I

II

Table of Content
Table of Figures..............................................................................................................................II

Introduction and Assumptions.........................................................................................................1

Flowchart.........................................................................................................................................2

Pseudo code...................................................................................................................................13

Source Code Explanation..............................................................................................................21

Conclusion.....................................................................................................................................26

Table of Figures

Figure I: Main Screen......................................................................................................................2

Figure II: Insurance Subscription Screen........................................................................................3

Figure III: Subscription according to age........................................................................................4

Figure IV: Storing subscriber data in text file.................................................................................5

Figure V: Displaying Subscriber Data.............................................................................................5

Figure VI: Claim Processing...........................................................................................................6

Figure VII: Claim Process...............................................................................................................7

Figure VIII: Displaying subscriber claims......................................................................................7

Figure IX: Displaying Account Information...................................................................................8

Figure X: Displaying Total Claim Amount of Lifetime Subscribers..............................................8

Figure XI: Displaying exhausted eligible amount of Annual Subscriber........................................9

Figure XII: Displaying details of all subscribers.............................................................................9

Figure XIII: Process to search record of subscriber......................................................................10

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Figure XIV: Process to search details of subscriber by subscriber ID..........................................10

Figure XV: Process to search details of subscriber by subscriber name.......................................11

Figure XVI: Process to search details of subscriber by plan type.................................................11

Figure XVII: Process to search details of subscriber by subscriber claim type............................11

Figure XVIII: Process to search details of subscriber by subscriber age......................................12

Figure XIX: Source Code 1...........................................................................................................21

Figure XX: Source Code 2............................................................................................................22

Figure XXI: Source code 3............................................................................................................23

Figure XXII: Source code 4...........................................................................................................23

Figure XXIII: Source code to display details of the active subscriber..........................................24

Figure XXIV: Output of display details of active subscriber........................................................24

Figure XXV: Main Menu Output..................................................................................................25

Figure XXVI: Subscription Menu.................................................................................................25

Figure XXVII: Claim details of Subscriber...................................................................................25

Figure XXVIII: Claiming Menu....................................................................................................26

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Introduction and Assumptions

As a framework for executive protection and with a purpose to supervise and manage its recently
created medical coverage scheme, ZeeMediLife Insurance Company introduced Health
Insurance Management System. The system created under Plans 120, 130, and 150 enables
clients to buy into the arrangement and provide office to ensure the successfully bought-in
arrangement. With its superior access to the supporters' details, the framework may be seen as
the ideal solution to the organization's problems. The tedious task of maintaining protection
supporter data may be streamlined with the use of this framework. According to the agreement
they have purchased, the guarantor can easily apply for the lawsuit. The benefits and protections
are clearly laid out when a customer applies to purchase into the arrangement.

ZeeMediLife Company thought about digitizing records for a recent arrangement layout as most
insurance agencies are moving toward digitization for easy client support rather than tiresome
administrative work to reduce the attempts for both the organization, its workers, and its clients.
As a result, the framework is developed, and while discussing the framework's work with the
client, the customer must support the medical coverage plan. After the customer selects any
configuration and promise type, an assurance is provided based on the information provided in
the case accommodation.
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Flowchart

Figure I: Main Screen

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Figure II: Insurance Subscription Screen

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Figure III: Subscription according to age

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Figure IV: Storing subscriber data in text file

Figure V: Displaying Subscriber Data

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Figure VI: Claim Processing

 7

Figure VII: Claim Process

Figure VIII: Displaying subscriber claims

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Figure IX: Displaying Account Information

Figure X: Displaying Total Claim Amount of Lifetime Subscribers

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Figure XI: Displaying exhausted eligible amount of Annual Subscriber

Figure XII: Displaying details of all subscribers

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Figure XIII: Process to search record of subscriber

Figure XIV: Process to search details of subscriber by subscriber ID

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Figure XV: Process to search details of subscriber by subscriber name

Figure XVI: Process to search details of subscriber by plan type

Figure XVII: Process to search details of subscriber by subscriber claim type

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Figure XVIII: Process to search details of subscriber by subscriber age

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Pseudo code
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Source Code Explanation

Figure XIX: Source Code 1

Here, the framework's menu is displayed using a do while loop, and the client's choice is
obtained using a switch case statement. After reading the client's value, a condition is then tested.
The loop will then be repeated until the test condition is false, or else the expression proves to be
false and the loop is terminated, if the client selects any other possibility except option 5.
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Figure XX: Source Code 2

Until statement number three is selected, other statements within the case are carried out in
accordance with the client's selection. In the unlikely event that the customer selects option 1, it
will carry out the solicit claim process.
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Figure XXI: Source code 3

The "r" mode is used in this function to read text files, whereas the "w" mode is used to edit text
files.

Figure XXII: Source code 4

This function is utilized in this case to search through the endorser id and display the details of
the endorser. If the supporter ID is located inside the read record, the data of the backers will be
displayed; else, the message "not found" will be stopped printing.
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Figure XXIII: Source code to display details of the active subscriber

Figure XXIV: Output of display details of active subscriber

Figure XXV: Main Menu Output

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Figure XXVI: Subscription

Menu

Figure XXVII: Claim details of Subscriber

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Figure XXVIII: Claiming Menu

Conclusion

The suggested system is a health insurance management system program for medical insurance.
The framework eliminates the problem of office work, ensures a trustworthy and straightforward
way to manage all the rules for clinical benefit, and allows administrator to enroll or register
insured folks with all the details.

In addition to easing the load on insurance staff to verify and maintain a large amount of archives
and data files for the health insurance service, the framework assists in preventing unforeseen
clinical costs.