Search Membership

The Search Membership zone allows you to search for an individual or group membership using various search criteria. It contains the following two sections:

  • Search Criteria - The Search Criteria section contains the following fields:

    Field Name Field Description Mandatory (Yes or No)
    Search By Used to indicate whether you want to search for a membership using the policy plan, membership, or member person details. The valid values are:
    • Membership Details

    • Policy Plan Details

    • Person Details

    • Health Plan Details

    Note: By default, Membership Details option is selected.
    Yes
    Membership ID Used to search a particular membership.
    Note: This field appears when the Membership Details option is selected from the Search By list.
    No
    External Membership ID Used to search a membership with a particular external membership ID.
    Note: This field appears when the Membership Details option is selected from the Search By list.
    No
    Start Date Used to search memberships which are effective from a particular date.
    Note: This field appears when the Membership Details option is selected from the Search By list.
    No
    End Date Used to search memberships which are effective till a particular date.
    Note: This field appears when the Membership Details option is selected from the Search By list.
    No
    Status Used to search memberships with a particular status. The valid values are:
    • Active

    • Inactive

    • Terminated

    Note: This field appears when the Membership Details option is selected from the Search By list.
    No
    Membership Type Used to search memberships of a particular type. The valid values are:
    • COBRA

    • Medicare

    Note:

    If you want to search for an active employee coverage membership, you must leave this field blank.

    This field appears when the Membership Details or Policy Plan Details or Person Details, or Health Plan Details option is selected from the Search By list.

    No
    Benefit Type Used to search memberships where a member person has availed for a particular type of benefit. The valid values are:
    • Commercial

    • Medicare Affiliated

    Note: This field appears when the Membership Details or Person Details option is selected from the Search By list.
    No
    Benefit Sub Type Used to search memberships where a member person has availed for a particular Membership benefit.
    Note:

    This field appears when the Membership Details or Person Details option is selected from the Search By list.

    The list includes only those benefit types which are defined through the Benefit Sub Type screen.

    No
    Membership Identifier Type Used to search memberships which are associated with a membership identifier type.
    Note:

    This field appears when the Membership Details option is selected from the Search By list.

    You can only search individual memberships, if you are specifying the membership identifier type.

    Yes (Conditional)
    Note: This field is required when you are searching for a membership using a membership identifier type.
    Membership Identifier Used to search memberships with a particular identifier.
    Note:

    This field appears when the Membership Details option is selected from the Search By list.

    You can only search individual memberships, if you are specifying the membership identifier.

    Yes (Conditional)
    Note: This field is required when you are searching for a membership using a membership identifier.
    Characteristic Type Used to search memberships for which a particular characteristic type is defined.
    Note:

    This field appears when the Membership Details or Person Details option is selected from the Search By list.

    The list includes only those characteristic types where the characteristic entity is set to Membership.

    Yes (Conditional)
    Note: This field is required when you are searching for a membership using a characteristic.
    Characteristic Value Used to search memberships with a particular characteristic value.
    Note:

    This field appears when the characteristic type is selected.

    If you select a predefined characteristic type, the Search (The Search Icon) icon appears corresponding to the Characteristic Value field. On clicking the Search icon, the Predefined Characteristic Search window appears.

    On specifying the value for a predefined characteristic type, the description of the characteristic value appears corresponding to the Characteristic Value field.

    Yes (Conditional)
    Note: This field is required when you are searching for a membership using a characteristic.
    Policy ID Used to search memberships which belong to plans of a particular policy.
    Note:

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

    This field appears when the Policy Plan Details option is selected from the Search By list.

    No
    Price Item Used to search memberships which belong to plans where a particular price item is directly associated.
    Note:

    The Search (The Search Icon) icon appears corresponding to this field. On clicking the Search icon, the Price Item Search window appears.

    This field appears when the Policy Plan Details or Membership Details option is selected from the Search By list.

