Digitalize Forms + DB Storage
$100-300 USD
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.
Project ID: #43115
About the project
25 freelancers are bidding on average $245 for this job
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
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
We will be able to provide you the sofotware package meeting all your requirements. Please see PMB for details.
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
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).
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
Hi, I have understood the project. If you could give us the proper requirements in a SRS document, we could start the project.
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
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
>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