Defining Retention Type Claim Based and/or Retention Type Enrollment Based Pricing Rule Information in a Level Funded Pricing Rule
Procedure
To define the retention type claim based and/or retention type enrollment based pricing rule information in a level funded pricing rule:
-
Ensure that the Pricing Information for rule
type category : Retention zone is expanded when you have
selected an option from the Price Item field
of the Main section while defining or editing
a level funded pricing rule for a bill group.
The Pricing Information for rule type category : Retention zone contains the following fields:
Field Name Field Description Mandatory (Yes or No) Retention Rule Type Used to indicate the retention type claim based and/or retention type enrollment based pricing rule type for the level funded pricing rule. Yes Price Item Used to indicate the price item for the level funded pricing rule. Note:The Search (
) icon appears corresponding to the Price Item field. On clicking the Search () icon corresponding to the Price Item field, the Get Retention Type Pricing
Rules window appears.On specifying the retention type pricing rule, the description of the retention type pricing rule appears corresponding to the Price Item field.
Yes -
Select the appropriate Retention Rule Type and Price Item from the Pricing
Information for rule type category : Retention zone.
Note:
Once the retention type claim based and/or retention type enrollment based pricing rule type is selected along with the price item, the system does not generate line items for the retention type claim/enrollment based pricing rule. This retention type claim/enrollment based pricing rule is used at the time of level funding calculations in the TFM module.
-
If you want to add more than one retention type claim based
and/or retention type enrollment based pricing rule type to the level
funded pricing rule, click the Add (
) icon and then repeat step 2.
Note: However, if you want to remove more than one retention type claim based and/or retention type enrollment based pricing rule type from the level funded pricing rule, click the Delete (
) icon corresponding to the pricing
rule type field. -
Click Save.
The retention type claim based and/or retention type enrollment based pricing rules eligible for level funding are defined in the level funded pricing rule.
Related Topics
| For more information on... | See... |
|---|---|
| How to define level funded pricing rule for a bill group | Defining a Level Funded Pricing Rule for a Bill Group |
| How to edit level funded pricing rule for a bill group | Editing a Level Funded Pricing Rule of a Bill Group |