HC"S SERVICE PROVIER (PP

It is a "eb application that allo"s service providers to validate and check the !e!ber

services ceilin( before providin( an services for hi!hi!;her.

3.2 OP)6'4I# )9I6OM)4

H&MS sste! applications !ust support the !ost co!!on and popular internet bro"sers

such as@

o I).

o &hro!e.

o *irefoA.

o Safari.

3.3 *7&4IO'L 6)B7I6)M)4S SP)&I*I&'4IOS

%'%'1HC"S ("INISTR(TION (PP

RE)*1+ RE)*1+ !SERS, (!THENTIC(TION (N (!THORI-(TION

escr$pt$on+

Sste! !ust authenticate its users b validatin( their accounts: and authoriCe the!

b verifin( their per!issions and privile(es.

.unct$ons+

*7D1@ Sste! !ust authenticate the user b allo"in( hi!hi!;herto lo(in or si(n in

throu(h a valid prede,ned Med!ark account: b tpin( his account userna!e and

pass"ord.

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.$/'1' 0o/$n Screen

*7D2@ 'fter success lo(in: 7ser can use and access the sste! functions and

screens accordin( to his per!issions and privile(es.

*7D3@ Sste! !ust allo" user to ter!inate his current session and eAit the sste!at an ti!e via a ELo(outF option at the !ain header.

.$/'2' 0o/out opt$on at screen hea3er

RE)*2+ RE)*2+ "(N(4E !SERS

escr$pt$on+

Sste! ad!inistrators "ill be able to !ana(e other sste! users: users (roups: and

de,ne privile(es of each users (roup.

.unct$ons+

*7D1@ Sste! !ust allo" ad!inistrator to de,ne ne" users (roup.

*7D2@ Sste! !ust allo" ad!inistrator to de,ne privile(es for certain users

(roup to deter!ine "hich screens allo"ed for it and "hich functions allo"s forit on the screen level.

*7D3@ Sste! !ust allo" ad!inistrator to de,ne ne" user and create a

speci,c account for hi!hi!;her.

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*7D@ Sste! !ust allo" ad!inistrator to de,ne the tpe of account: as the

ne" account belon(s to 'd!in: Med!ark sta< !e!ber: or Service provider.

*7D$@ Sste! !ust allo" ad!inistrator to select certain user account and

assi(n hi!hi!;herfor certain (roup to take the sa!e privile(es of this (roup.

*7D%@ Sste! !ust allo" ad!inistrator to select certain user account and

!odif his data as resettin( his pass"ord: reassi(n hi!hi!;herto di


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.$/'%' Import a 5atch of pro6$3e3 transact$ons

*7D2@ Sste! "ill open and vie" all ,le content as @

1D 4he service provider na!e and I.2D ' list vie" of transactions : that represent each transaction as@

o Me!ber I.

o Sche!a I

o ene,t id

o &urrent ene,t balance >fro! the before this transaction?

o Service I.

o Buantit

o &ost.

o ate.

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.$/'7' $splay transact$ons l$st8 an3 mar9 the $n6al$3 ones

*7D3@ Sste! "ill support a pa(in( !echanis! "hile displain( the i!ported

transactions in case of the nu!ber of i!ported transaction eAceeded the listsiCe: to facilitate the navi(ation bet"een the!.

ote

this !eans that the sste! "ill read Jafter loadin( the dataD a preDdei,ned no.

of records fro! the database and displa the! on the screen :and if the user

scrollin( do"n !an ti!es :then the sste! "ill fetch a (ain another no.

records and displa the!.

*7D@ Sste! "ill validate all i!ported transactions and !ark an invalidones: these invalid transactions !a have invalid data or invalid businessrules like eAceedin( the !e!ber ceilin( or unauthoriCed service for theservice provider: so sste! "ill !ark it to be eas for reco(niCin( andrevie"in(.

*7D$@ Sste! "ill allo" user to sub!it all these vie"ed transactions into

sste! .

*7D%@ Sste! "ill allo" user to release the i!ported ,le and select another

,le for certain service provider.

otes@

4he uploaded data "ill be the balance of each bene,t per each sche!e for

subscriber!e!beras of a speci,c data;ti!e re(ardless the providerKstransactions.Status for the service providers: subscribers: Sche!es: and bene,ts: should

be uploaded if chan(ed.

