Oracle Health Insurance Implementation - Fudgelearn

Oracle Health Insurance Implementation

Date
Time
Price
Date
Time
Price
Location
Date
Start time
Price
Location
Version title
Price
Oracle Health Insurance Implementation
£ 2132

Oracle Health Insurance (OHI): Implementation Essentials will help students learn essential OHI configuration skills and application concepts as an implementation consultant, business analyst or configuration specialist. The core payer processes member enrollment and claims pricing and adjudication are covered.

  

Using a web browser, students learn to configure Oracle Health Insurance Enterprise Policy Administration and Oracle Health Insurance Claims Pricing and Adjudication; through the creation of a policy and processing claims for that policy. In addition, the course covers the data model extension and rule definition capabilities common in all OHI components.

 

Learn to:

  • Understand where OHI fits into the larger architecture of an insurance payer
  • Extend the data model with custom fields and records
  • Create custom rules and checks
  • Create premium schedules, products and policies
  • Create provider pricing agreements
  • Create products and benefits
  • Perform claims processing operations

Oracle Health Insurance: Implementation Essentials teaches you how to use, configure and understand Oracle Health Insurance Components with additional focus on the policy administration and claims processing capabilities. Students who support insurance payers in implementation consulting, business analysis or similar configurator roles gain understanding of the possibilities offered by this application suite.

  • Administrator
  • Developer
  • Understand OHI architecture
  • Understand OHI business benefits
  • Understand OHI’s flexible, rules-driven configuration model
  • Understand OHI’s dynamic logic and data extension capabilities
  • Learn to extend the data model
  • Understand the capabilities for policy administration
  • Create pricing schedules, products and policies
  • Create group account policies
  • Understand claims and the claims flow in OHI
  • Understand the capabilities for provider pricing agreements
  • Create fee schedules, pricing rules and provider pricing clauses
  • Understand the capabilities for benefits creation and adjudication
  • Create regimes, benefits and products
  • Process claims and perform claims operator actions
  • OHI Introduction
    • Background & Business Benefits
    • Architecture
    • Functional Overview
  • Extensibility
    • Dynamic Fields
    • Flex Codes
    • Dynamic Records
  • Dynamic Logic
    • Groovy
    • Signatures
    • Reference Shee
  • OHI Enterprise Policy Administration Introduction
    • Background & Business Benefits
    • Functional Overview
  • Policy Administration
    • Policy Page
    • Policy Activities
  • Product Configuration
    • Schedule Definitions
    • Premium Schedules
    • Enrollment Products
    • Add-Ons
    • Group Accounts
  • Policy Rules
    • Process Steps
    • Event Rules
    • Output Definitions
    • Bulk Updates
  • OHI Claims Introduction
    • Background & Business Benefits
    • Functional Overview
    • Claims Page
  • Processing Claims & Flow Overview
    • Claims Flow Overview
    • Checks, Pends & Events
  • Pricing Configuration
    • Configuration Overview
    • Pricing Clauses
    • Reimbursement Methods
    • Pricing Rules
    • Pricing Templates
  • Benefits Configuration
    • Configuration Overview
    • Regimes
    • Benefit Specifications
    • Products
    • Parameters
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£ 2132
4 Days
Train online via an Internet connection, 24/7
1 Event available
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Oracle Health Insurance Implementation

Course Overview

Oracle Health Insurance (OHI): Implementation Essentials will help students learn essential OHI configuration skills and application concepts as an implementation consultant, business analyst or configuration specialist. The core payer processes member enrollment and claims pricing and adjudication are covered.

  

Using a web browser, students learn to configure Oracle Health Insurance Enterprise Policy Administration and Oracle Health Insurance Claims Pricing and Adjudication; through the creation of a policy and processing claims for that policy. In addition, the course covers the data model extension and rule definition capabilities common in all OHI components.

 

Learn to:

  • Understand where OHI fits into the larger architecture of an insurance payer
  • Extend the data model with custom fields and records
  • Create custom rules and checks
  • Create premium schedules, products and policies
  • Create provider pricing agreements
  • Create products and benefits
  • Perform claims processing operations

Oracle Health Insurance: Implementation Essentials teaches you how to use, configure and understand Oracle Health Insurance Components with additional focus on the policy administration and claims processing capabilities. Students who support insurance payers in implementation consulting, business analysis or similar configurator roles gain understanding of the possibilities offered by this application suite.

Training on Demand
Date
Start time
Price
Location
Available On Demand
£ 2132
Audience
  • Administrator
  • Developer
Objectives
  • Understand OHI architecture
  • Understand OHI business benefits
  • Understand OHI’s flexible, rules-driven configuration model
  • Understand OHI’s dynamic logic and data extension capabilities
  • Learn to extend the data model
  • Understand the capabilities for policy administration
  • Create pricing schedules, products and policies
  • Create group account policies
  • Understand claims and the claims flow in OHI
  • Understand the capabilities for provider pricing agreements
  • Create fee schedules, pricing rules and provider pricing clauses
  • Understand the capabilities for benefits creation and adjudication
  • Create regimes, benefits and products
  • Process claims and perform claims operator actions
Topics
  • OHI Introduction
    • Background & Business Benefits
    • Architecture
    • Functional Overview
  • Extensibility
    • Dynamic Fields
    • Flex Codes
    • Dynamic Records
  • Dynamic Logic
    • Groovy
    • Signatures
    • Reference Shee
  • OHI Enterprise Policy Administration Introduction
    • Background & Business Benefits
    • Functional Overview
  • Policy Administration
    • Policy Page
    • Policy Activities
  • Product Configuration
    • Schedule Definitions
    • Premium Schedules
    • Enrollment Products
    • Add-Ons
    • Group Accounts
  • Policy Rules
    • Process Steps
    • Event Rules
    • Output Definitions
    • Bulk Updates
  • OHI Claims Introduction
    • Background & Business Benefits
    • Functional Overview
    • Claims Page
  • Processing Claims & Flow Overview
    • Claims Flow Overview
    • Checks, Pends & Events
  • Pricing Configuration
    • Configuration Overview
    • Pricing Clauses
    • Reimbursement Methods
    • Pricing Rules
    • Pricing Templates
  • Benefits Configuration
    • Configuration Overview
    • Regimes
    • Benefit Specifications
    • Products
    • Parameters