Oracle Health Insurance Implementation Certification Training Course Overview

Prophet Health Insurance (OHI): Implementation Essentials will assist understudies with learning fundamental OHI arrangement abilities and application ideas as an execution expert, business investigator or design master. The center payer forms part enlistment and cases estimating and settling are secured.

Utilizing an internet browser, understudies figure out how to arrange Oracle Health Insurance Enterprise Policy Administration and Oracle Health Insurance Claims Pricing and Adjudication; through the making of a strategy and preparing claims for that approach. Also, the course covers the information model expansion and rule definition abilities normal in all OHI parts.

Audience :

  • Administrator
  • Developer

 

Oracle Health Insurance Implementation (32 Hours) Download Course Contents

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12 PM

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Course Modules

Module 1: OHI Introduction
  • Background & Business Benefits
  • Architecture
  • Functional Overview
Module 2: Extensibility
  • Dynamic Fields
  • Flex Codes
  • Dynamic Records
Module 3: Dynamic Logic
  • Groovy
  • Signatures
  • Reference Shee
Module 4: OHI Enterprise Policy Administration Introduction
  • Background & Business Benefits
  • Functional Overview
Module 5: Policy Administration
  • Policy Page
  • Policy Activities
Module 6: Product Configuration
  • Schedule Definitions
  • Premium Schedules
  • Premium Schedules
  • Add-Ons
  • Group Accounts
Module 7: Policy Rules
  • Process Steps
  • Event Rules
  • Output Definitions
  • Bulk Updates
Module 8: OHI Claims Introduction
  • Background & Business Benefits
  • Functional Overview
  • Claims Page
Module 9: Processing Claims & Flow Overview
  • Claims Flow Overview
  • Checks, Pends & Events
Module 10: Pricing Configuration
  • Configuration Overview
  • Pricing Clauses
  • Reimbursement Methods
  • Pricing Rules
  • Pricing Templates
Module 11: Benefits Configuration
  • Configuration Overview
  • Regimes
  • Benefit Specifications
  • Products
  • Parameters
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Course Prerequisites
  • Basic Computer Knowledge.

After completion of this course, you will learn how to :

 

OHI Introduction

  • Background and Business Benefits
  • Architecture
  • Functional Overview

 

Extensibility

  • Dynamic Fields
  • Flex Codes
  • Dynamic Records

 

Dynamic Logic

  • Groovy
  • Signatures
  • Reference Shee

 

OHI Enterprise Policy Administration Introduction

  • Background and Business Benefits
  • Functional Overview

 

Strategy Administration

  • Policy Page
  • Policy Activities

 

Item Configuration

  • Schedule Definitions
  • Premium Schedules
  • Enrollment Products
  • Add-Ons
  • Group Accounts

 

Strategy Rules

  • Process Steps
  • Event Rules
  • Output Definitions
  • Bulk Updates

 

OHI Claims Introduction

  • Background and Business Benefits
  • Functional Overview
  • Claims Page

 

Preparing Claims and Flow Overview

  • Claims Flow Overview
  • Checks, Pends and Events

 

Evaluating Configuration

  • Configuration Overview
  • Pricing Clauses
  • Reimbursement Methods
  • Pricing Rules
  • Pricing Templates

 

Advantages Configuration

  • Configuration Overview
  • Regimes
  • Benefit Specifications
  • Products
  • Parameters