RE)*7+ I"PORT B(TCH O. CH(N4E ST(T!SES

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escr$pt$on+

'bout the transactions that need to chan(e the status of sche!a: bene,t

:service :!e!ber and service provider.

Sste! !ust allo" user to i!port bulk of statuses chan(e for sche!a: bene,t

:service :!e!ber and service provider to update the ne" statuses in the sste!: sothis statuses chan(e !ust be de,ned in )Acel sheet in certain structure to be

i!ported easil.

.unct$ons+

*7D1@ Sste! !ust allo" user to i!port a bulk of statuses chan(e b bro"sin(

and selectin( the statuses chan(e batch ,le that "as saved on the local directoras )Acel ,le.

*7D2@ Sste! "ill open and vie" all ,le content as @

' list vie" of statuses to be chan(ed: could be represented as follo"@o Sche!ao ene,t

o Service

o Me!ber

o Service provider

o e" status

So for each record there "ill be a value for sche!a : sche!a ene,t : sche!a

ene,t Service :!e!ber or service provider this is "ith a value for the ne" status

RE)*:+ "E"BER,S TR(NS(CTIONS REPORTS

escr$pt$on+

4o track !e!bers and all their historical transactions: Sste! !ust allo" user to

(enerate reports about certain !e!ber and displa a histor of all his transactions

and its details throu(h a certain period of ti!e.

.unct$ons+

*7D1@ Sste! !ust allo" user to specif the Me!ber and deter!ine the ti!e

interval thathe s;he "ant to (enerate a report about it.

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.$/':' Spec$fy the "em5er I8 an3 the t$me 3urat$on

*7D2@ 4he (enerated report !ust displa the Me!ber personal infor!ation in

addition to the follo"in( data about each transaction !ade b the speci,edMe!ber and durin( the speci,ed ti!e interval@

o 4ransaction I.

o 4ransaction date: ti!e sta!p.

o 4ransaction cost.

o 7ser I

o Buantit of each ite!

o escription of each ite!

o Support !eta data for each ite! throu(h lookup table

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.$/';' Report a5out "em5er transact$on o6er certa$n 3urat$on

*7D3@ 't the (enerated report: Sste! !ust allo" user to select an

transaction and vie" all its details as@o 4he provided services.

o 4he servicesK +uantities.

o 4he servicesK costs.

o *or each service: the cost percenta(e that "as covered b Med!ark.

.$/'


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.$/'=' Ser6$ce pro6$3ers of certa$n transact$ons

RE)*;+ RE)*:+ "(N(4E SCHE"(S

escr$pt$on+

Med!ark sta< !e!ber "ill be able to !ana(e all insurance sche!as: as he s;he can

de,ne ne" sche!a: list all of the!: search on one of the! b its data attributes:

vie" their details: !odif or edit and delete an of the!.

.unct$ons+

*7D1@ Sste! !ust allo" user to de,ne a ne" insurance sche!a into

sste!: b enterin( all its basic data attributes.

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.$/'>' .orm of create ne? schema'

*7D2@ Sste! !ust allo" user to select a certain sche!a and de,ne all

bene,ts that !ust be provided "ithin this sche!a and the ceilin( of eachbene,t "ithin this sche!a.

4hen on the bene,t level sste! !ust allo" user to de,ne all !edical

services that !ust be provided "ithin each bene,t and the ceilin( of each

service accordin( to this sche!a.

*7D3@ Sste! !ust allo" user to vie" all de,ned sche!as as a list.

*7D@ Sste! "ill support a pa(in( !echanis! "hile displain( the sche!as

list in case of the nu!ber of de,ned sche!as eAceeded the list siCe: tofacilitate the navi(ation bet"een the!.

.$/'1@' 0$st of 3e#ne3 schemas

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*7D$@ Sste! !ust allo" user to search on an sche!a b its basic data

attributes or even allo" hi!hi!;herto ,lter the displaed list for speci,csche!as "hich !atch the speci,ed ,lter.

.$/'11' .$lter schemas l$st

*7D%@ Sste! !ust allo" user to select an sche!a and vie" all its details.

*7D/@ Sste! !ust allo" user to select an sche!a and !odif it.

*7D0@ Sste! !ust allo" user to select an sche!a and delete or deactivate

it: after checkin( all its dependencies and appl re!ovin( constraints.

