E- Medical Claim Refund System CS619 Final Project Fall 2018 

E- Medical Claim Refund System

 

NAME

DATE

Author

KomalKhawar

17-10-2018

Research GL Comments/Approval

 

 

GL Comments/Approval

 

 

Proposal Evaluation Committee Comments/Approval

 

 

 

Project Domain / Category

Web based Project

 

Abstract/Introduction

Many companies provide medical refund facility to their employees, which mean that the expenses incurred by the employee for treatment is refunded by the company.E- Medical Claim Refund System is complete end to end solution to cover all aspects of online claim and refund system. Which is web based so that the employee can fill the claim form online and submit it, so that the claim form is sent to Claims Refund Department (CRD) through Internet.

 

Existing System

For Medical claim refund approx. in all companies, the employee needs to fill in a form (Hard Copy) specifying the treatment undertaken which includes the name & cost of medicines, laboratory tests, surgery. The form is duly signed by the employee and it will be sent to the concerned Claims Refund Department (CRD) for processing. Claims Refund Department (CRD) will process it and the order regarding the refund is sent to the Accounts Department where the employee can come and receive the refund amount in the form of cash/Cheque.

 

Some of the problems associated with the above mentioned process are listed below:

  • Manual application forms can miss during transit.
  • Form is prone to weariness due to which the company may not be able to read data in it after some years. 
  • The employees who claimed for medical refund need to visit the Accounts Department time to time enquiring about the status of their application. This results in massive wastage of time of the employee.

Proposed System

E- Medical Claim Refund System (EMCRS) is proposedwhich is web based so that the employee can fill the form online and submit it online to Claims Refund Department (CRD). , At Claims Refund Department (CRD), the form needs to be checked automatically by a program which will compute the amount that needs to be refunded to the employee for the treatment undertaken. The amount computed will be routed to the e-mail account of the employee as well as to the Bank which holds the accounts of all the employees of the company. The bank will credit the amount to the account of the employee based on the mail.

 

The main users of the system are:

  1. Employee of all departments
  2. Employees of CRD – Claim Refund Department.

 

 

 

 

NUMBER OF MODULES

From an end-user perspective, the E- Medical Claim Refund System Project consists of two functional Modules:

  1. Employee Module: For Login, Apply for new claim, view status of already applied claim.
  2. Claims Refund Department (CRD) Module: For approve/reject claim, view pending status, Add/Edit employee details.

 

Functional Requirements Detail

The basic functional requirements of this project are:

 

  • Provides complete web site solution, including employee registration, enter new claim, approve/ reject claim. Complete web based administration.

 

  • The E- Medical Claim Refund System can automatically display pending claim count in the main page of employee of Claims Refund Department (CRD).

 

  • Employee can view their claim status online and all claims can be treated as Pending, Approved and Rejected.
  • Employee of Claims Refund Department (CRD) can add, edit employee details, all employees are identified by the employee no. Employee no will be unique throughout the system.

 

  • System must store audit trail of all DML transaction, like it stores employee no, time stamp in the database for add, edit, delete operation.

 

  • Complete web based system no installation required to run the application in client system.

 

  • Employee must able to view his/her previous claim details.

 

Tools:

Software Requirements:

  • .NET Framework 2.0 / 3.5
  • IIS web server
  • SQL Server 2000 / 2005

 

Supervisor:

Name: KomalKhawar

Email ID:komal.khawer@vu.edu.pk

Skype ID: kom.kk

 

Tags: 2018, CS619, Claim, E-, Fall, Final, Medical, Project, Refund, System

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Replies to This Discussion

Any one from this project??  what about srs??? 

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