SYSLIFT
A MANAGEMENT INFORMATION SYSTEM
FOR MICRO INSURANCE
Designed by
Developed by
Health
Syslift
 Software developed by
Tieto Enator for MicroInsurance Units
 Meant for community based
organizations/branches
gathered together under a
Federation
 Can be used by any Micro
insurance model (mutual or
partner agent)
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Syslift - MIS
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MicroInsurance Management Information
System.
Reporting customized for various levels of
decision.
Strong capacity for Health Insurance.
Comprehensive Database for statistical
research.
Tracking & understanding of contributions
and members’ data.
Risk management indicators for managing
Insurance Management.
Capacity to handle infinite products under
3 categories : Health - Accident – Property
User Friendly : Fully open to Development
specification suggestions.
SYSLIFT IS
A
Freeware
offered to micro
insurance units
sharing their
database with all
other user-MIUs.
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Syslift Objectives
 To Provide MIU’s with data from a Centralized
Database for easing their activities
management, and helping their clients/members
to have a better behavior related to the
concerned risk.
1.
2.
3.
4.
To maintain information about products, policyholders,
dependants, policies and claims.
To monitor Micro-Insurance portfolios.
To monitor quality data encoding.
To faster the claim settlement process – cashless systems.
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Operational Processes
Community A
Reporting
Community B
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Syslift Software for Policy Making
Portfolio management
Claims Processing & Decision Makings
Statistics and reporting
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Syslift Overview
Syslift
Security Roles &
Database
Support
Functionalities
Data Models
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Pl click on buttons
Security Roles
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Complete DB security
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Complete User Configuration
User Logins & Roles
Physically data deletion not
possible, logically possible to
hide or unhide –
Administrator Right
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DB support
User
Role
Limited access
Purpose / Work
Printer
No Field Editable
To read any data.
Encoder
Right of Policy/ Claims
Creation before validations
To do all type of
encoding only.
Claim
Adjuster
Limited Fields editable on
Claims
For Claim Trials.
Controll
er
Finalized Decisions can’t be
changed /edited.
Right of Decision
making
Adminis
trator
Works thru different User
Roles.
Responsible for Data
security & quality.
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User
Operate
through
its limited
User
Property
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Back End – Database - SQL Server
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Front End – Application - Visual Basics
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Client Server
Use Me
Syslift Functionalities
& Products
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Policies
Policy Category - 3 Types of
Insurance Policies
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Health Insurance Policies
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Accidental – Life Insurance
Policies
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Property – Asset Insurance Policies
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Products 
Possible to handle
Infinite no of Products
under Policy Category
Called as “Policy
Products”.
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Product Definitions
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Policy Factor Catalog
Fixed Factors &
 Variable Factors –
 Formula Writing
possible
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Product Definitions –
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Includes Factors.
Responsible for
Automatic Premium
Calculations.
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Policy Management
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Partner/Policy Search
 Names or
 Branch Name or
 Policy Nr etc.
Partner/Policy Creation
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Policy Selection
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Policy Information available at a glance - One Policy Holder
(or family) with Many types of Policies or Products.
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Policy Shift/ Selection from One policy to other Possible.
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Policy Details like Policy Number, Categories,
Products, Start dates, End dates etc.
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Policy Validations
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For Balance Payments /
Premiums
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Warning message for
balance of premium
not paid
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Policy Validations For
Factors Value
Checking
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Contribution Details
& Encoded Data
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should match
Claims Management
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Information of Multiple Claims on One policy – available on
One Window.
Claims Details
– family or
Individual
Claim Benefit
Category & Max
Limit - Doesn’t
allow Claim amt
higher than its Max
Limit
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Extensive Data
of Expenses
Billed
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Claims Management
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Inter-National
Classification of
Diseases (ICD)
by WHO – Upto
3rd level
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Amounts Related to
Claims  Total Expenses
Billed - Amt.
Claimed
 Amt Claimable
 Amt Disbursed
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 Additional
Benefit Amt.
Reporting From Syslift
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No Limited In-built
reports
Reports
Development using
Crystal Reports
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Report Association
Possible
Choice of Filters –
Parameters Settings
Export Facility – Excel,
Crystal Reports, DIF, CSV
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Reporting From Syslift
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All Quantitative & Qualitative
reports possible.
Technical Report with –
 Important Ratios –
 Claim Ratio
 Frequency Ratio etc.