.$/'12' (ct$ons can 5e appl$e3 on certa$n schema

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ote

4he sche!a "ill have a status that !a be active or inactive: and the !e!bersK

transactions "ill be done onl on the active ones

RE)*


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.$/'17' 0$st of 3e#ne3 5ene#ts

*7D$@ Sste! !ust allo" user to search on an !edical bene,t b its basic

data attributes or even allo" hi!hi!;herto ,lter the displaed list for speci,cbene,ts "hich !atch the speci,ed ,lter.

.$/'1:' .$lter the 5ene#ts l$st

*7D%@ Sste! !ust allo" user to select an !edical bene,t and vie" all its

details.

*7D/@ Sste! !ust allo" user to select an !edical bene,t and !odif it.

*7D0@ Sste! !ust allo" user to select an !edical bene,t and delete or

deactivate it.

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.$/'1;' (ct$ons can 5e appl$e3 on certa$n 5ene#t

4he eni,t "ill have a status that !a be active or inactive: and the !e!bersK


RE)*=+ RE)*


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.$/'1


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.$/'1>' .$lter the ser6$ces l$st

*7D$@ Sste! !ust allo" user to select an !edical service and vie" all its

details.

*7D%@ Sste! !ust allo" user to select an !edical service and !odif it.

*7D/@ Sste! !ust allo" user to select an !edical service and delete ordeactivate it.

.$/'2@' (ct$ons can 5e appl$e3 on certa$n ser6$ce

4he Service "ill have a status that !a be active or inactive: and the !e!bersK


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RE)*>+ RE)*=+ "(N(4E SERVICES PROVIERS

escr$pt$on+

Med!ark sta< !e!ber "ill be able to !ana(e the contractin( service providers: as

s;he de,ne ne" service provider: can list all of the!: search of one of the! b his

data attributes: vie" their details: !odif or edit and delete an of the!.

.unct$ons+

*7D1@ Sste! !ust allo" user to de,ne a ne" service provider into sste!:

b enterin( all his data attributes.

.$/'21' .orm of create ne? ser6$ce pro6$3er

*7D2@ Sste! !ust allo" user to vie" all de,ned service providers as a list.

*7D3@ Sste! "ill support a pa(in( !echanis! "hile displain( the service

providers list in case of the nu!ber of de,ned providers eAceeded the listsiCe: to facilitate the navi(ation bet"een the!.

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.$/'22' 0$st of 3e#ne3 ser6$ces pro6$3ers

*7D@ Sste! !ust allo" user to search on an service provider b its data

attributes or even allo" hi!;herto ,lter the displaed list for speci,cproviders "ho !atch the speci,ed ,lter.

.$/'2%' .$lter the ser6$ce pro6$3ers l$st

*7D$@ Sste! !ust allo" user to select an service provider and vie" all his

details.

*7D%@ Sste! !ust allo" user to select an service provider and !odif it.

*7D/@ Sste! !ust allo" user to select an service provider and delete or

deactivate it.

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ote

D )ach service provider "ill have a list of authoriCed or allo"ed services that canbe provided to the !e!bers: and the !e!bersK transactions provided b thisservice provider "ill be done onl on the allo"ed services for that service

providerD 4he service provider "ill have a status that !a be active or inactive: and the

!e!bersK transactions "ill be done onl on the active ones

RE)*1@+ RE)*>+ "(N(4E S!BSCRIBE CO"P(NIES

escr$pt$on+

Med!ark sta< !e!ber "ill be able to !ana(e the contractin( co!panies and their

(roups: ashe s;he can de,ne ne" co!pan or (roup: list all of the!: search on one

of the! b its data attributes: vie" their details: !odif or edit and delete an of

the!.

.unct$ons+

*7D1@ Sste! !ust allo" user to de,ne a ne" subscribed co!pan or entit

into sste!: b enterin( all its data attributes.

.$/'27' .orm of create ne? company

*7D2@ Sste! !ust allo" user to de,ne super (roups and (roups of certain

co!pan: plus he s;he can !ana(e all this (roups.

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.$/'2:' .orm of create ne? company super /roup

*7D3@ Sste! !ust allo" user to vie" all de,ned co!panies as a list.

*7D@ Sste! "ill support a pa(in( !echanis! "hile displain( the serviceproviders list in case of the nu!ber of de,ned co!panies eAceeded the listsiCe: to facilitate the navi(ation bet"een the!.

