C1-HCPRPROC

This algorithm is invoked when the health product and plan inbound message is successfully validated. This algorithm creates or updates the health product, health plan, and health plan pricing rule information for individual memberships.

This algorithm fetches the business object from the health product and plan inbound message type to create or update the records for health product, health plan, and health plan pricing rule. The algorithm performs the following operations:

• Creates or updates the health product based on the health product code.

• Creates or updates the health plan based on the health plan code.

• Creates or updates the health plan pricing rules based on the price item, health plan, start date, and eligibility criteria.

  Note:

  The pricing rule eligibility is optional while creating or updating the pricing rules for the health plan.

  The health product and plan inbound message log maintains complete trail of actions performed on health product, health plan, and health plan pricing rules.