Online Health Insurance Management System (OHIMS)

Description

The Online Health Insurance Management System (OHIMS) is a web-based application developed using Spring Boot, aimed at automating health insurance management processes. It features user management, policy management, claim submissions, and document handling.

Key Functionalities

1. User Management:

   • Users can register and log in to the system.
   • Roles and permissions are managed using Spring Security.
   • Password encryption and authentication mechanisms are implemented.

2. Policy Management:

   • Customers can browse and compare health insurance policies.
   • Administrators can create, update, and delete policies.
   • Agents can assist customers with policy selection.

3. Claim Management:

   • Users can submit claims for medical benefits.
   • Claims are verified and processed by administrators.
   • Users receive notifications about claim status.

4. Document Handling:

   • Users can upload documents during registration and claim submission.
   • Documents are securely stored in the system.

5. Notifications:

   • Email notifications ensure timely communication with users.

6. Admin Dashboard:

   • A dedicated interface for managing users, policies, and claims.

Technologies Used

• Front-End: React.js
• Back-End: Spring Boot
  • Spring Security
  • Spring Data JPA
  • Spring MVC
  • Hibernate
• Database: MySQL

Workflow

1. User Registration and Login:

   • Users sign up and log in based on their roles (customer, agent, admin).

2. Roles & Responsibilities:	Role	Responsibilities
   Admin	Manage users, policies, and claims
   Customer	Browse policies, purchase health insurance, file claims, check claim status
   Agent	Assist clients, view policies, manage claims

API Endpoints

Authentication APIs

• Register a User: POST http://localhost:8080/api/auth/register
• Login a User: POST http://localhost:8080/api/v1/auth/login

ADMIN Role

• Create Policies: POST http://localhost:8080/api/admin/create-policies
• Manage Policies: GET http://localhost:8080/api/customer/policies
• Update Policies: PUT http://localhost:8080/api/admin/id
• Delete Policies: DELETE http://localhost:8080/api/admin/id
• Manage Users: GET http://localhost:8080/api/admin/users
• Delete Users: DELETE http://localhost:8080/api/admin/users/{id}
• Manage Claims: GET http://localhost:8080/api/agent/claims
• Claims: GET http://localhost:8080/api/agent/claims/policynum/claimNumber

CUSTOMER Role

• Upload Supporting Docs: POST http://localhost:8080/api/files1/upload
• Claims: GET http://localhost:8080/api/customer/claims
• Claim Status Check: GET http://localhost:8080/api/customer/claims/claimnum

AGENT Role

• Claims: GET http://localhost:8080/api/agent/claims
• Claim Check: GET http://localhost:8080/api/agent/claims/{id}
• Users: GET http://localhost:8080/api/agent/users
• Policies: GET http://localhost:8080/api/agent/policies

Screenshots Demonstrating the Execution of the Application

User Registration Page

User Login Page

Home Page

Admin Dashboard

Agent Dashboard

Customer Dashboard

Conclusion

The Online Health Insurance Management System (OHIMS) enhances health insurance management through a user-friendly interface and robust security. It is scalable and capable of integrating with additional services.

Future Enhancements

• Integration with payment gateways.
• Development of a mobile application.
• Advanced analytics for better decision-making.

GitHub Link

GitHub Repository