.$/'2;' 0$st of 3e#ne3 compan$es

*7D$@ Sste! !ust allo" user to search on an co!pan b its data

attributes or even allo" hi!hi!;herto ,lter the displaed list for speci,cco!panies "hich !atch the speci,ed ,lter.

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.$/'2


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.$/'2=' .orm of create ne? mem5er

*7D2@ Sste! !ust allo" user to de,ne and !ana(e !e!ber dependents

and their ceilin(s.

*7D3@ Sste! !ust allo" user to vie" all de,ned !e!bers as a list.

*7D@ Sste! "ill support a pa(in( !echanis! "hile displain( the!e!bers list in case of the nu!ber of de,ned !e!bers eAceeded the listsiCe: to facilitate the navi(ation bet"een the!.

.$/'2>' 0$st of 3e#ne3 mem5ers

*7D$@ Sste! !ust allo" user to search on an !e!ber b his data

attributes or even allo" hi!hi!;herto ,lter the displaed list for speci,c!e!bers "ho !atch the speci,ed ,lter.

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.$/'%@' .$lter the mem5ers l$st

*7D%@ Sste! !ust allo" user to select an !e!ber and vie" all his details.

*7D/@ Sste! !ust allo" user to select an !e!ber and !odif hi!hi!;her.

*7D0@ Sste! !ust allo" user to select an !e!ber and delete or

deactivate it.

ote

D 4he !e!ber "ill have a status that !a be active or inactive: and the!e!bersK transactions "ill be done onl on the active ones

D )ach !e!ber "ill have onl one sche!a :so the ceilin( of this sche!a "ill bethe ceilin( of that !e!ber

D 4he sste! "ill support uploadin( the !e!bersK balances fro! eAcel ,les andupdate the !e!bers info b these balances and this update "ill not a


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*7D1@ Sste! !ust authenticate the user b allo"in( hi!hi!;herto lo(in or

si(n in throu(h a valid prede,ned Med!ark account: b tpin( his accountuserna!e and pass"ord.

*7D2@ 'fter success lo(in: 7ser can use and access all sste! functions and

vie" all sste! screens.

*7D3@ Sste! !ust allo" user to ter!inate his current session and eAit the

sste! at an ti!e via a ELo(outF option at the !ain header.

RE)*2+ PROVIE ( SERVICE TO "E"BER

escr$pt$on+

Sste! "ill help service providers to co!plete the ccle of providin( an services

easil and accuratel: as !edical service providers can validate and !aintain the

!e!ber services ceilin( before providin( an service for hi!hi!;herto avoid the

case "here !e!ber eAceeds the service ceilin(.

.unct$ons+

*7D1@ Sste! !ust allo" service providers to specif the !e!ber that need

the service: b enterin( !e!ber re(istration I.

.$/'%1' Enter mem5er I an3 search on h$mh$mAher

*7D2@ Sste! !ust validate the !e!ber re(istration I and displa his

na!e: avatar and his !obile phone nu!ber as se!iDencrpted nu!ber.

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.$/'%2' "em5er $n$t$al $nformat$on

*7D3@ Sste! !ust allo" service provider to send a con,r!ation SMS "ith a

uni+ue: secret: and autoD(enerated PI code to the !e!ber usin( thedisplaed !obile phone: to con,r! thathe s;he can access !e!ber sste!data.

4hen service provider "ill enter this PI code after (ettin( the !e!ber

per!ission to access all his sste! data.4he PI code !ust be eApired after a con,(urable ti!e interval: after that the

service provider !ust resent a ne" one to the !e!ber a(ain.

.$/'%%' Enter PIN co3e an3 con#rm

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*7D@ Sste! !ust allo" service provider to vie" all !e!ber data and

assi(n the re+uired services for hi!hi!;her.4o assi(n a service for the !e!ber: sste! !ust allo" service provider to

select a certain bene,ts cate(or accordin( to the !e!ber sche!a: and then

select a service accordin( to the selected bene,ts cate(or: then add this

selected service into the re+uired services list after vie"in( its cost.

.$/'%7' V$e? a mem5er 3ata an3 reuest certa$n ser6$ce for h$mh$mAher

ote

4he service +uantit "ill be displaied in the above services list

*7D$@ Sste! !ust allo" service provider to check the selected service cost

a(ainst the service ceilin(: total bene,ts ceilin( and total sche!a ceilin(: todeter!ine if the re+uired service "ithin the !e!ber ceilin( and can becovered or it eAceeds his ceilin(.

