Associating an Algorithm with an Age Based Pricing Rule Type

Prerequisites

To associate algorithm with an age based pricing rule type, you should have:

  • An algorithm defined using the C1_​ACCPRIMEM algorithm type.

  • An algorithm defined using the C1-BILLPDRV algorithm type.

  • An algorithm defined using the C1-BILLRPCR algorithm type.

  • An algorithm defined using the C1_​MEMBGDRV algorithm type.

  • An algorithm defined using the C1_​AGEPREM algorithm type.

  • An algorithm defined using the C1_​AGEBDELG algorithm type.

  • An algorithm defined using the C1-FICRETBC algorithm type.

  • An algorithm defined using the C1-AGEPRFC algorithm type.

  • An algorithm defined using the C1-SKPMNTHPC algorithm type.

Procedure

To associate algorithms with an age based pricing rule type:

  1. Ensure that the Algorithms section is expanded when you are defining or editing the age based pricing rule type.

    The Algorithms section contains the following columns in a grid:

    Column Name Column Description Mandatory (Yes or No)
    System Event Used to indicate the system event when you want to invoke the algorithm. The valid values are:

    • Account and Price Item Derivation - Used to derive the account and price item for a membership.

    • Account and Price Item Derivation Post-Processing - Used to derive the bill period for the account.

    • Account and Price Item Derivation Post-Processing - Used to create the bill period timeline for the account.

    • Bill Group Derivation - Used to derive the bill group, parent customer, and policy for a membership.

    • Premium Calculation - Used to calculate the premium for each eligible member person.

    • Pricing Rule Pre-Processing - Used to identify the eligible member persons for premium calculation.

    • Billable Charge Creation Post Processing - Used to create new billable charges for both pre-calculated and post-calculated charges.

    • Pricing Rule Proration Amount Calculation - Used to calculate proration factor and amount for age based pricing rule based on the policy plan configurations.

    • Skip Month Premium Calculation (in case you want to use the 9/10 Billing feature) - Used to distribute the total premium in the non-skip months of the coverage period.

    		 Yes
    Note: This field is required when you are associating an algorithm with the age based pricing rule type.
    Sequence Used to specify the order in which the algorithms for each system event must be executed. Yes (Conditional)
    Note: This field is required when you are associating an algorithm with the age based pricing rule type.
    Algorithm Used to specify the algorithm.
    Note:

    Once you select the system event, the Search (The Search Icon) icon appears corresponding to the Algorithm field. On clicking the Search (The Search Icon) icon, the Algorithm Search window appears.

    On specifying the algorithm, the description of the algorithm appears corresponding to the Algorithm field.

    		 Yes (Conditional)
    Note: This field is required when you are associating an algorithm with the age based pricing rule type.
  2. Enter the following details in the Algorithms section:
    System Event Algorithm Algorithm Type Description
    Account and Price Item Derivation C1_​ACCPRIMEM C1_​ACCPRIMEM Account and Price Item Derivation for Membership
    Account and Price Item Derivation Post-Processing C1-BILLPDRV C1-BILLPDRV Bill Period Derivation
    Account and Price Item Derivation Post-Processing C1-BILLRPCR C1-BILLRPCR Bill Period Time Line Creation
    Bill Group Derivation C1_​MEMBGDRV C1_​MEMBGDRV Bill Group Derivation for Membership
    Premium Calculation C1_​AGEPREM C1_​AGEPREM Age Based Premium Calculation
    Pricing Rule Pre-Processing C1_​AGEBDELG C1_​AGEBDELG Get Eligible Member Details from Membership
    Billable Charge Creation Post Processing C1-FICRETBC C1-FICRETBC Fully Insured Pass through Billable Charge Creation
    Pricing Rule Proration Amount Calculation C1-AGEPRFC C1-AGEPRFC Calculate Proration Factor for Age Based Pricing Rule
    Skip Month Premium Calculation (in case you want to use the 9/10 Billing feature) C1-SKPMNTHPC C1-SKPMNTHPC Skip Month Premium Calculation
  3. If you want to associate more than one algorithm with the age based pricing rule type, click the Add (The Add Icon) icon and then repeat step 2.
    Note: However, if you want to disassociate an algorithm from the age based pricing rule type, click the Delete (The Delete Icon) icon corresponding to the algorithm.
  4. Click Save.
    The algorithms are associated with the age based pricing rule type.

Related Topics

For more information on... See...
How to define an age based pricing rule type Defining an Age Based Pricing Rule Type
How to edit an age based pricing rule type Editing an Age Based Pricing Rule Type