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Digitalize Forms + DB Storage

We have about 5-6 Dental Insurance Claim Forms that:

1) We want to be able to type into on screen

2) We want it to take the typed info, check it over (Comp does Math, Provides a Pre-Print Check-Over screen)

3) Print the entire form filled out (Printed onto a blank page, so entire form needs to be printed)

4) Store patient info, for easy form retreval later on

5) Ability to autofill in the form, except certain parts (this times treatment) from DB feilds. (User enters last name, choices for first name appear - user chooses, address and insurance fill in. )

5a) If two patients with same name, allow for a distinguishing Middle Name

5b) If user updates patients info, asked to overwrite previous saved info. Overwrites only after the confirm screen.

---Way it should run

1) Select insurance form OR Browse previous filled patient

2) Enter Patient Info (new / old - described above)

3) Print out FULL FORM

4) Store completed form, once printed, opened as read only - ORIGINAL PATIENT INFO MUST BE STORED ON IT, even if later on the user changes the patient info. (so if in 2001 user enters address 1, and in 2003 user enters address 2, if we go back to form from 2001 it has address 1, and a note saying the address has since been updated.

User cannot change a form after 120 days, but up till then they can. After that, read+ print only.

Should be easy, we can fax you the forms, ill try to scan and upload them asap.

Compétences : .NET, Programmation C, Traitement de Données, Visual Basic, Bureau Windows

Voir plus : type a scan, treatment, till, math basic, ill, db, claim, browse info, must math, last saved, fill screen, print scan, print check, enter address, Scan Type, autofill form, filled asap, fill store, basic user forms, upload onto, info screen, fill name, printed, name select, form print

Concernant l'employeur :
( 0 commentaires ) lawrence, United States

N° du projet : #43115

25 freelance ont fait une offre moyenne de 245 $ pour ce travail

swknight

I'll provide details via a PM.

300 $ USD en 7 jours
(15 Commentaires)
6.7
mlgrow

please see pm for details

300 $ USD en 50 jours
(1 Commentaire)
4.4
ajay192

Please see PMB for details of my proposal.

300 $ USD en 20 jours
(4 Commentaires)
4.0
cstl

Chandusoft is a customer-specific service oriented company has got an Professional and creative team with 6 years experience in Web design and development. We have expertise and experience in ecommerce site development Plus

240 $ USD en 10 jours
(6 Commentaires)
4.2
ramvinod

we can do it please see pmb please consider our revised bid

210 $ USD en 15 jours
(1 Commentaire)
3.3
carlosaciego

Hi, I'll be glad to make the job for you, I'm an expert programmer and I have a lot of experience with C++, Visual Basic, Java, PHP, Pascal and others programming languages, you can choose the language of the program Plus

200 $ USD en 20 jours
(1 Commentaire)
3.1
amanullahs

I have done a similar app for a clinical lab.

300 $ USD en 20 jours
(2 Commentaires)
3.1
jharajnish30

sir, we are having 10+ yrs. exp in soft development on microsoft tech. the type of application we have already had developed includes Inventory, Payroll-HR based, Attendance Management, Stock Management, Accounting to Plus

225 $ USD en 10 jours
(1 Commentaire)
3.4
cselshan

I have 3 years of experience in IT - during which i have indulged in training, analysis and development of different applications. There is a team with me to deliver an effective work output in any platforms. It might Plus

275 $ USD en 22 jours
(0 Commentaires)
0.0
dantuluri2000

>i have ben into application development for over 3 years.>implemented HMS "hospital management system" earlier >ready to demonstrate "Proof of Concept" if required >prove valaue for money >will also provide documentat Plus

300 $ USD en 30 jours
(0 Commentaires)
0.0
stmicrosystems

Dear Sir, We are into software development and data processing since 1998. We have done several projects with Government department,agencies and earned a good reputation in this domain. We believe in long term busine Plus

200 $ USD en 30 jours
(0 Commentaires)
0.0
snehalds

We will be able to provide you the sofotware package meeting all your requirements. Please see PMB for details.

220 $ USD en 10 jours
(0 Commentaires)
0.0
drinamdars

dear sir, we have the requisite infrastructure & professionals for your job. We are ready to start the job immediately. We assure you to do the job to your satisfaction. I understand your concern for costin Plus

200 $ USD en 10 jours
(0 Commentaires)
0.0
juns

I can do it for [url removed, login to view] refer PM.

100 $ USD en 10 jours
(0 Commentaires)
0.0
kmundhe

Dear sir, I have experience developing softwares especially for dental informatics that is patient managment and report/print on blank pages and also stastical analysis of the data. So, I will take very less time t Plus

300 $ USD en 35 jours
(0 Commentaires)
0.0
ernestbpo

Hello. To start off, we must say that we understood the scope of the project, we have a great deal of experience in the filed of web and application development. After quickly reviewing the scope, We don't see any prob Plus

150 $ USD en 15 jours
(0 Commentaires)
0.0
mathewbijo

We do data processing and similar activities....would you like to outsource this project to us so that we can have an online data entry system for the same. If intersted please contact me so that we can discuss further Plus

100 $ USD en 15 jours
(0 Commentaires)
0.0
sslabs

[url removed, login to view] We have good experience deal with medical software. You can see out product on our web-site.

300 $ USD en 10 jours
(0 Commentaires)
4.4
lanel

Hi, kindly see PMB, thanks

300 $ USD en 14 jours
(0 Commentaires)
1.8
rajanmore999

Dear Sir, We are engaged in development of similar projects, recently we have developed a project which is used by the Insurance Agents of IFFCCO TOKYO general Insurance Company. We have also developed projects for Plus

280 $ USD en 12 jours
(0 Commentaires)
0.0