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.$/'%:' Chec9 the nee3e3 ser6$ces an3 a33 $t to reu$re3 ser6$ces l$st

*7D/@ 'fter validatin( the !e!ber ceilin(: Sste! vie"s the Med!ark

covera(e percenta(e for the selected service and "ill incre!ent the total costof re+uired services and vie" it.

*7D0@ Sste! !ust allo" service provider to re!ove an added service: and

recalculate the total cost after re!ovin( it.

*7D@ Sste! !ust allo" service provider to send a second con,r!ation SMS

"ith a uni+ue: secret: and autoD(enerated PI code to the !e!ber usin( thedisplaed !obile phone: to con,r! that the !e!ber a(reed on the serviceand on an re+uired pa!ent actions.

4hen service provider "ill enter this PI code after (ettin( the !e!ber

a(ree!ent.4he PI code !ust be eApired after a con,(urable ti!e interval: after that the

service provider !ust resent a ne" one to the !e!ber a(ain.

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.$/'%;' Enter PIN co3 to con#rm all a33e3 ser6$ces

*7D1-@ Sste! !ust allo" service provider to cancel the con,r!ation

process and back to the re+uired service list.

*7D11@ Sste! "ill record this transaction into !ain : and clear the

services list.

*7D12@ Sste! "ill allo" the service provider to vie" the transactions done

b hi!self;herself: and he;she "ill be allo"ed to delete one or !ore servicesfro! this transactions: and of course this operation "ill be lo((ed andrecorded for an reportin(.

ote

'll the sent SMS !essa(es "ill be lo((ed on the sste!

%'%'%4ENER(0 NOTES

1. Sste! !ust support an interface for editin( for each lookup table record b record2. Sste! !ust support to "ork "ith current access database b i!port and eAport "ith

standard ra" for!at > 'ccess: )Acel: )tc.? as inter!ediate ,les2.1. oth sste!s "ill be "orkin( in parallel and Med!ark "ill be responsible to !aintain

inte(rit bet"een t"o sste!s throu(h i!port and eAport inter!ediate ,les

3. Sste! !ust support lo(s [email protected]. )ach transaction on the sste! "ith record of ti!e sta!ped and each user involved3.2. SMS "ith status of the !essa(es@ sent: delivered or failed "ith ti!esta!pG accordin(

to the !essa(in( (ate"a availabilit.3.2.1. '@ Investi(ate the availabilit of SMS deliver reports

. '@ Please add !ore details re(ardin( ho" the sste! "ill prevent fraud.$. '@ 'dd !obile "eb ; app option

$.1. *or service provider onl%. '@ Stud hard"are re+uire!ents "ith option of a!aCon cloud

4# )#5P432


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(MS.)

Login to system

(MS.)

Browse on transactions batchexecl file of certain service

provider, and select it

(MS.)

View and list all transactionsfor reviewing

(MS.)

Record and store transactionsin the system DB

(MS.)

Release the batch file


/.

3. M'I 7S)6 S&)'6IOS

%'7'1HC"S ("INISTR(TION (PP

Import transact$on 5atch'

4# )#5P433


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(MS.)

Login to system

(MS.)

At the side menu, SelectRepors item, then select

member transactionssubitem!

(MS.)

"nter member #D , and timeinterval !

(MS.)

$enerate reports and view allavailabel transactions!

(MS.)

Select one transactione, andview its services details and its

service provider details!


4enerate mem5er ser6$ces report'

%'7'2HC"S SERVICE PROVIER (PP

Pro6$3e ser6$ce to a mem5er

4# )#5P43


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(Sub.)

Re%uest certain serviceform service provider

(SP.)

Login to system

(SP.)

"nter the subscriperregisteration #D

(SP.)

&hec' and sendconfirmation S(S )

(SP.)

"nter member *#+ code,and validate his

information

(SP.)

Select re%uired benefitand service, then add it

into the re%uiredservices list

(SP.)

&hec' and validate themembers services

ceiling, then the benifitsceiling , then the schema

ceiling!

-S*!.

Review the chec' resultwith member, and sendsend confirmation S(S

/

(SP.)

"nter service agreement*#+ code , and provide

the service

(Sub.)

