Defining the Markup or Markdown Values for Line Items for Each Rule in a Claim Pricing Rule

Procedure

To define the markup or markdown values for line items for each rule in a claim pricing rule:

  1. Ensure that sections for each rule are expanded when you have selected an option from the Claim Template field of Main section while defining a claim pricing rule.
  2. Expand the Markup or Markdown Values and Line Items sections relevant to each rule.

    The Markup or Markdown Values section contains the following fields:

    Field Name Field Description Mandatory (Yes or No)
    Pricing Strategy Used to indicate the pricing strategy. The valid values are:

    • Markdown

    • Markup

    • None

    		 No
    Markup or Markdown Type Used to indicate the markup or markdown value type for claim pricing rule. The valid values are:

    • Flat Amount

    • Percentage

    		 No
    Markup or Markdown Amount Used to specify the markup or markdown amount.
    Note: This field is disabled when you select the Flat Amount option from the Markup or Markdown Type field.
    		 Yes (Conditional)
    Note: This field is required when you selecting Percentage option from the Markup or Markdown Type field.

    The Line Items section contains the following fields:

    Field Name Field Description Mandatory (Yes or No)
    Sequence Displays the sequence number for the line items. Not applicable
    Line Item Displays the billing line items. Not applicable
    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)

    		 Not applicable
    User Defined Billing Option Used to specify whether the billing option is user defined, eligible or not eligible.
    Note:

    The checkbox for this field is by default checked and disabled for values Eligible, Rule Based, or Not Eligible in the Billing Eligibility field.

    The checkbox for this field is enabled for values User Defined (Default Yes) or User Defined (Default No) in the Billing Eligibility.

    		 Yes
    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

    		 Not applicable
    Markup or Markdown Percentage Used to specify the percentage for markup or markdown value.
    Note: This field is enabled when the Markup or Markdown Percentage Eligibility is Eligible and when the Markup or Markdown Type is Percentage.
    		 Yes
  3. Enter the required details in the Markup or Markdown Values section.
  4. Enter the required details in the Line Items section.
  5. Click Save.
    The markup or markdown values for line items for each rule are defined in the claim pricing rule.

Related Topics

For more information on... See...
How to define a claim pricing rule for a bill group using a pricing group Defining a Claim Pricing Rule for a Bill Group Using a Pricing Group
How to edit the claim pricing rule of a bill group Editing a Claim Pricing Rule of a Bill Group