Adding the ASL-Specific Data in a Pricing Rule Type

Procedure

To add the ASL-Specific additional data in a pricing rule type:

  1. Ensure that the ASL-Specific Additional Data section is expanded when you are defining or editing a pricing rule type.

    The ASL-Specific Additional Data section contains the following fields:

    Field Name Field Description Mandatory (Yes or No)
    ASL Billable Charge Line Type Used to specify the Aggregate Stop-Loss billable charge line type.
    Note:

    On clicking the Search (The Search Icon) icon that appears corresponding to the ASL Billable Charge Line Type field, the Billable Charge Line Type Search window appears.

    On specifying the billable charge line type, the description of the billable charge line type appears corresponding to the ASL Billable Charge Line Type field.

    No
    Domestic Provider Claim Billable Charge Line Type Used to specify the claim billable charge line type for domestic provider.
    Note:

    On clicking the Search (The Search Icon) icon that appears corresponding to the Domestic Provider Claim Billable Charge Line Type field, the Billable Charge Line Type Search window appears.

    On specifying the billable charge line type, the description of the billable charge line type appears corresponding to the Domestic Provider Claim Billable Charge Line Type field.

    No
    Markup or Markdown Billable Charge Line Type Used to specify the markup or markdown billable charge line type.
    Note:

    On clicking the Search (The Search Icon) icon that appears corresponding to the Markup or Markdown Billable Charge Line Type field, the Billable Charge Line Type Search window appears.

    On specifying the billable charge line type, the description of the billable charge line type appears corresponding to the Markup or Markdown Billable Charge Line Type field.

    No
    Rule Based Billing Eligibility Field Used to specify whether the rule based field is eligible for billing or not.
    Note:

    On clicking the Search (The Search Icon) icon that appears corresponding to the Rule Based Billing Eligibility Field field, the Field Search window appears.

    On specifying the field, the description of the field appears corresponding to the Rule Based Billing Eligibility Field field.

    No
    Rule Based Markup or Markdown Eligibility Field Used to specify whether the rule based markup or markdown field is eligible for billing or not.
    Note:

    On clicking the Search (The Search Icon) icon that appears corresponding to the Rule Based Markup or Markdown Eligibility Field field, the Field Search window appears.

    On specifying the field, the description of the field appears corresponding to the Rule Based Markup or Markdown Eligibility Field field.

    No
    Rule Based Domestic Provider Claim Eligibility Field Used to specify the rule based domestic provider for claim eligibility field.
    Note:

    On clicking the Search (The Search Icon) icon that appears corresponding to the Rule Based Domestic Provider Claim Eligibility Field field, the Field Search window appears.

    On specifying the field, the description of the field appears corresponding to the Rule Based Domestic Provider Claim Eligibility Field field.

    No
    ASL Limit Price Item Used to specify the Aggregated Stop-Loss limit price item. No
  2. Enter the required details in the ASL-Specific Additional Data section.
  3. Click Save.
    The ASL-Specific Additional data is added in the pricing rule type.

Related Topics

For more information on... See...
How to define an aggregate stop-loss (ASL) pricing rule type Defining a Aggregate Stop-Loss (ASL) Pricing Rule Type
How to edit the aggregate stop-loss (ASL) pricing rule type Editing an Aggregate Stop-Loss (ASL) Pricing Rule Type