Associating Algorithms with a Benefit Pricing Rule Type

Prerequisites

To associate algorithms with a benefit pricing rule type, you should have:

  • Required algorithms should be defined in the application

Procedure

To associate algorithms with a benefit pricing rule type:

  1. Ensure that the Algorithms section is expanded when you are defining the benefit 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

    • Account and Price Item Derivation Post-Processing

    • Bill Group Derivation

    • Billable Charge Creation Pre-Processing

    • Billable Charge Creation Post-Processing

    • New Born Waiver Calculation

    • Premium Calculation

    • Pricing Rule Derivation

    • Pricing Rule Pre-Processing

    • Pricing Rule Post-Processing

    • Pricing Rule Proration Amount Calculation

    • Skip Month Premium Calculation

    Note:

    The remaining system events are not applicable for the fully-insured group and individual businesses.

    The New Born Waiver Calculation, Pricing Rule Derivation, Pricing Rule Pre-Processing, Pricing Rule Post-Processing, Pricing Rule Proration Amount Calculation, Skip Month Premium Calculation system events are not applicable for the Benefit pricing rule type category.

    		 Yes
    Note: This field is required when you want to associate an algorithm with the benefit 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 want to associate an algorithm with the benefit pricing rule type.
    Algorithm Used to specify the algorithm.
    Note:

    If you select the system event option, 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 want to associate an algorithm with the benefit pricing rule type.
  2. Enter the required details in the Algorithms section:
    System Event Sequence Algorithm Type
    Account and Price Item Derivation 1 C1_​ACCPRIMEM
    Account and Price Item Derivation Post-Processing 1 C1-BILLPDRV
    Account and Price Item Derivation Post-Processing 2 C1-BILLRPCR
    Bill Group Derivation 1 C1_​MEMBGDRV
    Billable Charge Creation Post-Processing 1 C1-FICRETBC
    Premium Calculation 1 C1_​MEDIPREM
    Billable Charge Creation Post Processing 2 C1-PRLBCVLD
  3. If you want to associate more than one algorithm for the benefit 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 benefit pricing rule type, click the Delete (The Delete Icon) icon corresponding to the algorithm.
  4. Click Save.
    The algorithms are associated with the benefit pricing rule type.

Related Topics

For more information on... See...
How to define a benefit pricing rule type Defining a Benefit Pricing Rule Type
How to edit the benefit pricing rule type Editing a Benefit Pricing Rule Type
How to delete the benefit pricing rule type Deleting a Benefit Pricing Rule Type