The project holds the independent stores for all its goods records

a. Recieved goods subject to the review of the inspection committee, which will consist of technical and financial personnel and procurement officers from the headquarters of the General Authority for Health Insurance and recipient governorate office.
B. The project holds the independent stores for all its goods records.
C. Goods entering the stores after its acceptance of the inspection committee and is a manager of the store contained a receipt for goods that are recorded then stored in the notebook (3 Book Store). It must be recorded each of the receipt of goods, books and detailed its information, as the number of the item number and the envelope.
Dr. Given a copy of the invoice, and the inspection report, the approved contract as well as any other necessary documents to the storekeeper that records incoming goods Bsgelath (4 store books) and match them regularly store employee records.
e. Review the manager of the store receipt goods received and adopted.
And. Over-expenditures store based on the approved applications submitted by the recipient site, and the intervention of goods store location final recipient in the manner described above itself.
G. Receive and project implementation unit stores weekly reports that show all the items added and items distributed to each of the sites. Based on these reports, clutching CFO of the Project Implementation Unit record of the assets of Microsoft’s Excel program format shows all goods related to the project and its location and the Secretary of warehouse information. This record will be part of the interim financial reports prepared by the project every six months and sent to the World Bank.
H. The CFO of the project management unit every three months random scans of goods stored and goods supplied to make sure that the information recorded asset mismatch.
I. A committee of the General Authority for Health Insurance and a representative of the CAA annual physical census of all the items added to the stores and the outgoing ones. The document will include the powers and terms of reference for the project this census revision process to also performed by the external auditor in charge of reviewing the project accounts, and records, and equipment that are purchased.
J. Part of the document includes the powers and terms of reference of the external auditor for the project as well – a physical census of selected sample of items added to the stores and the outgoing ones process.
K. All the General Authority for Health Insurance stocked items are insured against fire.
143. flow of funds: Due to the inclusion of the project on only one component of a limited number of payments required to have large amounts of contracts, will use direct exchange and obligations of the way. The loan will be paid direct exchange manner. And it retains the Finance Division unit implementation of the project with all the documents and supporting documents for payments disbursed and provide copies of these documents to the World Bank at the direct request of exchange. And a flow of project funds as follows:

Payments by the World Bank directly
 

144. external audit: choose independent auditor from the private sector to do annual audits of the project. The show will document the powers and terms of reference for audits clearly the nature of the project and its specific needs in connection with the distribution and management of equipment, it must be reviewed and authorized by the Financial Affairs Specialist of the World Bank. And This document should be mentioned include an examination of the physical equipment stores received the General Authority for Health Insurance and the final locations where the supply of goods to the provinces. The review covers the costs of the loan proceeds. It leads the auditor’s report and point of view of financial data for the project, accompanied by a letter from the administration. It must This report is submitted to the World Bank in a period not exceeding six months from the date of closure of the financial year and that includes all the components of the project and its activities “as a whole”, according to the loan agreement. We must review process in line with the audit requirements of the World Bank and the International Standards on Auditing.
145. supervision of the World Bank: In view of the limited number of components of the project and its contracts, it has been rated the degree of credit risk after following mitigation procedures set out above as a medium degree; therefore will visit the financial management team of the World Bank project at least twice in order to make sure to keep financial management arrangements satisfactory. . Initially supportive of the Project Implementation Unit is available for you to complete financial management arrangements agreed upon, then have oversight thereafter every six months and review the adequacy of the financial management arrangements for the project.
146. Corruption can manipulation, fraud and corruption at the project resources affects. It would reduce the credit arrangements mentioned above, including the chapter for the purpose of protection measures and arrangements for reporting and auditing, reasonably the risk of corruption from the technical point of view through credit arrangements, but will not be effective in the case of collusion.
147. financial management in the proposed system to work hand payment covers the proposed system “functions such as finance and accounting, human resources, payroll, and legal affairs, and fixed asset management, communications, and management of documents. In addition, the system will support the collection of subscriptions process insurance, registration and management, as well as debts and obligations related “to the purpose of the governance structure consists of a two-tier offices in terms of payment at the national and provincial levels (see document project Appraisal, Appendix 4). The financial transparency and the fight against manipulation and fraud issues at the heart of increasing the efficiency with which we expect to derive from Egypt to develop this system and use it. It is expected to hold the main systems and contract verification and validation to win their tenders providers with expertise in the field of financial controls that apply to the health insurance systems. It is worth noting an important difference here, namely that the World Bank would not be the body that reviews the adequacy of these systems but it would be the General Authority for Health Insurance and National Health Insurance Organization themselves. We’ll measure the results based on indicators agreed outcome and that also includes efficiency standards.

