Prerequisites

To create a geographic rating area pricing parameter, you need to do the following:

• Ensure that the upstream system contains the geographic rating area details in CSV file.

• Ensure that the CSV file is available at the desired path on the server, before the file upload batch is triggered.

• Set the C1-GeoRatingArea business object validation soft parameter (Include Plan Value Details) to either include or exclude plan details (Y/N) before the file is uploaded.

• Include the C1GEORATINGARCSVUPLD file request type for file upload purposes.

• Ensure that C1_​GEO_​RATING_​AREA and C1_​GEO_​RATING_​AREA_​REL_​OBJ tables are populated before any memberships are created in the system for derivation purposes.

• Configure the pricing parameter with the geographic rating area on the pricing rule.

• Define the required Address Source (C1-ADSRC) and Address Type (C1-ADTYP) characteristic types in the system. Values for these characteristics can be defined either on the policy or plan characteristics level. The address source and address type can also be defined on the state of issue of the policy or plan.

• Define the parent policy role in the C1-ASOBLLNG feature configuration.
• Define the following billing preferences in the Field Mapping screen:

  • Default Address Source

  • Default Address Type

  • Use Plan Details

  • Address Source Value for Policy Holder

  • Address Source Value for Main Subscriber

  • Geographic Rating Area Characteristic Type

  • Address Source Characteristic Type

  • Address Type Characteristic Type

• Define the default value for Geographic Rating Area Characteristic Type in the Field Mapping screen.

• Define the required health plan in the system.

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