Extendable Lookup Value

The Extendable Lookup Value zone displays the details of the claim template. It contains the following sections:

  • Main - Displays basic information about the claim template. It contains the following fields:

    Field Name Field Description
    Claim Template Displays the claim template.
    Description Displays the description of the claim template.
    Override Description Displays the overridden description of the claim template.
    Detailed Description Displays additional information about the claim template.
    Status Indicates the status of the claim template. The valid values are:
    • Active

    • Inactive

  • Claim Template Usage - Indicates when the claim template can be used while defining a claim pricing rule for a policy of a bill group. It contains the following field:

    Field Name Field Description
    Policy Status Indicates whether the claim template should be used while defining a claim pricing rule for a policy which is in the In Force/Active, Post Runout, or Runout status. The valid values are:
    • In Force/Active

    • Post Runout

    • Runout

  • Claim Handling Fees - Indicates the claim handling fees which are applicable to one ore more line items in the claim template. It contains the following columns:

    Column Name Column Description
    Show Line Items in Pricing Rule Indicates that claim line item appears when you are defining or editing a claim pricing rule.
    Fee Type Indicates the type of charge applicable on the line items.
    Fee Indicates the fee defined for the line items.
    Fee Significance Indicates the purpose of the imposing the claim handling fees on the line items.
    Fee Applicability Indicates the fee applicability on which the claim handling fees are defined.
    Rating Information Indicates the rate type and value that you want to use while defining the rating information for the line items.
    Column Name Column Description
    Editable Indicates that rate type and rate value fields are editable while defining or editing the claim handling fees for the line items.
    Rate Type Indicates the rate type that you want to use while defining or editing the claim handling fees for the line items.
    Rate Displays the rate that you want to use while defining or editing the claim handling fees for the line items.
  • Default Markup or Markdown Values - Indicates the default markup or markdown values defined for the line items in the claim template. It contains the following fields:

    Field Name Field Description
    Pricing Strategy Indicates whether you want to markup or markdown the line items. The valid values are:
    • Markup

    • Markdown

    • None

    Markup or Markdown Type Indicates whether you want a flat or percentage based markup or markdown on the line items. The valid values are:
    • Flat Amount

    • Percentage

    Note: This field appears when the Markup or Markdown option is selected from the Pricing Strategy list.
    Markup or Markdown Amount Displays the default flat markup or markdown amount for the line items.
    Note: This field appears when the Flat Amount option is selected from the Markup or Markdown Type list.
    Markup or Markdown Percentage Displays the default percentage of markup or markdown for all line items.
    Note: This field appears when the Percentage option is selected from the Markup or Markdown Type list.
    Editable Indicates that rate type and rate value fields are editable while defining or editing the markup or markdown values for the line items.
    Rate Type Displays minimum and maximum markup or markdown defined using the rate type.
    Rate Displays the rate for minimum and maximum markup or markdown defined using the rate type.
  • Line Items - Lists the line items which are added in the claim template. It contains the following columns:

    Column Name Column Description
    Sequence Indicates the order in which the calculation line should be generated for the line item.
    Line Item Indicate the line item which is added in the claim template.
    Billing Eligibility Indicates whether the line item is eligible for billing. The valid values are:
    • Eligible

    • Not Eligible

    • Rule Based

    • Used Defined (Default No)

    • User Defined (Default Yes)

    Rule Type Indicates that rules of the specified rule type should be executed to determine whether the line item is eligible for billing.
    Note: The data appears in this column when the Rule Based option is selected from the Billing Eligibility list.
    Markup or Markdown Percentage Eligibility Indicates whether the line item is eligible for percentage based markup or markdown when the Markup or Markdown Type field is set to Percentage. The valid values are:
    • Eligible

    • Not Eligible

    Post-Processing Required Indicates that the line item is applicable for post-processing once the claim pricing rule is derived for a claim transaction.
    Rating Information Displays the rate type and rate value that you want to use while defining the rate for the line items.
    Column Name Column Description
    Editable Indicates that the rate type and rate value fields are editable while defining a claim pricing rule.
    Rate Type Indicates the rate type that you want to use while defining the rate for the line items.
    Rate Used to specify the rate that you want to use while defining the rate for the line items.
    Note: This field is editable when the Editable checkbox is selected in the Rate column of the Additional Fees section while defining or editing the C1-ExtLookClaimTemplate extendable lookup.
  • Record Actions - This section contains the following buttons:

    Button Name Button Description
    Edit Used to edit the details of the claim template.
    Delete Used to delete the claim template.
    Note: You can delete a claim template when it is not yet used in a claim pricing rule type.
    Duplicate Used to create a new claim template using an existing claim template.
  • Record Information - This section contains the following fields:

    Field Name Field Description
    Business Object Indicates the extendable lookup business object using which the claim template is created. In addition, a context menu appears corresponding to this field which helps in navigating to other screens in the application.
    Note: It has a link. On clicking the link, the Business Object screen appears where you can view the details of the respective business object.
    Owner Indicates who has created the claim template. The valid values are:
    • Framework

    • Base

    • Customer Modification

By default, the Extendable Lookup Value zone does not appear in the Extendable Lookup screen. It appears when you click the Broadcast (The Broadcast Icon) icon corresponding to the claim template in the Extendable Lookup Value List zone.

Related Topics

For more information on... See...
How to edit a claim template Editing a Claim Template
How to copy a claim template Copying a Claim Template
How to delete a claim template Deleting a Claim Template
How to view the details of a claim template Viewing the Claim Template Details