Adding Claim Based Disposition Details in a Pricing Rule Type
Prerequisites
To add claim based disposition details in a pricing rule type, you should have:
-
Pricing rule types defined in the application.
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Account and Price Item Derivation Algorithm defined in the application.
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Claim Disposition and Disposition Mode defined in the application.
Procedure
To add claim based disposition details in a pricing rule type:
-
Ensure that the Claim Disposition Details section is expanded when you are defining or editing for
a primary pricing rule type.
The Claim Disposition Details section contains the following fields:
Field Name Field Description Mandatory (Yes or No) Claim Disposition Used to specify the type of claim disposition. No Disposition Mode Used to specify the mode of claim disposition. No -
Enter the required details in the Claim Disposition
Details section.
Note:
If the Claim Disposition field in the transaction is set to Yes, you must set the disposition mode to Align Signage. However, if the Claim Disposition field in the transaction is set to No, you must set the disposition mode to Zero Out.
If the Disposition Mode field is set to Align Signage, the claim based fees is positive for positive claims and the claim based fees is negative for negative claims. However, if the Disposition Mode field is set to Zero Out, the claim based fees for the negative claims is set to zero (0).
-
If you want to define more than one claim disposition entry
for the primary pricing rule type, click the Add (
) icon and then repeat step 2.
Note: However, if you want to remove a claim disposition entry for the primary pricing rule type, click the Delete (
) icon corresponding to the related
pricing rule type.
Related Topics
| For more information on... | See... |
|---|---|
| Defining a retention type claim based pricing rule type | Defining a Retention Type Claim Based Pricing Rule Type |
| How to define related pricing rule types for retention type claim based pricing rule type | Adding Related Pricing Rule Types in a Primary Pricing Rule Type |
| How to define transaction field mapping for retention type claim based pricing rule type | Defining Transaction Field Mapping in a Primary Pricing Rule Type |
| How to associate algorithms for retention type claim based pricing rule type | Associating Algorithms with a Pricing Rule Type |
| How to define additional data for retention type claim based pricing rule type | Defining Additional Data for a Pricing Rule Type |
| How to define price items for retention type claim based pricing rule type | Adding Price Items in a Pricing Rule Type |
| How to define price item parameters for retention type claim based pricing rule type | Adding a Price Item Parameter in a Pricing Rule Type |
| How to define a characteristic for pricing rule type | Defining a Characteristic for a Pricing Rule Type |