Sample Health Product and Plan Inbound Message for Health Product Setup

Using the below example, you can do the following:

  • Create the health product in the ORMB system through the health product and plan inbound message.

Health Product Code Description Product Type Bundled Product Start Date Status Division
HPMP444 HP Medicare Plus EPO N 2021-01-01 ACTIVE TX 
<schema>
    <bo>C1-HCProdHlthPlnInbound</bo>
    <messageType>C1-HCPRODHLTHPLN-INB-MSG-TYPE</messageType>
    <sourceSystem>NSC</sourceSystem>
    <externalTransactionId>889977</externalTransactionId>
    <externalBatchId>737373</externalBatchId>
    <externalSourceId>373737</externalSourceId>
    <productHealthPlanMessage>
        <HealthProductData>
            <healthProductCode>HPMP444</healthProductCode>
            <description>HP MEDICARE PLUS</description>
            <productType>EPO</productType>
            <productSubType>FSA</productSubType>
            <productHCCategory>MED</productHCCategory>
            <productAdministration>PBM Agency</productAdministration>
            <productLOB>INDIVIDUAL</productLOB>
            <productLOBCategory>GOVERNMENT</productLOBCategory>
            <bundledProduct>N</bundledProduct>
            <startDate>2021-01-01</startDate>
            <endDate>2021-12-01</endDate>
            <status>ACTIVE</status>
            <productCharacteristics>
                <characteristicType>MP-CLAIM</characteristicType>
                <characteristicValue>Y</characteristicValue>
                <effectiveDate>2021-01-01</effectiveDate>
            </productCharacteristics>
            <healthProductDivision>
                <division>TX</division>
            </healthProductDivision>
        </HealthProductData>
    </productHealthPlanMessage>
</schema>
Note: We have given the above sample to illustrate how the tags should be nested while sending an inbound message from the external system. However, you should not seamlessly use this sample in your environment because the required pre-requisite data may not be available in your environment. In such case, the system will give erroneous results.