Defining Lasering and Exclusion Information in a Specific Stop-Loss Pricing Rule

Prerequisites

To define lasering and exclusion information in a specific stop-loss pricing rule, you should have:

  • Lasering or exclusion level defined in the application.

  • Exception type defined in the application.

Procedure

To define lasering and exclusion information in a specific stop-loss pricing rule:

  1. Ensure that the Lasering and Exclusion section is expanded when you have selected an option from the Price Item field of Main section while defining a specific stop-loss pricing rule.

    The Lasering and Exclusion section contains the following columns in a grid:

    Column Name Column Description Mandatory (Yes or No)
    Accumulation Group ID Displays blank column, accumulation group ID is generated when accumulation parameter values are defined for a specific stop-loss. Not applicable
    Level Identifier Used to specify the lasering or exclusion level identifier. Yes
    Lasering or Exclusion Level Used to indicate the lasering or exclusion in a specific stop-loss. The valid values are:

    • Main Subscriber

    • Member

    • Provider

    		 Yes
    Exception Type Used to indicate the exception type. The valid values are:

    • Lasering

    • Exclusion

    Note: This field displays Exclusion option and is disabled on selection of Provider option from the Lasering or Exclusion Level column.
    		 Yes
    Comments Used to specify the comments. No
    Lasered Amount Used to specify the lasered amount.
    Note: This field is disabled when Exclusion option is selected from the Exception Type column.
    		 Yes (Conditional)
    Note: This column is mandatory when Lasering option is selected from the Exception Type column.
  2. Enter the required details in the Lasering and Exclusion section.
  3. If you want to define more than one lasering and exclusion information in a specific stop-loss pricing rule, click the Add (The Add Icon) icon and then repeat step 2.
    Note: However, if you want to remove a lasering and exclusion information from the specific stop-loss pricing rule, click the Delete (The Delete Icon) icon corresponding to the level identifier.
  4. Click Save.
    The lasering and exclusion information is defined in a specific stop-loss pricing rule.

Related Topics

For more information on... See...
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