Associating a Pricing Rule Type with a Fully-Insured Group Policy Plan

You can define a pricing rule using a pricing rule type for a fully-insured group policy plan when the pricing rule type is associated with the fully-insured group policy plan. You can associate a pricing rule type with a fully-insured group policy plan either from the user interface or through a health care inbound message.

Prerequisites

To associate a pricing rule type with a fully-insured group policy plan, you should have:

  • Pricing rule types defined in the application (where the pricing rule type category is set to Age Based, Tier Based, or Pass-Through Billable Charge)

Procedure

To associate a pricing rule type with a fully-insured group policy plan:

  1. Ensure that the Pricing Rule Types section is expanded when you are defining or editing a fully-insured group policy plan.

    The Pricing Rule Types section contains the following field in a grid:

    Field Name Field Description Mandatory (Yes or No)
    Pricing Rule Type Used to indicate the pricing rule type that you want to associate with the fully-insured group policy plan.
    Note:

    The Search (The Search Icon) icon appears corresponding to this field. On clicking the Search icon, the Pricing Rule Type Search window appears.

    On specifying the pricing rule type, the description of the pricing rule type appears corresponding to the Pricing Rule Type field.

    Here, you can only specify a pricing rule type where the pricing rule type category is set to Age Based, Tier Based, or Pass-Through Billable Charge.

    		 Yes (Conditional)
    Note: You must either specify the price item or associate at least one pricing rule type with the policy plan.
  2. Enter the required details in the Pricing Rule Types section.
  3. If you want to associate more than one pricing rule type with the fully-insured group policy plan, click the Add (The Add Icon) icon and then repeat step 2.
    Note: However, if you want to dissociate a pricing rule type from the fully-insured group policy plan, click the Delete (The Delete Icon) icon corresponding to the pricing rule type.
  4. Click Save.
    The pricing rule types are associated with the fully-insured group policy plan.

Related Topics

For more information on... See...
How to define a plan for a fully-insured group policy Defining a Plan for a Fully-Insured Group Policy
How to edit a plan of a fully-insured group policy Editing a Plan of a Fully-Insured Group Policy