Editing a Membership Benefit

You can only edit the characteristics of a membership benefit from the user interface. On editing a membership benefit, the system inactivates the old record and creates a new record in the system. The status of the old benefit record is set to Inactive and the status of the new benefit record is set to Active.

Procedure

To edit a membership benefit:

  1. Search for the membership benefit in the Benefit screen.
  2. In the Search Results section, click the link in the Benefit Information column corresponding to the membership benefit whose details you want to edit.
    The Benefit screen appears.
  3. Ensure that the Main tab is selected.
  4. Click the Edit button in the Benefit zone.

    The Benefit screen appears. It contains the following sections:

    • Main - Displays basic details of the membership benefit.

    • Characteristics - Used to define the characteristics for the membership benefit.

    The Main section contains the following fields:

    Field Name Field Description
    Benefit Information Displays information about the membership benefit.
    Membership Information Indicates the membership for which the benefit is availed.
    Benefit Source Indicates the source (i.e. health insurance exchange) from where the benefit is received for the membership. The valid values are:

    • Centers for Medicare and Medicaid Services

    • State
    Benefit Type Indicates the type of benefit availed for the membership. The valid values are:

    • Commercial

    • Medicare Affiliated
    Benefit Sub Type Indicates whether the membership benefit is a Medicare Part A, Part B, or Part D benefit, Medicare Part D LIS, Medicare Part D LEP, APTC benefit, or any other membership benefit.
    Medicare Plan Benefit Package Indicates the Medicare plan benefit package (i.e. 800 series plan) which is applicable for the membership benefit.
    Note: This field appears only when the value type in the benefit sub type is set to Not Applicable.
    Start Date Displays the date from when the benefit is availed for the membership.
    End Date Displays the date till when the benefit is availed for the membership.
    Note: The system enables you to edit the end date of a membership benefit through a health care inbound message or through the membership repricing inbound web service.
    Benefit Amount Displays the pass-through amount for the availed membership benefit.
    Note:

    This field appears only when the value type in the benefit sub type is set to Flat.

    The system enables you to edit the amount of a membership benefit through a health care inbound message or through the membership repricing inbound web service.
    Note: The Edit button appears when the membership benefit is in the Active status.
  5. Define, edit, or remove characteristics of the membership benefit, if required.
  6. Click Save.
    The changes made to the membership benefit are saved.

Related Topics

For more information on... See...
How to search for a membership benefit Searching for a Membership Benefit
Benefit screen Benefit (Used for Viewing)
Benefit zone Benefit
How to define a characteristic for a membership benefit Defining a Characteristic for a Membership Benefit