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22-Major Project Notes

The HIS (Health Insurance System) project aims to provide integrated health and insurance plans for New Jersey citizens based on their eligibility. The system includes various programs such as SNAP, CCAP, Medicaid, Medicare, and QHP, which citizens can apply for through designated DHS offices with case workers. The project consists of multiple modules for administration, user management, application registration, data collection, eligibility determination, correspondence, benefit issuance, and reporting.

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4 views

22-Major Project Notes

The HIS (Health Insurance System) project aims to provide integrated health and insurance plans for New Jersey citizens based on their eligibility. The system includes various programs such as SNAP, CCAP, Medicaid, Medicare, and QHP, which citizens can apply for through designated DHS offices with case workers. The project consists of multiple modules for administration, user management, application registration, data collection, eligibility determination, correspondence, benefit issuance, and reporting.

Uploaded by

gedace8740
Copyright
© © All Rights Reserved
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
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==============

Major Project
==============

Name : HIS (Health Insurance System)

Client : New Jersey (NJ) State Govt (USA)

Enviroment : Java, J2EE, Spring Boot, Microservices, Oracle DB, AWS and Angular

Description :

The main aim of this project is to provide fully integrated health and insurance
plans for New Jersey state citizens based on their life situations. Using HIS NJ
state providing below plans for NJ state citizens.

1) SNAP (Supplemental Nutrition Assistance Program)

2) CCAP (Child Care Assistance Program)

3) Medicaid

4) Mediare

5) QHP (Qualified Health Plan)

*************** Every Plan is having some Rules, If citizen satisy those rules then
only Citizen will get that plan************

-> SNAP is a food stamp program, SNAP is applicable for the citizens who are having
no-income or low-income

-> CCAP is a childrens program, CCAP is applicable for the families who are having
less income with childrens

-> Medicaid is a health plan, Medicaid is applicable for the people with limited
income and resources.

-> Medicare is a health plan, Medicare is applicable for the people who are having
above 65 years

-> QHP is a health plan and it is commercial plan (People should purchase this
plan)

***********************************************************************************
******************************************************************

-> Citizens will apply for the plan using HIS project

-> HIS project will collect citizen data and it will determine weather that Citizen
is eligible for the plan or not

-> If citizen data matches with PLAN rules, then citizen will be approved for the
plan else citizen will be denied for the plan

-> If citizen approved for the plan, then citizen will get monthly benefit amount
from the Goverment

***********************************************************************************
*******************************************************************

-> HIS project is an intranet project (public users can't access directley)

Note: Internet project means everybody can access, Intranet means it is accessible
by specific people in specific locations.

AADHAR -----> Intranet application

Gmail ------> Internet application

Passport ---> Internet application

Big Bazar Billing ----> Intranet application

-> HIS project is accessible only in DHS offices

-> In DHS offices govt employees will be available to access HIS application.
Those employees are called as Case Workers.

-> Citizens should go to nearest DHS office to apply for Health & Insurance Plans
in New Jersey state.

***********************************************************************************
**********************************************************

==================
HIS Project Modules
==================

1) Admin

2) User Management

3) Application Registration ( AR )

4) Data Collection ( DC )

5) Eligibility Determination ( ED )

6) Correspondence ( CO )

7) Benefit Issuance ( BI )

8) Reports

-> Admin module contains below functionalities

a) Plans Management (Create & Update Plans)


b) Case Worker Accounts Management ( Activate & De-Activate
accounts)
-> User Management module conaints below functionalities

a) Login
b) Register
c) Forgot Pwd
d) Profile
e) Dashboard

-> Application Registration (AR) module contains Citizen Onboarding functionality &
it will verify citenship of the citizen. If citizen belongs to NJ state then only
onboarding will be success otherwise onboarding will be failed.

Note: If citizen belongs to NJ state then only citizen can apply for the plan
otherwise can't apply for the plan.

-> Data Collection (DC) module contains functionality to collect data from the
citizen to apply for the plan.

-> Eligibility Determination (ED) module contains functionality to determine


citizen eligiblity for the plan. If citizen data matched with plan conditions then
citizen will be approved else citizen will be denied for the plan.

-> Correspondence (CO) module contains functionality to send Notices to citizens.

-> Benefit Issuance ( BI ) module contains functionality to send benefit amount to


Eligibility Approved Citizens.

-> Reports module contains functionality to generate reports of our application

a) Daily Status Reports


b) Approved Citizens Report
c) Denied Citizens Report

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