Bill After Date Determination
Once the billable charges are created for claim, claim based fees, enrollment based fees, and ancillary, the system enables you to automatically stamp the bill after date in these billable charges. The system can automatically stamp the bill after date in these billable charges when an algorithm created using the C1_BAFTDRV algorithm type is attached to the Bill After Date Determination system event of the respective pricing rule type. This algorithm sets the bill after date to the end date of the aggregation schedule period in which the transaction date falls. Note that the system considers the aggregation schedule specified in the rate option which is defined for the respective price item. Let us understand this with the help of an example. If the claim transaction with the transaction date set to 25-06-2018 is mapped to the following price item and account combinations:
Pricing Rule Type | Price Item | Rate Option | Aggregate Transaction | Aggregation Schedule | Schedule Period | Account | Billable Charge |
---|---|---|---|---|---|---|---|
CLAIM | P1 | R01 | Yes | Monthly | 01-01-2018 — 31-01-2018 | A1 | BC1 |
01-02-2018 — 28-02-2018 | |||||||
01-03-2018 — 31-03-2018 | |||||||
01-04-2018 — 30-04-2018 | |||||||
01-05-2018 — 31-05-2018 | |||||||
01-06-2018 — 30-06-2018 | |||||||
01-07-2018 — 31-07-2018 | |||||||
01-08-2018 — 31-08-2018 | |||||||
P2 | R01 | 01-09-2018 — 30-09-2018 | A2 | BC2 | |||
01-10-2018 — 31-10-2018 | |||||||
01-11-2018 — 30-11-2018 | |||||||
01-12-2018 — 31-12-2018 | |||||||
P3 | R02 | Yes | Yearly | 01-01-2018 — 31-12-2018 | A3 | BC3 |
Example 1: Bill After Date Determination Using the Aggregation Schedule
In the example 1, the system stamps 30-06-2018 as the bill after date in the BC1 and BC2 billable charges. This is because the transaction date (i.e. 25-06-2018) falls in the 01-06-2018 — 30-06-2018 period of the R01 aggregation schedule.
However, the system stamps 31-12-2018 as the bill after date in the BC3 billable charge. This is because the transaction date (i.e. 25-06-2018) falls in the 01-01-2018 — 31-12-2018 period of the R02 aggregation schedule.