 
Appendix 8: procurement arrangements
 The Egyptian Arabic Republic

Health Insurance Systems Development Project
 

a thousand. Public

148. The implementation of the procurement process for the purpose of the proposed project in accordance with the guidelines of the World Bank: “Guidelines: Procurement guide in the framework of World Bank loans for Reconstruction and Development and Credit IDA” dated May / May 2004 and revised in October / October 2006, and a guide “Guidelines: Selection World Bank borrowers to consultants and use “, dated May / May 2004 and revised in October / October 2006, the provisions contained in the legal agreement. The following is a general description of the items included in the various categories of expenditure.
149. The different procurement routes or methods of selection of consultants, and the need for pre-qualification, estimated costs, and the requirements of prior review, and the time frame has been formulated all in final form in the procurement plan has been agreed upon between the borrower and the World Bank in the negotiations, and in respect of each contract financed by the loan. It will be updated procurement plan at least annually or as needed; to reflect the needs of the actual implementation of the project and improvements in institutional capacity.
150. Purchase Information Management System: The project is the purchase of information consists of the following units management system package: Managing the affairs of the beneficiaries, and the benefits package, claims management, and case management, in addition to monitoring the levels of use of services and reporting procedures. And made purchases using brochures Specifications Standard Terms and Conditions of the two-stage bidding for the World Bank on the supply of information systems in accordance with the procedures of international competitive bidding. These brochures have been prepared in good prior period, is scheduled to be reviewed by the World Bank management (Review Committee procurement procedures) and adopted in accordance with the procedures prior purchases due to the need for a long advance period to prepare the specifications required for the package to buy a complex management information system.
151. buy goods: Goods that are purchased in this project of the equipment needed to run a pilot program for the management information system of the three governorates and the National Center consists. Conducts purchasing and procurement process using brochures Specifications and standard conditions of tender of the World Bank with regard to all international competitive bidding.
152. choose advisory bodies: The basic contract advisory services to be entered into under this project – except for the external audit of the project – is a holding company that will provide the technical verification and validation services to the General Authority for Health Insurance. It is expected that the conclusion of this basic contract by March / March 2010 to provide services throughout the duration of the project. If the need arises to acquire additional advisory services it could be considered short-lists of advisory bodies which provide services estimated to cost less than the equivalent of US $ 200 thousand per contract; to include (lists) fully consulting national points in accordance with the provisions of paragraph 2.7 of the Consultant Guidelines Manual.
153. operating costs: The World Bank will not be funded by the proposed project operating costs, but the government-funded paid by the General Authority for health insurance as a body implementing the project.
154. will cause procurement and supply brochures and specifications and standard conditions of the tenders which will be used with all manner of methods of procurement procedures, as well as model contracts, the Plan of Implementation of the project before the expected date.
B. Assess the body’s ability to carry purchases
155. rests with the General Authority for Health Insurance responsibility renovation activities procurement in the proposed project, and this body was established under Presidential Decree No. 1209 of 1964 and is managed by an administrative council, which is empowered to administer all health insurance matters, including aspects related to procurement and supplies. This class and help of autonomy from the Ministry of Health in maintaining the necessary independence and a reasonable degree of transparency in dealing with this relatively large amount of purchases that bear responsibility.