$et the re%uired service!


3.$ 'SS7MP4IOS ' )P))&I)S

Med!ark sta< "ill be responsible for creatin( an nu!ber of accounts for certain service

provider accordin( to his need: as service provider can re+uest these separated accountsand distribute the! on his e!ploees at its di2 !in? b default: and should be con,(urable

throu(h the backend or control panel.

Me!ber can subscribe onl in one sche!a at a ti!e.

4o i!port eAternal transactions of certain service provider into H&MS: transactions !ust

be represented in an )Acel sheet "ith speci,c structure as follo"in(@o Service provider I.

o Service I.

o Me!ber I.

o ate.

o &ost.

4he bene,t ceilin( "ill chan(e based on the parent sche!a.

4he service ceilin( "ill chan(e based on the parent bene,t and sche!a.

4he !entioned screenshots !a have a little !odi,cations and chan(es at the sste!

i!ple!entation phase to enhance its usabilit and user eAperience.

4he Screens of the setups and &on,(urations "ill co!pl "ith the database relationship

bet"een users: user (roups : (roup privili(es: services: bene,ts: etc

4# )#5P43$


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3.% O74 O* S&OP)

%';'1HC"S ("INISTR(TION (PP

Sste! does not allo" user to !odif or edit an of eAternal transaction that "assupported b each service provider as )Acel sheet: the sste! "ill vie" infor!ation of

this i!ported transactions onl: and store it into sste! .

%';'2HC"S SERVICE PROVIER (PP

Sste! does not allo" user to rollback an provided service or recorded transaction.

7 E0IVER(B0ES

.1 OLI#'4IO ' 6)SPOSIILI4I)S O* 4# )#5P4

eliver binar ,les of all sste! applications that provide all "hat !entioned in the

scope: as follo"in(@o inar ,les of H&MS ad!inistration application.

o inar ,les of H&MS service provider application.

eliver all re+uire!ents and desi(n docu!ents of solution: as follo"in(@

o Soft"are 6e+uire!ents Speci,cation >S6S? ocu!ent.

o 7ser (uide docu!ent.

.2 OLI#'4IO ' 6)SPOSIILI4I)S O* M)M'6

Provide an needed business data.

: CH(N4E CONTRO0 PROCESS

a. 4he E&han(e &ontrol ProcessF (overns chan(es to the scope and deliverables durin(the ter! of the Scope of =ork.

b. 4he purpose of this process is to coordinate and properl docu!ent the develop!entand i!ple!entation of ne" responsibilities and services durin( the Scope of =ork.

c. 4he process "ill appl to ne" service co!ponents and to enhance!ents of eAistin(services.

d. 4he &han(e &ontrol Process "ill be i!ple!ented fro! the start of the project and "illcontinue throu(hout the project duration.

e. ' E&han(e 6e+uestF "ill be the vehicle for co!!unicatin( an desired chan(es. 4he&han(e 6e+uest "ill describe the chan(e: the reason for the chan(e: and the e


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h. Once the parties have evaluated the &han(e 6e+uest: 4# and Med!ark "illco!plete and si(n EChan/e Reuest E6aluat$on Response .ormF as !entionedbelo".

'(reed and accepted '(reed and accepted

4# &larit )(pt Med!ark

@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD @ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

Printed a!e@ DDDDDDDDDDDDDDDDDD Printed a!e@ DDDDDDDDDDDDDDDDDDD

4itle@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDD 4itle@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

ate@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ate@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

4# )#5P43/


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Change Request Form

Medmark HCMS

6e+uester a!e@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

6e+uester &o!pan a!e@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

ate 6e+uested@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

6esponse 6e+uested @ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

&han(e 6e+uested@

DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD




ene,ts Of Makin( 4he &han(e@





4# )#5P430


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)sti!ated Project Schedule I!pact@





)sti!ated &ost I!pact@





&han(e 6e+uest 6eceived@

@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

&o!pan@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

ate@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

&han(e 6e+uest o.@ DDDDDDDDDDDDDDDDDDDDDD

4# )#5P43


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Change Request Evaluation Response Form

Medmark HCMS

&han(e 6e+uest o.@ DDDDDDDDDDDDDDDDDDDDDD

6e+uester a!e@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

6e+uester &o!pan a!e@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

6evie" ate@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

6e+uest o.@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

Has been@ DDDDDDDDDDDDD Naccepted "ithout chan(es

DDDDDDDDDDDDD N'ccepted "ith !odi,cations that !entioned belo"

