Bill Group Self-Funded Policy Pricing Rules

The Bill Group Self-Funded Policy Pricing Rules zone lists the pricing rules which are defined for a policy of a bill group. It appears when you are viewing 360° information of a parent customer or bill group who is associated with the self-funded policy. It contains the following columns:

Column Name	Column Description
Pricing Rule Type	Indicates the pricing rule type using which the pricing rule is created. Note: It has a link. On clicking the link, the Pricing Rule Type screen appears where you can view the details of the respective pricing rule type.
Pricing Rule Information	Displays information about the pricing rule. Note: It has a link. On clicking the link, the Pricing Rule screen appears where you can view the details of the respective pricing rule.
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 respective price item.
Start Date	Displays the date from when the pricing rule is effective.
End Date	Displays the date till when the pricing rule is effective.
Status	Indicates the status of the pricing rule. The valid values are: Active Disaggregation Initiated Inactive Pending
Edit	On clicking the Edit () icon, the following screen appears where you can edit the details of the respective pricing rule: If you are editing... Then the following screen appears... A claim pricing rule Claim Pricing Rule A specific stop-loss pricing rule Specific Stop-Loss (SSL) Pricing Rule An aggregate stop-loss pricing rule Aggregate Stop-Loss (ASL) Pricing Rule A retention type claim based pricing rule Retention Type Claim Based Pricing Rule A retention type enrollment based pricing rule Retention Type Enrollment Based Pricing Rule A one-time flat fee pricing rule Flat Fee Pricing Rule A bill period based recurring flat fee pricing rule Flat Fee Pricing Rule A frequency based recurring flat fee pricing rule Flat Fee Pricing Rule An ancillary pricing rule Ancillary Pricing Rule A level funded pricing rule Level Funded (LF) Pricing Rule
Delete	On clicking the Delete () icon, you can delete the pricing rule. Note: You can delete a pricing rule only when it is not yet used in the system.
Pricing Group Information	Indicates the pricing group which is used while defining the pricing rule.
Price List Information	Indicates the price list that contains the price item pricing which is created through the pricing rule. Note: It has a link. On clicking the link, the Price List screen appears where you can view the details of the respective price list.

By default, the Bill Group Self-Funded Policy Pricing Rules zone does not appear in the Pricing tab of the Customer 360° Information screen. It appears when you click the Broadcast () icon corresponding to a bill group and policy combination in the Bill Group Self-Funded Policy Information zone.

You can define a new pricing rule for the bill group by clicking the Add link in the upper right corner of this zone.

You can filter the list using various search criteria (such as, Price Item, Start Date, Pricing Rule Type, End Date, and Status) available in the Filter area. By default, the Filter area is hidden. You can view the Filter area by clicking the Filters () icon in the upper right corner of this zone.

You can change the layout of this zone. For more information on how to change the layout, see Changing the Layout.

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