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 self-funded plan from the user interface:
| Pricing Rule Type | Pricing Rule Type Category | Sample Shipped with the Product |
|---|---|---|
| Claim | Claim | CLAIM |
| Retention Type Claim Based | Retention Type Claim Based | RETCLMBSD |
| Discount Share | Discount Arrangement | DISSHARE |
| Discount Guarantee | Discount Arrangement | DISGUAR |
| One-Time Flat Fees | Flat Fees | ONETIMEFLATFEES |
| Bill Period Based Recurring Flat Fees | Flat Fees | RECFLATFEES_BP |
| Frequency Based Recurring Flat Fees | Flat Fees | RECFLATFEES_FREQ |
| Retention Type Enrollment Based | Retention Type Enrollment Based | RETENRLBSD |
| Ancillary | Ancillary | ANCILLARY |
| Specific Stop-Loss | Specific Stop-Loss | SSL |
| Aggregate Stop-Loss | Aggregate Stop-Loss | ASL |
| Enrollment Based Premium | Level Funded | LVLENRLPRE |
| Flat Rate Based Premium | Level Funded | LVLFLATPRE |