DDDDDDDDDDDDD N6ejected

Modi,cations to &han(e 6e+uest@





State!ent of =ork 6evision@

4# )#5P4-


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&ost 6evision@

'dditional &ost@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

Part 6esponsible for &ost@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

'dditional &ost Pa!ent ue ate@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

'cceptance &riteria;eliverables@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD




'(reed and Si(ned@

4# &larit )(pt Med!ark

@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD @ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

Si(nature@ DDDDDDDDDDDDDDDDDDDDDDDD Si(nature@ DDDDDDDDDDDDDDDDDDDDDDDDD

4itle@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDD 4itle@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

ate@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ate@ DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

4# )#5P41


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; EVE0OP"ENT PROCESS

' soft"are develop!ent !odel is an or(aniCed strate( for carrin( out the steps in

the life ccle of a soft"are application pro(ra! or sste! in a predictable: ecient:

and repeatable "a.

Soft"are develop!ent process (enerall follo"s de,ned steps: "hich are@

Speci,cation or functional desi(n: done b sste! analsts in consort "ith

the potential end users of the soft"are to deter!ine "h to do this: "hat theapplication "ill do: and for "ho! it "ill do it.

'rchitecture or technical desi(n: done b sste! desi(ners as the "a to

achieve the (oals of the functional desi(n usin( the co!puter sste!savailable: or to be ac+uired: in the conteAt of the enterprise as it no"operates. 4his is ho" the sste! "ill function.

Pro(ra!!in( or i!ple!entation: done b co!puter pro(ra!!ers to(ether

"ith the sste! desi(ners.

4estin( of ne" sste!s >or re(ression testin( of !odi,ed sste!s? to ensurethat the (oals of the functional desi(n and technical desi(n are !et.

ocu!entation of the sste!: both intrinsicall for its future !aintainers: and

eAtrinsicall for its future users. *or lar(e sste!s: this step !a involve endDuser trainin( as "ell.

Maintenance of the application sste! over its tpical 3Dears life ccle:

e!ploin( the desi(n docu!ent as the 4echnical Speci,cation or Sste!Maintenance ocu!ent.

4# )#5P42


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%.1 I4)#6'4IO 'PP6O'&H

NT4 takes a disciplined and sste!atic approach to soft"are inte(ration kno"n as

the Q Methodolo(Q. 4he *our Rs enco!pass@

;'1'1SO.T(RE INTE4R(TION E.INITION

Like in the construction industr: ou have to kno" "hat ou are buildin( before

ou can build it. 4herefore: the ,rst step in the !ethodolo( is to de,ne "hat

soft"are "ill be inte(rated and de,ne the best !ethod for inte(ration. 'lso kno"n

as scope de,nition: this is the point in the soft"are lifeccle "here "e !eet "ith our

4# )#5P43


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custo!ers to discuss the soft"are inte(ration needs. =e also identif durin( this

sta(e "hether the soft"are "ill be able to directl inte(rate or !iddle"are is

re+uired.

;'1'2SO.T(RE INTE4R(TION ESI4N

4his is another vital step in the soft"are lifeccle. efore "e be(in "ritin( an code:

"e ,rst create an inte(ration desi(n plan: "hich clearl eAplains in nonDtechnical

ter!s the best !ethod for inte(ratin( the soft"are. In situations "here !iddle"are

is re+uired to be developed: 4# "ill create a functional speci,cation that describes

in detail the functions to be perfor!ed b the !iddle"are. &usto!ers "ill be

involved in ever step of this process and actual develop!ent of the !iddle"are

"ill not be(in until custo!er approve on the functional speci,cation. 4his ensures

that both parties are on the sa!e pa(e as to "hat "ill be developed and deploed.

;'1'%SO.T(RE INTE4R(TION EVE0OP"ENT

Once all appropriate plans and speci,cations have been approved: the develop!ent

to inte(rate the soft"are is started. 4he entire develop!ent process is overseen b

custo!er dedicated project !ana(er "ho "ill be provided "ith scheduled updates

on the pro(ress of develop!ent and deliverable ti!elines. =e utiliCe trusted:

eAperience develop!ent resources "ith "hich "eRve had a "orkin( business

relationship for ears.

