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C Carlton Moseti

DEFMIS - Defence Forces Medical Insurance Scheme

DEFMIS — Business Central ERP implementation for Health Insurance

Sky World Limited

What it is

This is an ongoing project since 2025 whereby I was tasked with overseeing the successful integration of the following third parties services into Business Central:

  • SMART Claims Integration (SMART Applications)
  • Curacel Health (Curacel)
  • Bulk SMS (Sky World Limited)

SMART Claims Integration - SMART Applications

Linking of Business Central with SMART REST APIs to achieve the following:

  • Fetching of Claims - Pending claims raised from various health providers through SMART are imported into Business Central for further processing.
  • Claim Processing Status Updates - Status updates of claims are automatically pushed from Business Central to SMART.
  • Claim Documents Management - PDF claim documents retrieved from SMART are embedded in Business Central for easy viewing by ERP users.

Curacel Health - Curacel

Linking of Business Central with Curacel Health APIs to achieve the following:

  • Claim Processing and Adjudication - Claims approved in Business Central are pushed to Curacel via REST API for vetting and adjudication.
  • Claim Vetting Updates - Vetted claims are automatically pushed from Curacel to Business Central for payments processing by the ERP users.

Bulk SMS - Sky World Limited

Implementation of Business Central integration to SMS gateway to send SMS notifications of different categories such as:

  • ERP Alerts - Alerts for ERP user tasks such as workflow approval.
Let's talk

Have a project in mind?

Whether it's a new build or something that needs a fresh perspective — I'd love to hear about it.