Digitalize Forms + DB Storage

Closed Posted Feb 6, 2006 Paid on delivery
Closed Paid on delivery

We have about 5-6 Dental Insurance Claim Forms that:

1) We want to be able to type into on screen

2) We want it to take the typed info, check it over (Comp does Math, Provides a Pre-Print Check-Over screen)

3) Print the entire form filled out (Printed onto a blank page, so entire form needs to be printed)

4) Store patient info, for easy form retreval later on

5) Ability to autofill in the form, except certain parts (this times treatment) from DB feilds. (User enters last name, choices for first name appear - user chooses, address and insurance fill in. )

5a) If two patients with same name, allow for a distinguishing Middle Name

5b) If user updates patients info, asked to overwrite previous saved info. Overwrites only after the confirm screen.

---Way it should run

1) Select insurance form OR Browse previous filled patient

2) Enter Patient Info (new / old - described above)

3) Print out FULL FORM

4) Store completed form, once printed, opened as read only - ORIGINAL PATIENT INFO MUST BE STORED ON IT, even if later on the user changes the patient info. (so if in 2001 user enters address 1, and in 2003 user enters address 2, if we go back to form from 2001 it has address 1, and a note saying the address has since been updated.

User cannot change a form after 120 days, but up till then they can. After that, read+ print only.

Should be easy, we can fax you the forms, ill try to scan and upload them asap.

.NET C Programming Data Processing Visual Basic Windows Desktop

Project ID: #43115

About the project

25 proposals Remote project Active Nov 26, 2006

25 freelancers are bidding on average $245 for this job

swknight

I'll provide details via a PM.

$300 USD in 7 days
(15 Reviews)
6.7
mlgrow

please see pm for details

$300 USD in 50 days
(1 Review)
4.4
ajay192

Please see PMB for details of my proposal.

$300 USD in 20 days
(4 Reviews)
4.0
ramvinod

we can do it please see pmb please consider our revised bid

$210 USD in 15 days
(1 Review)
3.3
carlosaciego

Hi, I'll be glad to make the job for you, I'm an expert programmer and I have a lot of experience with C++, Visual Basic, Java, PHP, Pascal and others programming languages, you can choose the language of the program More

$200 USD in 20 days
(1 Review)
3.1
amanullahs

I have done a similar app for a clinical lab.

$300 USD in 20 days
(2 Reviews)
3.1
jharajnish30

sir, we are having 10+ yrs. exp in soft development on microsoft tech. the type of application we have already had developed includes Inventory, Payroll-HR based, Attendance Management, Stock Management, Accounting to More

$225 USD in 10 days
(1 Review)
3.4
snehalds

We will be able to provide you the sofotware package meeting all your requirements. Please see PMB for details.

$220 USD in 10 days
(0 Reviews)
0.0
drinamdars

dear sir, we have the requisite infrastructure & professionals for your job. We are ready to start the job immediately. We assure you to do the job to your satisfaction. I understand your concern for costin More

$200 USD in 10 days
(0 Reviews)
0.0
lanel

Hi, kindly see PMB, thanks

$300 USD in 14 days
(0 Reviews)
1.8
sdbad

hello Do you want it online or applciation that resides on your lan with multi user access..I am ssuming it is not online( over the internet on a web site).

$250 USD in 20 days
(0 Reviews)
0.0
ravikumarln

Hi, I am Ravi Kumar. L from Bangalore, i have 8 years experience, i have provided healthcare solutions in bangalore for morethen 8 hospitals, we can do this. with regards Ravi Kumar. L

$300 USD in 15 days
(0 Reviews)
0.0
cselshan

I have 3 years of experience in IT - during which i have indulged in training, analysis and development of different applications. There is a team with me to deliver an effective work output in any platforms. It might More

$275 USD in 22 days
(0 Reviews)
0.0
ServicesAdroIT

Please check your PM

$225 USD in 10 days
(0 Reviews)
0.0
PROGRAMMERSPRO

Hi, I have understood the project. If you could give us the proper requirements in a SRS document, we could start the project.

$250 USD in 7 days
(0 Reviews)
0.0
rajanmore999

Dear Sir, We are engaged in development of similar projects, recently we have developed a project which is used by the Insurance Agents of IFFCCO TOKYO general Insurance Company. We have also developed projects for More

$280 USD in 12 days
(0 Reviews)
0.0
mathewbijo

We do data processing and similar activities....would you like to outsource this project to us so that we can have an online data entry system for the same. If intersted please contact me so that we can discuss further More

$100 USD in 15 days
(0 Reviews)
0.0
dantuluri2000

>i have ben into application development for over 3 years.>implemented HMS "hospital management system" earlier >ready to demonstrate "Proof of Concept" if required >prove valaue for money >will also provide documentat More

$300 USD in 30 days
(0 Reviews)
0.0
ernestbpo

Hello. To start off, we must say that we understood the scope of the project, we have a great deal of experience in the filed of web and application development. After quickly reviewing the scope, We don't see any prob More

$150 USD in 15 days
(0 Reviews)
0.0
kmundhe

Dear sir, I have experience developing softwares especially for dental informatics that is patient managment and report/print on blank pages and also stastical analysis of the data. So, I will take very less time t More

$300 USD in 35 days
(0 Reviews)
0.0