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Core Platform

UHC IS Universal Health Coverage Information System

Manage government UHC beneficiaries, coverage schemes, and health facility reporting in one national-scale platform.

At a glance
National
scale deployment
Real-time
coverage dashboards
Auto
claims validation
MoH
reporting aligned
EN/FR
Fully bilingual interface
HL7 FHIR
Interoperability standard
Overview Modules Workflow Integrations Technical Specs

UHC IS

UHC IS is built for national and regional health authorities implementing Universal Health Coverage programmes. It manages beneficiary registration, coverage entitlements, facility claims verification, and population-level health reporting — providing governments, NGOs, and international donors with real-time visibility into programme effectiveness.

Integrated with OPESCare Health ID, every UHC beneficiary is linked to their complete health record. Facilities report UHC services directly into the system; claims are validated automatically against registered entitlements before payment processing.

Who is UHC IS for?

  • National and regional Ministries of Health
  • Government UHC programme administrators
  • International health funding bodies (WHO, World Bank, GAVI)
  • NGOs managing community health programmes
  • Social insurance funds (CNPS and equivalent)

Problems UHC IS solves

1

No real-time visibility on UHC coverage uptake — Live dashboards show service utilisation, coverage gaps, and beneficiary activation rates.

2

Ghost beneficiaries and fraudulent claims — OPESCare Health ID verification eliminates duplicate beneficiary registrations and fake claims.

3

Manual facility reporting delays — Facilities submit UHC service data directly into the system — no paper forms, no postal delays.

4

No geographic coverage mapping — Heat maps show which districts are under-served and where programme expansion is needed.

Everything in one system

Each module integrates natively — start with what you need today, expand as you grow.

Beneficiary Registry

Register and manage UHC beneficiaries linked to OPESCare Health IDs with entitlement tracking.

  • Bulk beneficiary import
  • Household & family linkage
  • Entitlement period management
  • OPESCare Health ID binding

Claims Management

Facility claims submitted electronically, validated against beneficiary entitlements, and tracked through payment.

  • Electronic claims submission
  • Auto entitlement verification
  • Fraud detection flags
  • Payment status tracking

Coverage Analytics

Population dashboards showing service uptake, coverage gaps, and geographic distribution.

  • Geographic coverage heat maps
  • Service utilisation by district
  • MoH HMIS integration
  • Donor reporting exports

How UHC IS works

Step-by-step through the clinical workflow — every stage integrated, every handover seamless.

1
Enrolment
Beneficiary registered & Health ID linked
2
Service Use
Patient presents at facility
3
Claim Submitted
Facility logs service electronically
4
Auto-Validated
System verifies entitlement
5
Payment
Approved claim processed

Why facilities choose UHC IS

Real-time programme visibility

Governments and donors see live utilisation data — not quarterly paper reports.

Fraud prevention built in

Health ID biometric verification eliminates ghost beneficiaries and duplicate claims.

National to district scale

Works at the national level while drilling down to individual facility and district reporting.

MoH & donor reporting

Pre-built report formats for Cameroon MoH, WHO, World Bank, and major donor agencies.

UHC IS connects to

Every OPES system is built to interoperate. UHC IS exchanges data with these systems natively through OPESCare Health ID.

Built to enterprise standards

Scale

Beneficiaries Millions (sharded architecture)
Facilities Unlimited facility endpoints
Claims throughput 10,000+ per day
Deployment Cloud (national) or Hybrid

Interoperability

Standard HL7 FHIR R4
Beneficiary ID OPESCare Health ID
Export CSV · Excel · DHIS2 · FHIR
API RESTful JSON

Security

Encryption AES-256 at rest · TLS 1.3
Authentication MFA · Biometric
Audit logging Every access & claim logged
Data residency In-country mandatory

Systems that work alongside UHC IS

See UHC IS in your facility

Book a free 45-minute demo tailored to your facility type. We'll show you exactly how UHC IS would work in your context.