156. The specialists purchases at the World Bank in September / September 2009 an assessment of the ability of the executive body (the General Authority for Health Insurance) on the implementation of the Procurement and Supply project-specific procedures, where accept this assessment organizational structure to implement the project and the interaction between the project staff of the General Authority for Health Insurance responsible for procurement and the central unit of the management and funding of the ministry’s relevant. Moreover, there was an additional assessment of the ability of the technical support of the Ministry of Health’s office in early October / October 2009, which was assigned – even the establishment of a project implementation unit – responsible for prior purchases of package software activities as a setting pamphlets specifications and standard conditions of tender Two-Stage Private the project, which has already carried out.
157. Established technical support office in the context of health reform, which was funded by the World Bank, which recently reached end of the project, but the mission and scope of its services has persisted in support of other donors such as the EU under the supervision of the Ministry of Health. It is characterized by the helpdesk staff technicians and Aitmanyen highly qualified, including procurement staff, and from this perspective it is cooperating closely with the Ministry of Health Management Team in the processing of the first two decades of the three contracts that will be funded in the development of health insurance systems project preparation processes, with some support on health insurance reforms of external consultants provide their reports to the Ministry of Health. It features an office and procurement unit consists of four specialists Purchases (first and 3 employees less degree than employees), all of whom are familiar with procedures for procurement and supply of the World Bank and in force in the projects, which serve a good purpose of these temporary arrangements between the sectors that aim to mitigate risks on procurement activities financed by the World Bank.
158. been identified and risks the major issues relating to procurement for the purpose of implementing the project, and the results show that the General Authority for Health Insurance since its inception in 1964, did not deal with any international competitive bidding or procurement with the World Bank’s instruction manual. The limited body of experience in the field of purchases on the Egyptian Law on the organization of tenders and auctions 89 and before Law No. 9. In addition, the staff of the Procurement Authority limited experience in procurement procedures and other donor community. And related risks and other important purchases, including whether it can design and technical specifications comprehensive and strong determination enough to get in the end on a sufficient range of tenders comparable artistically, and then to make them able to choose the lowest bid responder Rated Provider (mainly based on price alone in stage second) for the supply of key systems package.
159. mitigate the risk of procurement and supply measures: The degree of risk classification procurement project is high, especially in the initial stage of its implementation, if there is any delay in signing the verification and validation of the proposed company. The evaluation recommends the General Authority for Health Insurance to take the following measures to mitigate the risks of purchases:
• Include procurement activity as one of the core activities of the sole responsibility of the Office of Technical Support until the establishment of a project implementation unit, which will then in close collaboration with the consulting firm to verify and authenticate with the technical aspects and management of the contract.
• General Authority for Health Insurance of the helpdesk advantage to start the contracting process with verification company and validation and end (the preparation of the powers and competencies, and letters of intent, condensed list, and RFP, technical and financial evaluation, and the signing of contracts).
• start in this activity immediately prior purchases according to the World Bank procedures, knowing that this along with pamphlets terms for the bidding package of major systems contract is already setup.

