Claims platform readiness
Document payer products, members, providers, benefits, preauthorization, claims, review, reconciliation, and reporting workflows.
Resources
Prepare for a stronger health financing technology decision
Use practical evaluation themes to structure discovery, procurement, architecture, implementation, and operating-model discussions.
Evaluation guides
Start with the decisions that shape delivery
openIMIS implementation readiness
Clarify program mandate, beneficiaries, contributions, benefits, providers, claims, reimbursement, reporting, and local capacity.
Integration discovery
Identify systems of record, business events, interface owners, data rules, security boundaries, and operational support needs.
Deployment model selection
Compare managed cloud, customer cloud, and on-premises models against residency, security, infrastructure, and support requirements.
Security due diligence
Assess access, encryption, logging, backup, recovery, retention, monitoring, environment controls, and delivery practices.
Supplier and implementation evidence
Evaluate relevant experience, governance, staffing, acceptance criteria, training, handover, and support—not slogans.
Procurement checklist
Questions worth answering before solution design
A disciplined brief improves technical fit, implementation estimates, governance, and the quality of supplier responses.
Program and operating model
Who administers members, benefits, providers, reviews, approvals, payments, reporting, and support?
Scale and service levels
What member, provider, claim, user, location, and peak-demand assumptions should architecture address?
Current systems and data
Which systems remain, which data must migrate, who owns it, and how will quality be validated?
Security and residency
Which identity, access, hosting, encryption, retention, audit, backup, recovery, and residency controls apply?
Delivery and change
Who makes decisions, accepts work, trains users, owns support, and authorizes production changes?
Evidence and acceptance
Which scenarios, integrations, reports, recovery tests, and operational outcomes define acceptance?
Frequently asked questions
Common questions from evaluation teams
Is eIntelliClaim the same as openIMIS?
No. eIntelliClaim Enterprise is Pillarsis’s proprietary claims and provider-connectivity platform. openIMIS is an independent open-source Digital Public Good for which Pillarsis provides implementation and support services.
Can either offering be deployed outside a Pillarsis-managed cloud?
Deployment can be planned for managed cloud, a customer-designated cloud, or on-premises infrastructure, subject to the selected offering and program requirements.
Are all listed integrations already live?
No. Integration categories describe areas that can be assessed and implemented. Existing connectivity, compatibility, scope, and exchange standards must be verified during discovery.
How is implementation scope established?
Scope is developed from readiness, workflows, architecture, data, integrations, security, training, rollout, and support requirements.
Turn your requirements into a clear implementation brief
Talk with Pillarsis about your program, provider network, current systems, claims workflows, and implementation priorities.