Rate Guarantee Business Rules

Oracle Revenue Management and Billing enables you to define a rate guarantee business rule for an individual membership. A new category named Rate Guarantee Business Rule is introduced in this release.

While deriving a business rule of the Rate Guarantee Business Rule category, the system considers the respective business rules which are effective on the membership start date. Once the effective business rules are identified, the system executes these business rules in the order of their priority. Once the criteria of the business rule is met, the business rule is stamped against the individual membership. If two or more business rules have the same priority, the system sorts the business rules for execution based the business rule criteria sequence.

While defining the rate guarantee business rule criteria, you can use the parameters which are defined on the following entities:

  • Health Plan

  • Health Product

  • Individual Membership

  • Member Person of an Individual Membership

You can define, edit, and delete a rate guarantee business rule through the Business Rule screen. While defining a rate guarantee business rule, you need to set its category to Rate Guarantee Business Rule. The rate guarantee business rule enables you to define the following parameters:

  • Rate Guarantee Applicability - Used to indicate whether the rate guarantee is available for the individual membership.

  • Rate Guarantee Period - Used to derive the rate guarantee start and end dates.
    Note: The system sets the rate guarantee start date to the membership start date and the rate guarantee end date to the rate guarantee start date + rate guarantee period.

You can view the rate guarantee business rules through the Business Rule screen.

Parent topic: Business Rules