Pricing Rule Types
You can create a pricing rule using the respective pricing rule type. The system enables you to create pricing rule types of the following categories for the self-funded plan from the user interface:
Pricing Rule Type | Pricing Rule Type Category | Sample Shipped with the Product |
---|---|---|
Claim | Claim | CLAIM |
Retention Type Claim Based | Retention Type Claim Based | RETCLMBSD |
Discount Share | Discount Arrangement | DISSHARE |
Discount Guarantee | Discount Arrangement | DISGUAR |
One-Time Flat Fees | Flat Fees | ONETIMEFLATFEES |
Bill Period Based Recurring Flat Fees | Flat Fees | RECFLATFEES_BP |
Frequency Based Recurring Flat Fees | Flat Fees | RECFLATFEES_FREQ |
Retention Type Enrollment Based | Retention Type Enrollment Based | RETENRLBSD |
Ancillary | Ancillary | ANCILLARY |
Specific Stop-Loss | Specific Stop-Loss | SSL |
Aggregate Stop-Loss | Aggregate Stop-Loss | ASL |
Enrollment Based Premium | Level Funded | LVLENRLPRE |
Flat Rate Based Premium | Level Funded | LVLFLATPRE |