Adding a Related Pricing Rule Type in an Ancillary Pricing Rule Type

The Administrative Services Only (ASO) feature is designed in such a way that all non-primary pricing rule types should inherit the transaction field mapping details from a primary pricing rule type. These non-primary pricing rule types are added in a primary pricing rule type as the related pricing rule types.

Prerequisites

To add related pricing rule types in an ancillary pricing rule type, you should have:

  • Aggregate Stop Loss pricing rule type defined in the application.

  • Specific Stop Loss pricing rule type defined in the application.

  • Level Funding pricing rule type defined in the application.

  • Rule types defined in the application (where the rule type usage is set to Related Pricing Rule Type Eligibility)

Procedure

To add related pricing rule type in an ancillary pricing rule type:

  1. Ensure that the Related Pricing Rule Types section is expanded when you are defining or editing an ancillary pricing rule type.
    Note: The Related Pricing Rule Types section appears when the Primary option is selected in the Main section.

    The Related Pricing Rule Types section contains the following columns in a grid:

    Column Name Column Description Mandatory (Yes or No)
    Sequence Used to specify the order in which the related pricing rule type should be invoked. Yes (Conditional)
    Note: This field is required when you are adding a related pricing rule type in the ancillary pricing rule type.
    Pricing Rule Type Used to indicate the non-primary pricing rule type which should inherit the transaction field mapping details from the claim pricing rule type. You can add a non-primary pricing rule type of the following categories in the claim pricing rule type:

    1. Retention Type Claim Based

    2. Discount Arrangement

    3. Specific Stop-Loss

    4. Aggregate Stop-Loss

    5. Level Funding

    Note:

    We recommend you to add the required related pricing rule types in the above specified sequence. Otherwise, erroneous results might occur.

    The Search (The Search Icon) icon appears corresponding to the Pricing Rule Type field.. On clicking the Search (The Search Icon) icon corresponding to the Pricing Rule Type field, the Pricing Rule Type Search window appears.

    On specifying the pricing rule type, the description of the pricing rule type appears corresponding to the Pricing Rule Type field.

    		 Yes (Conditional)
    Note: This field is required when the corresponding Sequence field is specified for the related pricing rule type.
    Eligibility Rule Type Used to specify the rule type which indicates the rules that should be executed to determine whether the related pricing rule type is eligible for deriving the transaction legs.
    Note: The list includes only those rule types where the rule type usage is set to Related Pricing Rule Type Eligibility.
    		 No
  2. Enter the required details in the Related Pricing Rule Types section.
  3. If you want to define more than one related pricing rule type for the ancillary pricing rule type, click the Add (The Add Icon) icon and then repeat step 2.
    Note: However, if you want to remove a related pricing rule type from the ancillary pricing rule type, click the Delete (The Delete Icon) icon corresponding to the related pricing rule type.
  4. Click Save.
    The related pricing rule type is added in the ancillary pricing rule type.

Related Topics

For more information on... See...
How to define an ancillary pricing rule type Defining an Ancillary Pricing Rule Type
How to edit an ancillary pricing rule type Editing an Ancillary Pricing Rule Type