Viewing a Claim Pricing Rule of a Bill Group

Procedure

To view a claim pricing rule of a bill group:

  1. Search for a bill group in the Customer 360° View screen.
  2. In the Search Results section, click the View (The View Icon) icon corresponding to the account, person, or policy 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 Bill Group ASO Policy Information zone, click the Broadcast (The Broadcast Icon) icon corresponding to the bill group whose claim pricing rule bill group details you want to view.
  5. In the Bill Group ASO Policy Pricing Rules zone, click the link in the Pricing Rule Information column corresponding to the claim pricing rule type whose claim pricing rule bill group you want to view.

    The Pricing Rule screen appears. It contains the following zone:

    • Claim - Displays the pricing rule claim details for a bill group. It contains the following sections:

      • Main - Displays the basic details of the claim pricing rule.

      • Claim Handling Fees - Displays the claim handling fees specified for the lines items in the claim pricing rule.

      • Markup or Markdown Values - Displays the markup or markdown values for the lines items in the claim pricing rule.

      • Line Items - Displays the associated line items eligible for billing.

      • Characteristics - Displays the characteristics defined for the claim pricing rule.

  6. View the basic details of claim pricing rule in the Main section.
  7. View the claim handling fees specified for the line items in the Claim Handling Fees section.
  8. View the markup or markdown values for the line items in the Markup or Markdown Values section.
  9. View the associated line items eligible for billing in the Line Items section.
  10. View the characteristics of the claim pricing rule in the Characteristics section.

Related Topics

For more information on... See...
Customer 360° Information - Pricing tab Customer 360° Information - Pricing Information
Bill Group ASO Policy Pricing Rules zone Bill Group Self-Funded Policy Pricing Rules
Pricing Rule screen Pricing Rule (Used for Viewing)
Claim zone Claim