    No
    Plan ID Used to search memberships of a particular plan.
    Note:

    The Search (The Search Icon) icon appears corresponding to this field. On clicking the Search icon, the Policy Plan Search window appears.

    This field appears when the Policy Plan Details option is selected from the Search By list.

    No
    Person Name Used to search memberships where a particular person is included as a member person.
    Note: This field appears when the Person Details option is selected from the Search By list.
    No
    Relationship Type Used to search memberships where the member persons are related using a particular relationship type.
    Note:

    This field appears only when the Person Details option is selected from the Search By list.

    The list includes only those contract relationship types which are already defined in the system.

    No
    Person Identifier Type Used to indicate the person identifier type.
    Note: This field appears when the Person Details option is selected from the Search By list.
    No
    Person Identifier Used to search memberships in which a particular person is added.
    Note: This field appears when the Person Details option is selected from the Search By list.
    No
    Health Plan Used to search memberships associated with a health plan.
    Note:

    The Search (The Search Icon) icon appears corresponding to this field. On clicking the Search icon, the Health Plan Search window appears.

    This field appears when the Health Plan Details option is selected from the Search By list.

    You can only search individual memberships, if you are specifying a health plan.

    No
    Note: You must specify at least one search criterion while searching for a membership.
  • Search Results - On clicking the Search button, the search results appear based on the specified search criteria. The Search Results section contains the following columns:

    Column Name Column Description
    Membership Information Displays information about the membership.
    Note: It has a link. On clicking the link, the Membership Information screen appears where you can view the details of the respective membership.
    Policy Information Indicates the policy of the plan to which the membership is added.
    Note:

    It has a link. On clicking the link, the Policy screen appears where you can view the details of the respective policy.

    This column appears when the Membership Details or Policy Plan Details, or Person Details option is selected from the Search By list.

    Price Item Information Indicates the price item which is directly associated with the plan to which the membership belongs.
    Note:

    It has a link. On clicking the link, the Price Item screen appears where you can view the details of the respective price item.

    This column appears when the Membership Details or Policy Plan Details, or Person Details option is selected from the Search By list.

    Health Plan Indicates the health plan to which the membership is associated.
    Note:

    This column appears when the Membership Details or Person Details, or Health Plan Details option is selected from the Search By list.

    This column appears only when you are searching for an individual membership.

    Start Date Displays the date from when the membership is effective.
    End Date Displays the date till when the membership is effective.
    Status Indicates the status of the membership. The valid values are:
    • Active

    • Inactive

    • Terminated

    Person Information Indicates the person who is added to the membership. In addition, this column has a context menu which helps in navigating to other screens in the application.
    Note:

    It has a link. On clicking the link, the Person screen appears where you can view the details of the respective person.

    This column appears when the Person Details option is selected from the Search By list.

    Main Subscriber This column displays different data depending on whether you search for a membership using the policy plan, membership, or person details. The following table describes this column:
    If you search for a membership using... Then...
    The Policy Plan Details or Membership Details option The Main Subscriber column displays the information about the person who is the main subscriber of the membership. In addition, this column has a context menu which helps in navigating to other screens in the application.
    Note: It has a link. On clicking the link, the Person screen appears where you can view the details of the respective person.
    The Person Details option The Main Subscriber column indicates whether the person is the main subscriber of the membership. The valid values are:
    • Yes

    • No

    Membership Type Indicates the type of membership. The valid values are:
    • COBRA

    • Medicare

    Benefits On clicking the Benefits (The View Icon) icon, the Benefit screen appears where you can view the Membership benefits of the member persons who belong to the membership.
    Note: The Benefits icon appears when a Membership benefit is defined for a member person who belongs to the membership.
    Note: Pagination is used to display limited number of records in the Search Results section. You can use the navigation links, such as Previous and Next to navigate between pages.

Related Topics

For more information on... See...
How to search for a membership Searching for a Membership
How to view the details of a membership Viewing the Membership Details