Added by Kamola Khusnutdinova, last edited by Kamola Khusnutdinova on Oct 03, 2012  (view change)



Table of Content

1. Project purpose

The project's purpose is to facilitate cross border exchange of data between health care providers and health insurance companies for the reimbursement of claims. Therefore we will prepare a submission of CCs and models of building blocks for Health Insurance in the field of reimbursement of claims.

Version: 1.0

2. Project scope

Over the last few years the insurance domain in UN/CEFACT has developed a complete set of core components for the administration of contracts. The focus was on private property and casualty insurance and on motor insurance for private vehicles and commercial fleets. Now the insurance domain will extend its development to health insurance to support the exchange of data in the field of reimbursing claims.

3. Project deliverables

The project deliverables are
• Submission of core components (ACC, BCC, ASCC) to the UN/CEFACT Core Component Library.
• Models of building blocks with data for the reimbursement of claims

4. Exit criteria

The project will be finalised when the submission of the core components and building blocks and their harmonisation within UN/CEFACT succeeds in the publication of a UN/CEFACT CCL containing the new core components and the library containing the building blocks.
If during the course of the project the project team membership falls to a level that the project goal cannot be reached anymore the project will closed by the project leader.

5. Project Team membership and required functional expertise

Start up members are:
Michel Bormans, Telebib, Belgium
Andreas Schultz, GS4eB UG (limited liability), Germany
Secretary: John Abbott, Coenoby Ltd., UK

6. HoD support(required for technical standards, business standards and UNECE recommendations

List at least three Country heads of delegation who support this project, and include their written expression of support using the template in annex IV...

7. Geographical Focus

The geographical focus is global

8. Initial contributions

The following contributions are submitted as part of this proposal. It is understood that these contributions are only for consideration by the Project Team and that other participants may submit additional contributions in order to ensure that as much information as possible is obtained from those with expertise and a material interest in the project. It is also understood that the Project Team may choose to adopt one or more of these contributions "as is".
eEG7 Data Model
Modeling drafts from GS4eB UG (limited liability)

9. Resource Requirements

Participants in the project shall provide resources for their own participation. The existence and functioning of the project shall not require any additional resources from the UNECE secretariat.

The project works on the resources of its members.

10. Project Leadership

Project Leader: Andreas Schultz [ limited liability]
Editors: John Abbott []

[Note to user: Each UN/CEFACT project proposal must specify the name and email address of at least one proposed Project Convener and at least one proposed Editor.]

11. Milestones (repeat per deliverable)

ODP Step ODP Name Estimated Completion Date Comment
1 Project Inception 10.07.2012 Comment
2 Requirements Gathering   Comment
3 Draft Development   Comment
4 Public Review   Comment
5 Project Exit   Comment
6 Publlication   Comment
7 Maintenance   Comment