The organizational structure of the Project Implementation Unit

The organizational structure of the Project Implementation Unit and internal controls
129. The organizational structure of the Project Implementation Unit and internal controls: Tracking and Project Implementation Unit General Authority for Health Insurance in organizational terms, the government covers the full coverage of their employees’ salaries.
130. The unit will consist of project implementation team of the unit manager, director of procurement, procurement staff, and Chief Financial Officer, who will report to both the project manager and director of the Finance Department of the General Authority for Health Insurance. In addition, it will allow the financial director of the Health Sector Reform Project, which was closing in March / March 2009 – support and training for the new financial director during the period of 12 months from the life of the project to ensure the transfer of knowledge from the projects financed by the World Bank.
131. be entrusted to the Chief Financial Officer of the Project Implementation Unit as soon as his appointment and before the date of the project shall enter into force – a process of renovation Administration Guide Finance with the support of the financial director of the Project Health Sector ending repair work done, as is the person who originally prepared this guide which will explain what will be applied in the project of controls in addition to the accounts, authorization agenda, session and documentary, and review cycle.
132. reserves and project implementation unit of the documents and the documents all have financial manager of the project responsible for preparing monthly settlement document with the site “link collaborators” with the World Bank, where the Director of the Finance Department of the General Authority for Health Insurance reviewing this document and adoption.
133. preparation of reports and registration: The project applies the cash basis accounting method, where the purchase is simple automated accounting system and use it to support the registration work and the preparation of budgets and reporting project to develop health insurance systems.
134. CFO of the Project Implementation Unit shall be responsible for the registration of all accounting operations and reporting. In addition, this is Chief Financial Officer and tracing paper monthly obligations which each of the project manager and director of the Finance Department in the General Authority for Health Insurance reviewed and approved.
135. must be a management information system, which will purchase the project able to produce the required financial reports, including the sources and uses of funds, cash withdrawals, cash and expectations. As has been discussed during the mission, it will prepare the financial director of the project reports and the project manager and director of the Finance Department in the General Authority for Health Insurance reviewed and approved.
136. Based on the instructions of the World Bank directory, you must prepare the following reports in this project:
137. Every six months: the project must prepare interim financial reports half-yearly and brought to the World Bank within the framework of the progress report to the project or independent as reports. This consists of the following reports:
a. Statement of sources and uses of funds by project component, including references to funds received from various sources – if any – cash and expectations, and report expenses compares actual expenditures and planned by activity – if that is true – and the data allocated to the settlement of accounts.
B. List of contracts: include all contracts, clarify the amounts committed and disbursed in each contract in the history of the preparation of the report.
C. Is a list showing when signing a contract supplies of goods received (by type and location) on the date of preparation of the report and distributed.
138. These reports must be sent to the World Bank within 45 days of the end of the half year, according to the project loan agreement.
139. annually: the financial manager of the project implementation unit annually prepare financial statements for the project and that the cash basis method of accounting will follow them, and then decline and then submitted to the World Bank within six months of the end of the year. The consolidated financial statements of the project and include the following:
Dr. A statement on the sources and uses of funds, shows the funds received and expenses of the project sources
e. Appropriate tables classified project expenses by component, and describes the annual and cumulative balances
And. Settlement allocated – accounts if applicable – which explains the settlement between the opening balances and balances at year-end data
G. Statement for the project links, any unpaid balances depending upon what is out of the question the contracts signed for the project.
H. Placement of the equipment received and distributed at the end of the year
140. Budgeting. The chief financial officer of the project implementation unit of the project a year to prepare budgets and plans Exchange reflect the cash requirements for the project every three months. The initial plan shall be based on the initial procurement and implementation schedules and courses discretionary payments plan, and then revise afterwards. The budget will be utilized as a monitoring tool for the disparity and cash management analysis. It is the responsibility and unity of the implementation of the project, the General Authority for Health Insurance responsible for updating of the annual budget.
141. Posting inventory control and assets on the central and provincial levels: All project assets being purchased through your inventory system at the General Authority for health insurance and that they should retain disease inventory is based on the manual registration system entry. Based on the equipment that will be purchased for the purpose of this project scope, the will of the General Authority for Health Insurance installing a system that facilitates the equipment management, which will be purchased and also facilitate the distribution, so that the hold separate records for the purpose of recording the information, maintain and relating with equipment distributed by location, including the number of equipment received in the various offices of the three governorates and kind. It was also agreed to take additional measures during appraisal to ensure the sound management of the project assets.

