Viewing a Specific Stop-Loss Pricing Rule of a Bill Group

Procedure

To view a claim pricing rule of a bill group:

  1. Search for the account, person, or policy whose pricing details you want to view 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 Account, Person, or Policy tab in the Customer 360° Information screen appears.
  3. Click the Pricing tab.
  4. In the Bill Group ASO Policy Information zone, click the Broadcast (The Broadcast Icon) icon corresponding to the bill group whose specific stop-loss 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 specific stop-loss pricing rule type whose specific stop-loss pricing rule bill group you want to view.
    The Pricing Rule screen appears. It contains the following zone:

    • Specific Stop-Loss - Displays the pricing rule specific stop-loss details for a bill group. It contains the following sections:

      • Main - Displays the basic details of the specific stop-loss pricing rule.

      • Accumulation Criteria - Displays the accumulation criteria in a specific stop-loss pricing rule.

      • Pricing Information - Displays the stop-loss eligibility for claim line items.

      • Characteristics - Displays the characteristics defined for the specific stop-loss pricing rule.

  6. View the basic details of specific stop-loss pricing rule in the Main section.
  7. View the accumulation criteria in the Markup or Markdown Values section.
  8. View the stop-loss eligibility for claim line items in the Line Items section.
  9. View the characteristics of the specific stop-loss 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)
Specific Stop-Loss zone Specific Stop-Loss