Editing a Discount Arrangement Pricing Rule of a Parent Customer

Procedure

To edit a discount arrangement pricing rule of a parent customer:

  1. Search for a parent customer in the Customer 360° View screen.
  2. In the Search Results section, click the View (The View Icon) icon corresponding to the parent customer whose pricing details you want to view.
    The Person tab appears in the Customer 360° Information screen.
  3. Click the Pricing tab.
    The Pricing tab appears.
  4. In the Parent Customer Pricing Rules zone, click the Edit (The Edit Icon) icon in the Edit column corresponding to the discount arrangement pricing rule, whose details you want to edit.

    The Discount Arrangement Pricing Rule screen appears. It contains the following sections:

    • Customer Information - Displays information about the parent customer for whom the discount arrangement pricing rule is defined. It contains the following fields:
      Field Name Field Description
      Parent Customer Information Indicates the parent customer for whom the discount arrangement pricing rule is defined.
      Pricing Rule Type Indicates the discount arrangement pricing rule type using which the discount arrangement pricing rule is defined.

    • Main - Used to specify basic details in the discount arrangement pricing rule.

    • Discount Details - Used to define eligibility criteria for a discount percentage and maximum discount amount which is allowed per claim.

    • Discount Limits - Used when you want to define minimum and maximum discount limit on the contract.

    • Exclusion - Used when you want to exclude certain network hospitals and providers during the discount share or discount guarantee calculation.

    • Characteristics - Used to define the characteristics for the discount arrangement pricing rule.

    The Main section contains the following fields:

    Field Name Field Description Mandatory (Yes or No)
    Price Item Used to indicate the price item for which you want to define the discount arrangement pricing rule. Yes
    Pricing Start Date Used to specify the date from when the discount arrangement pricing rule is effective.
    Note: The pricing start date cannot be later than the pricing end date.
    		 Yes
    Pricing End Date Used to specify the date till when the discount arrangement pricing rule is effective.
    Note: The pricing end date cannot be earlier than the pricing start date.
    		 No
    Rate Option Used to indicate the rate option that you want to use while defining the pricing for the price item. Yes
    Settlement Frequency Used to indicate the settlement frequency which helps to determine the bill after date. The valid values are:

    • Manually (At Regular Intervals) - If you select this option from the list, the bill after date which is specified in the Manual Settlement Bill After Date parameter while executing the C1-BCDA batch is stamped on the credit billable charge.

    • Yearly - If you select this option from the list, the bill after date in the credit billable charge is set to the pricing end date.

    Note: The bill after date is stamped on the credit billable charges and not on the discount billable charges.
    		 Yes
  5. Modify the required details in the Main section.
  6. Modify the required discount details in the discount arrangement pricing rule.
  7. Modify the minimum or maximum discount limit on the contract in the discount arrangement pricing rule, if required.
  8. Modify the exclusion list in the discount arrangement pricing rule, if required.
  9. Define, edit, or remove characteristics of the discount arrangement pricing rule, if required.
  10. Click Save.
    The changes made to the discount arrangement pricing rule are saved.

Related Topics

For more information on... See...
How to search for a parent customer Searching for a Person
Parent Customer Pricing Rules zone Parent Customer Pricing Rules
How to add the discount details in a discount arrangement pricing rule Adding the Discount Details in a Discount Arrangement Pricing Rule
How to define the discount limits in a discount arrangement pricing rule Defining the Discount Limits in a Discount Arrangement Pricing Rule
How to exclude a network or provider in a discount arrangement pricing rule Excluding a Network or Provider in a Discount Arrangement Pricing Rule
How to define a characteristic for a discount arrangement pricing rule Defining a Characteristic for a Discount Arrangement Pricing Rule