The project implementation unit and its resources

The project implementation unit and its resources
113. Unit will be implementing the project, which are created for the development of health insurance systems within the framework of the structure of the General Authority for Health Insurance Project, the main counterpart to the World Bank in the process of implementation of project activities, including administrative and fiduciary aspects (financial management and procurement). It is expected to begin its work within a period not exceeding one month from the date of entry into force of the start of the project.
114. The project implementation unit functions include:

• General Manager of the project implementation unit. Be responsible for personnel management and supervision of the daily activities of the unit during the administration of the process of implementing the Health Insurance Systems Development Project. And raise the general manager of the unit reports directly to the Minister of Health through the Assistant Secretary for Health Insurance, which will make it easier to resolve any technical or delay in implementation issues.
• Purchasing Manager. Be responsible for overseeing all aspects of the procurement process for contracts financed by the project, including procurement plan preparation and monitoring, and documentation powers and competencies, and requests for the World Bank’s approval, and the organization of conferences bidders and evaluation of bids, and oversee the implementation of contractual obligations, ect. The Purchasing Manager in collaboration with the Unit Director of implementation of the project staff and other periodic reports on the progress made in the procurement and brought to the party or to the concerned authorities.
• Director of Finance Department. Financial Management Specialist tasks include the preparation of the budgets of the annual project, monitoring, and reporting on the status of the project accounts and disbursement of funds, and the link with the external auditor, and to deal with project funds flow (payments directed to consultants and suppliers, and withdrawals from the project account).
• monitoring and evaluation specialist. Be a specialist in procurement, financial management and technical staff Affiliates of the General Authority for Health Insurance or National Health Insurance Organization in charge of implementation of the project and specialist monitoring and evaluation, in coordination with the Division General Director of implementation of the project, all of whom are responsible for the preparation of periodic reports on the progress of the project, including the progress report work in the public execution, procurement, project financial affairs, and the progress of the project in exchange for the agreed upon performance indicators.

115. be the PIU headquarters in the General Authority for Health Insurance, and can be transferred to the National Authority for health insurance when they are created, subject to the completion of any additional assessments World Bank may need to be carried out within the framework of due diligence procedures.
116. The unit will form part of the implementation of the project management of social health insurance program team and reports directly to the Minister of Health by Assistant Secretary for Health Insurance regarding the implementation of the project and any issues requiring decisions at the management level. As for the technical aspects of the project and operational whereupon the PIU in close coordination with law enforcement officials from relevant departments of the General Authority or the National Authority for Health Insurance: information and financial management systems, management etc. These employees will not fall within the PIU team but their managers chosen to be the chief technical specialists to the project to develop the health insurance systems. Technicians and specialists will work closely with members of the unit project implementation team in specific tasks related to the project, such as the preparation of technical specifications, evaluation of bids technically, ect.
117. The project implementation unit is full of self-government, which is passed to the Ministry of Health funding resources.
Second. The relationship between the General Authority for Health Insurance and National party payment only new
118. Government commissioned by the Ministry of Health to be the body implementing the Health Insurance Systems Development Project funded by the World Bank. And is currently being introduce legislation to the new system of social health insurance, which would create a new body, the National Authority for health insurance to be the point of the only national payment. If the government decided that this new body is the most appropriate body to become the implementation of the project it has been transported to the responsibilities of project implementation body. The mechanism has been integrated in the project documents to allow this if the World Bank has agreed to this as acceptable.
Thirdly. Governance and public administration system structures
119. formed a steering committee for the system of social health insurance members participate at the level of the Council of Ministers and the ministries of health, finance, social solidarity and other ministries and chaired by the Egyptian Prime Minister, in order to guide the development of a comprehensive system of social health insurance reform process. In addition, the government will form a steering committee for the project between the ministries by the Ministry of Health in order to help overcome any bottleneck in the implementation of the project may face and requires coordination between various ministries.
120. When founded the National Organization for health insurance, it is also expected that the unit implementing the project, a project to develop the health insurance system – is responsible for reporting to the board of this body, where the main task of this project is to develop processes and management systems of the body in question. In addition, the Board of the National Authority for Health Insurance Administration will be the party concerned a different point of payment policies, standards, such as decisions concerning the objectives of monitoring the levels of use of services, and methodologies payment service providers format, and will be, the party concerned to ensure the dissemination of improved labor regulations in the pilot provinces projects to all parts other country.
Fourthly. The relationship with the World Bank
121 will be the project implementation unit is the interface interfaces Home of the World Bank with the General Authority for insurance, in all matters of the project, including the stomach reports on project status, and applications for the World Bank’s approval of the documents and papers procurement, and disbursement of loan funds, ect.
122. The PMU prepared the following project reports and submit them to the World Bank:
• progress reports every six months: contains a summary of the physical and financial progress to the project, and explanations of the differences between physical and financial progress and forecasts, and a description of the issues encountered by the project, and a summary of actions are under consideration or have been taken to address these issues, and updates the implementation and outcome indicators.
• interim financial reports half-year results: Financial Manual will coordinate separates these reports and their content.
• consolidated annual reports: the information available to incorporate in the semi-annual reports and describes the actions recommended measures to ensure the implementation of the project effectively and achieve its objectives.
• the annual financial statements of the project: It will detail the financial evidence of these reports and the coordination of their content.

