Pricing Rule Types
You can create a pricing rule using the respective pricing rule type. The system enables you to create pricing rule types of the following categories for the fully-insured group health plan through a health care inbound message:
| Pricing Rule Type | Pricing Rule Type Category | Sample Shipped with the Product |
|---|---|---|
| Age Based | Age Based | AGE_BASED |
| Tier Based | Tier Based | TIER_BASED |
| Pass-Through Billable Charge | Pass-Through Billable Charge | FI_PASSTBC |
Note: You cannot define a pricing rule using a pricing rule type where
the pricing rule type category is set to Pass-Through Billable
Charge.