 Fund balances
 Claim Paid Amount
 Insured Members
 Claims to be processed
 Health Insurance
Indicators
Use Me
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Data Model Features
Security: Login with password and various possible
user roles.
 3 Types of policy Categories and an infinite number of
possible policy Products.
 5 Levels of portfolio consolidation (Community – Fed).
 Extensive Claim Information Management:
 Health Events chosen from the ICD (WHO)
 Any Bill or Expenses are sorted per Hospital
 Data Model including Policies, Persons, Families, Socio
economic and personal health information,
International Diseases Catalogs (WHO).
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Various reports and Wide potential for statistical
studies.
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Data Model – Data Tables
Program:
Partner: Contains Partner’s Data
Business_Code:
Contains
Federations
Structure, (E.g.
FederationDistri
ct 
VillageGroup)
Partner No, First_Name,
Middle_Name, Last_Name, Area,
Branch, Income, Birth_Date,
Religion, Address Etc.
Contains Business
codes, and
description, (E.g.
Self Employed,
business name,
Govt. Employed,
type of work, etc)
Policy Receipt
Table: Has
Information about
Policy Receipts.
Receipt SrNo.
Receipt_Date,
Encode_Date,
Encoder,
Collector.
Policy Table: Contains All
Information about Policy of partner
like Policy Number, Type, Policy
Holder, Premium, Start Date, End
Date, Enrollment Date.
Policy Claim Table: Holds Claims
Information about Policy claims of
partners like Claim_Number, Start
Date, End Date, Enrollment Date.
Policy
Dependents
Table: Stores info
about all
dependents of
policy. Like Policy
ID, Policy holder,
Relation, etc
Policy Claim Details: Has details
about Claims. Claim_Number, Bill
Date, Claim_Expense Details,
Hospital Name, Doctor In Charge,
Normal Market Price, Expenses
billed, Amount Claimable, Indemnity
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Data Model – Catalogues
Kat_ICD: Contains ICD List
Kat_Policy_Type:
Contains Policy
Types (Personal,
(International Classification of
Diseases)
ICD Code, Description,
Accidental, Property)
Kat_Relation: Contains All
Kat_Medical
condition:
Contains Business
codes, and
description, (E.g.
Self Employed,
business name,
Govt. Employed,
type of work, etc)
relations in it
Kat_Expenses: Stores
Status of Expenses for
claims : (Expense Code,
Policy Type).
Father, Mother, Brother, Sister,
Spouse, Father In-Law. etc
Kat_Claim_Status
:
Kat_Document_Type: Has
details about document types
needed for claims.
Member ID Card, Claim
application document Doctor’s
Checking Report, prescription.
etc
Stores Status of
Claim (Opened,
encoded, enquiry,
Ready for
Settlement, Settled.
Partner & Policy Windows
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Partner Information
– Partner Window
Family Information
– Policy Details
Window
Policy Details
 Personal Details
 Medical Conditions
 Relations etc
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Policy & Claims Status
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Open Status –
Ongoing Policy
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Cancel Status –
Cancelled Policy
Expire Status –
Expired Policy
Status of Processing of
Claims
 Opened
Encoded
 Enquiry &
 Ready for Settlement.
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Decision Making Status –
Settled Unpaid
 Settled Paid &
 Settled Guidance Only
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Data Models – 5 Levels
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Portfolio levels upto 5th level
are available.
Helps to study closely the
smallest possible unit
Also, useful for Consolidated
studies & Analytical studies
Study of regional
differences
Health trends & parameters
etc.
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Administrative Catalogs
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User Creation
Shift to Community –
Easy shift of partners
from one Branch to other
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Report association
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Policy receipts
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Policy Expiration
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Contribution Statistics.. –
Technical Report with
Health Insurance
Indicators
Catalog Editor  Organizational Structure – levels of Portfolio
 Medical Condition – Attached to Partner
 Business types and Relations
 Expenses types & Expenses – For Claims
 Document type & Claim Benefit Category – Attached to
claims
 Policy factor & Product – Product Definition
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Plans For 2007
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To configure the software for Cash less claim
settlement.
Online download – Web based software.
Licensing of Software
To develop Centralize DB systems.
Health care pricing lists and Hospitals’
agreement stored and comparable.
Multi Scripts
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Multi lingual
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How to get the
Software?
Pl Contact us at:
UpLift India Association
Phone: 020-26051013/ 9225528127
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THANK YOU!
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