change management strategy

106. change management strategy. Social health insurance system focuses on human resources operations, and training air-conditioned, and the efforts of the institutional change management, so as to ensure optimum utilization of talent, training, and change management.
107. constitute the application of social health insurance system, a dramatic shift in performance in the current health-care sector in Egypt. The main challenge in this overall effort in the selection of future leaders who will become the main driving force for change and who will also need to understand and support this effort full support. It was designed in such a system operations and human resources that could be expanded to allow a rapid increase in operations, and has been successfully tested in a pilot project in terms of payment in Suez. It will also midwife operations for the expansion to be a pivotal tool in filling jobs in the state of depletion of staff. To achieve this purpose, the innovation process set a clear start to profiles for office functions of all system, and sort orders, and test candidates skills (such as, for example, tests in classrooms for specific skills such as logical thinking, and IT skills, language skills). After skipping these operations successfully, it will also be interviewed for final approval at the appropriate candidate.
108. Believing needed to convert the health sector capacity-building to the outbound sector performance and service delivery in a sustainable manner, and the belief is also the introduction of further development and the development of these capabilities, the Ministry of Health to establish representative training institute in the Leadership Academy is designed to provide all required training courses the areas of leadership and management. The academy was established specifically to train and graduate leaders of change, and will provide information to participants in the sessions, and they are all either managers or leaders from the category of mid-level management – and with regard to the design process of reform and progress in order to enhance their understanding and their convictions. Graduates will also learn many leadership styles through a comprehensive approach to the leaders of the future consists of general elements of management education courses specifically designed for the healthcare sector.
109 will be the establishment of the training center operations for more specific operational level. The focus will be on providing training for up to daily business is managed by executives in charge of providing care services and social health insurance primary and secondary care system, such a system personnel, doctors and a nursing, pharmacists and laboratory technicians in units of primary care, hospitals, etc. There are specific training courses. For example, there is the health insurance system and social training materials ready and training for a few weeks to train the staff assigned to the management of claims, and the Department of the beneficiaries and the affairs of service providers, and the Office of Case Management (CMO), and the operations of the contact center, all of which are subject to use and test and succeeded in The pilot project in Suez.
110. Finally, it will give institutionalize lessons learned and observations about the main ideas for change management. It will be collected and used regularly make observations and opinions about the training courses, and experience operating daily work process models, etc., for the purposes of improving the organization and processes. It will also be workshops and meetings aimed at sharing of lessons learned and share best practices of institutional change management part.
111. state of readiness of provinces. It made great efforts over the past twelve months for the processing of the provinces to do the best role in the management of the health insurance program. Key elements of this strategy include:
• For the processing of the provinces, and developed a plan to allow a gradual approach, and begin assessing local conditions, including demographics, and the image of the current service providers, etc. This is based on an assessment of the needs of calculating the required human resources in terms of payment using the new prediction model reflects the work of the health insurance activities. Is then select a payment staff and involve intensive training on the preparation work of the hand of payment before the start of daily operations activities. This includes training the following main tasks: case management, and management of the affairs of the beneficiaries, the management of service providers affairs, claims management, and support functions and support. And it will continue to provide training steadily during the transition period to the new point of payment system in each province.
• When training ends successfully, the staff begins to conduct their activities by working to enhance the function of Registration of participants and other functions and other tasks. Additional staff are appointed by the conduct of the process of registration of subscribers in a manner consistent with the prediction model. The point of management team pay in parallel with the creation of local pay point to communicate early with a direct interest at the local level stakeholders, including for example: the conservative, hospitals and departments to ensure cooperation and establish a relationship built on trust. This process continues through the structural reinforcement of the local operations of health insurance altogether.
112. This strategy has been successfully applied in the Suez and can be transferred to the Alto Sohag and Alexandria, where the second application of the province of Sohag, adopted in Suez approach is being implemented to prepare for the new program of health insurance operations.

