Claim

The Claim zone displays the details of the claim pricing rule for respective parent customer, bill group or a bill group using a pricing group. It contains the following sections:

• Main - Displays basic details of the claim pricing rule. It contains the following fields:

  Field Name	Field Description
  Parent Customer Information	Displays the parent customer information. 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 Person, Account or Policy screen appears where you can view the details of the parent customer. This field appears only when the claim pricing rule is viewed for parent customer.
  Bill Group Information	Displays the bill group information. 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 Person, Account or Policy screen appears where you can view the details of the bill group. This field appears when the claim pricing rule is viewed for bill group.
  Policy Information	Displays the policy information. Note: It has a link. On clicking the link, the Policy screen appears where you can view the details of the policy.
  Pricing Rule Type	Indicates the pricing rule type.
  Price Item Information	Indicates the price item information. Note: It has a link. On clicking the link, the Price Item screen appears where you can view the details of the price item.
  Pricing Start Date	Displays the claim pricing rule start date.
  Pricing End Date	Displays the claim pricing rule end date.
  Rate Option	Indicates the rate option of the claim pricing rule for the price item.
  Claim Template	Indicates the claim template of the claim pricing rule.
  Pricing Group	Displays the pricing group of the claim pricing rule. Note: This field appears when the claim pricing rule is viewed for pricing group.

• Claim Handling Fees - Lists the claim handling fees for line items in a claim pricing rule. It contains the following columns:

  Column Name	Column Description
  Fee Type	Indicates the type of charge applicable on the line items.
  Fee	Indicates the fee for the line items.
  Fee Significance	Indicates the purpose of the imposing the additional fees on the line items.
  Fee Applicability	Displays the fee applicability on which the claim handling fees are defined. Column Name Column Description Line Item Indicates the line item that you want to use while defining additional fees for the claim pricing rule.
  Rating Information	Displays the rating information that you want to use while defining the rate for the line items. Column Name Column Description Rate Type Indicates the rate type that you want to use while defining the additional fees for the line items. Rate Used to specify the rate that you want to use while defining the additional fees 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.

• Markup or Markdown Values - Lists the markup or markdown values for line items in a claim pricing rule. It contains the following columns:

  Column Name	Column Description
  Pricing Strategy	Indicates the pricing strategy. The valid values are: Markdown Markup None
  Markup or Markdown Type	Indicates the markup or markdown value type for claim pricing rule. The valid values are: Flat Amount Percentage
  Markup or Markdown Amount	Displays the markup or markdown amount.
  Rate Type	Displays minimum and maximum markup or markdown defined using the rate type.
  Rate	Displays the value for minimum and maximum markup or markdown defined using the rate type.

• Line Items - This section contains the following fields:

  Field Name	Field Description
  Sequence	Displays the sequence number for the line items.
  Line Item	Displays the billing line items.
  Billing Eligibility	Displays whether the line item is user defined, eligible or not eligible for billing. The valid values are: Eligible Not Eligible User Defined (Default Yes) User Defined (Default No)
  User Defined Billing Option	Displays whether the billing option is user defined, eligible or not eligible.
  Markup or Markdown Percentage Eligibility	Displays whether the line item is eligible or not eligible for markup or markdown percentage. The valid values are: Eligible Not Eligible
  Markup or Markdown Percentage	Displays the percentage for markup or markdown value.
  Rating Information	Displays the rating information that you want to use while defining the rate for the line items. Column Name Column Description 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.

• Characteristics - Lists the characteristics defined for the claim pricing rule. It contains the following columns:

  Column Name	Column Description
  Effective Date	Displays the date from when the characteristic is effective for the claim pricing rule.
  Characteristic Type	Indicates the characteristic type.
  Characteristic Value	Displays the value of the characteristic type.

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