4# )#5P4


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< SO0!TION E0IVER& (N PROJECT "(N(4E"ENT

/.1 )LI9)65 O* 4H) PL'4*O6M

4# follo"s the standard deliver !ethodolo(ies to each platfor! accordin(l.

/.2 MI#6'4IO S46'4)#5

4# has a proven record of !i(ration fro! one sste! to another "ith the follo"in(

proposed strate(@

'nalCe phase

Mi(ration plan: esi(n &onsiderations

'cceptance test

*ull backup

eplo!ent

4estin(

/.3 I4)#6'4IO ' 4)S4I#

&MMI PreD 'ppraisal Level II

4ools@ SO'P 7I: 6ed Mine: 4rac: I44S >=ork *lo"?: I6'

I4IL &erti,ed

4eleco! )n(ineerin( 4estin( >)+uip!ent: Provisionin(: iscover: MS:?

e4OM I!ple!entation

=hite oA 4estin(

#ood no"led(e of SBL >4O': SBL eveloper: Scripts?

#ood no"led(e of )nviron!ent &on,(uration >'pplication Server: S9:

atabase: &lient &on,(uration?

#ood no"led(e of uild 4ools >'4: M'9): H7SO..?

#ood no"led(e of atabase ocu!entation 4ools >)6=I: 9isio: ?

7nderstandin( usiness 6ules and 'ttendin( all 'nalsis Meetin(s

4# )#5P4$


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*unctional 4estin( >7nit 4estin(: Inte(ration 4estin(: Sste! 4estin(?

onD*unctional 4estin( >Perfor!ance 4est: Stress 4est: Load 4est: 6ecoverabilit:

7sabilit: 7ser Interface;#7I?

/. P6O)&4 M''#)M)4

4# Project Mana(e!ent approach is to assi(n a dedicated endDtoDend Project

Mana(er that "ill interface "ith the MedMark Project Mana(er.

4he Project Mana(er "ill provide the Project &harter: Hi(h Level Project Plan and

establish the kick o< !eetin( "ith all stake holders

4he 4# pri!e "ill develop the detailed Project Plan for =S: as "ell as the detailed

ite!s "ith tea! !e!bers assi(ned fro! 4# and MedMark.

4he Project Mana(er "ill for!ulate the Steerin( &o!!ittee and establish re(ular

!eetin(s "ith senior sta< for updates on a re(ular basis

MedMark "ill identif ke pri!es for the follo"in( areas@

o Sste! Interfaces

o Inte(ration 4estin(

o 4rainin( >Pri!es fro! I4 develop!ent and support tea!?

4# )#5P4%


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o Handover >to sste! pri!e?

4oda: the !ost eApensive resources of an project are the personnel. One of the

ke challen(es is the e


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Feasibility & Approval

Project Kickoff

Requiremet

Aalysis

!esi"

Prototypi"

#mplemetatio

Post

#mplemetatio

Business Case

Project Plan

External Design

Document

System Code

System Integration& Training

Collateral

Acceptace $esti"User Acceptance

Test Plan

Bugs/Canges

Internal Design

Document

!evelopmet

Prototype Testing

Cange !e"uests

Acceptance !esults

%ser !ocumetatio System !ocumetatiovets'Activities

(oceptio'Start

Project (losure

4# )#5P40


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= PRICIN4

' total a!ount of 21@8@@@ E4P"ill be char(ed to cover the analsis: desi(n:

develop!ent an

&usto!iCation and testin( aspects for a(reed Solution: esti!ated duration for the

proposed scope

eliver "ill be = ?ee9sstartin( fro! usiness 6e+uire!ent ocu!ent si(n oin advance?

0.1 P'5M)4 4)6MS

Pa!ents are associated "ith !ilestones as follo"s@

Task Description % from Total cost

1 Initial pa!ent upon si(nin( contract 3-U

2 Pa!ent upon sub!ittin( desi(n docu!ent 3-U

3 Pa!ent upon 4# deliver of tool 2-U

7'4 and eliver of Solution 2-U

4# )#5P4


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P(&"ENT CONITIONS (N )!(0I.IERS+

Prices are in )#P

Prices +uoted do not include third part licenses

'n additional ne" re+uire!ents >after acceptance? "ould follo" chan(e re+uest

processes "ith additional prices.

'n H;= cost is not included.

ntg proposal to medmark_v6

Documents