 
Appendix 5: Project Costs
The Egyptian Arabic Republic
Health Insurance Systems Development Project
Million US dollars
The project cost by component and / or activity
local

external

Total

And management point of paying health insurance operation information system (funded by the International Bank for Reconstruction and Development) 75.00 75.00 1

The project implementation unit (government-funded) 1.00 1.00

The total cost of the project 21:00 75.00 76.00

1 fees paid in advance is not listed, where they are paid directly by the borrower.
2 was approved Egypt’s own national funding criteria to allow funding 100 per cent of the International Bank for Reconstruction and Development. The project costs include all taxes.

the national data center in functions such as performance monitoring

Up in several provinces. It follows from the national data center in functions such as performance monitoring and management, and the Department of Finance.
B. System performance. System will be designed to be able to effectively address very large numbers of claims, for example, up to 10 million claim internal clinics and 460 outpatient clinics million claims per year; therefore it will support the generalization across the country without requiring considerable development.
C. Backup and restore in the event of disasters. System will be designed, where the failure of any vital system or data center as a whole little impact on system performance.
Dr. Data security. Data security is critical, therefore, will be a priority in the design of the system, with Baramitr specified by the user to enable the appropriate user of the system from the Add Roles, modify, or remove, and modify the authorization and to change the roles associated with users or user groups, whenever necessary.
101. Verification and validation of the company health insurance system Information Administration (~ US $ 5 million). Targeting the third contract or contract verification and validation support health insurance body in the supervision of information and contracts for equipment and management systems in the framework of the project, as well as to provide specialized technical advice of the government and independent on issues related to these contracts. For this kind of independent advice and supervision is important, especially if the General Authority for Health Insurance to maintain its control over the design of the system and its costs in the long term. There may be a need for technical advice on a number of topics, ranging from the insurance policy to the hardware and software. The advisory services will continue throughout the life of the project.
102. planning for emergencies. While making every possible effort in order to determine the basic functional requirements of the system of work of the new point of payment, it is expected that other aspects of the show in the future require more specialized business, and perhaps necessitated the inclusion of “change requests” to hold the main systems. In addition, you may be identifying bottlenecks in implementation requires the promotion of intrusive procedures, during the pilot project of the system in selected provinces. These interventions may include, for example, but not limited to doing more to build the capacity of service providers at the point of interconnection with the payment systems, or enhance the interface with the social targeting databases for users, ect. Having taken into account the emergency-related prices in the process of determining the final cost of the project to allow absorption of such considerations.
103. system performance. Will operate and manage the health insurance information system designed to handle very large numbers of records and transactions, as illustrated by the following frames. The system is managed and riding on the county level, and therefore he should be allowed the participation and management of all the inhabitants of the province. The average population of each province, about 2.5 million people, almost a population the largest province, about 8 million / (Cairo governorate). It is expected that the system will be able to support the mainstreaming of service and increase in all of Egypt with the introduction of a few additional developments are related to the size of the circular, as soon as the design of the basic components and their performance to reach the optimal level.
104. separates the illustration below current estimates of the levels of activity early in the new system.

105. The following summarizes the frame each category of health-care providers and their number within each category. It is not expected to contract all health care providers mentioned above with the buyer; but previous figures, however, represent the numbers