Discount Arrangement

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

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

    Field Name Field Description Mandatory (Yes or No)
    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.

    Not applicable
    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.

    Not applicable
    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.

    Not applicable
    Pricing Rule Type Indicates the type of the pricing rule. Not applicable
    Status Indicates the status of the pricing rule. Not applicable
    Price Item Information Indicates the price item for which the pricing rule is created.
    Note: It has a link. On clicking the link, the Price Item screen appears where you can view the details of the price item.
    Not applicable
    Rate Option Indicates the rate option of the discount arrangement pricing rule for the price item. Not applicable
    Pricing Start Date Displays the date from when the pricing rule is effective. Not applicable
    Pricing End Date Displays the date till when the pricing rule is effective. Not applicable
    Settlement Frequency Indicates the settlement frequency which helps to determine the bill after date. Not applicable
  • Discount Details - Displays the eligibility criteria for a discount percentage and maximum discount amount that is allowed per claim. It contains the following fields:

    Field Name Field Description Mandatory (Yes or No)
    Price Item Parameter Displays the parameter using which an eligibility criteria is defined for a discount percentage and maximum amount that is allowed per claim. Not applicable
    Parameter Information Indicates the order in which the parameter and its value should be displayed in the price item parameter information string across the application. Not applicable
    Parameter Value Indicates the value of the parameter. Not applicable
    Parameter Value Description Displays the description of the value, defined as a parameter. Not applicable
    Discount Percentage Displays the discount share or discount guarantee percentage. Not applicable
    Maximum Discount Per Claim Displays maximum discount amount which is allowed per claim. If the discount amount exceeds the maximum limit per claim, the additional amount is credited to the customer. Not applicable
  • Discount Limits - Displays the minimum and maximum discount limit defined on the contract. It contains the following fields:

    Field Name Field Description Mandatory (Yes or No)
    No Limit Indicates the type of discount limit (minimum or maximum) on the contract. Not applicable
    Discount Credit Account Indicates the account to which the discount is credited, when the minimum or maximum discount limit is defined on the contract. Not applicable
    Settlement Days Indicates the number of days which help in calculating the final settlement date. Not applicable

    In addition, it contains the following fields in a grid:

    Field Name Field Description Mandatory (Yes or No)
    Type of Discount Displays the type of discount. Not applicable
    Select Indicates the type of discount that is applied on the contract. Not applicable
    Limit Type Indicates the type of limit defined in the discount arrangement pricing rule. Not applicable
    Amount Limit Indicates the amount limit (flat minimum or maximum discount) on the contract. Not applicable
  • Exclusion - Displays the entity (network or provider) which is excluded in the discount arrangement pricing rule. It contains the following fields:

    Field Name Field Description Mandatory (Yes or No)
    Exclusion Level Indicates the entity (network hospitals or providers) that are excluded during the discount share or discount guarantee calculation. Not applicable
    Level Identifier Displays the network or provider ID. Not applicable
  • Characteristics - Displays the characteristics defined for the discount arrangement pricing rule. It contains the following columns:

    Column Name Column Description Mandatory (Yes or No)
    Effective Date Displays the date from when the characteristic is effective for the discount arrangement pricing rule. Not applicable
    Characteristic Type Indicates the characteristic type. Not applicable
    Characteristic Value Displays the value of the characteristic type. Not applicable

Related Topics

For more information on... See...
How to define a discount arrangement pricing rule for a parent customer Defining a Discount Arrangement Pricing Rule for a Parent Customer