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:
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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... |
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How to define a discount arrangement pricing rule for a parent customer | Defining a Discount Arrangement Pricing Rule for a Parent Customer |