Self-Funded Pricing
Oracle Revenue Management and Billing introduces a new pricing model for the self-funded health insurance business. In this pricing model, you can define pricing rules using a pricing rule type. You can define the following pricing rule types in ORMB:
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Claim
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Aggregate Stop-Loss
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Specific Stop-Loss
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Retention Type Claim Based
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Retention Type Enrollment
Related Topics
| For more information on... | See... |
|---|---|
| Line Item Extendable Lookup screen | Line Item Extendable Lookup |
| Extendable Lookup (Line Item) screen | Extendable Lookup (Line Item) |
| Claim Template Extendable Lookup screen | Claim Template Extendable Lookup |
| Extendable Lookup (Claim Template) screen | Extendable Lookup (Claim Template) |
| Rate Option Extendable Lookup screen | Rate Option Extendable Lookup |
| Extendable Lookup (Rate Option) screen | Extendable Lookup (Rate Option) |
| Rate Type Extendable Lookup | Rate Type Extendable Lookup |
| Extendable Lookup (Rate Type) | Extendable Lookup (Rate Type) |
| Pricing Group screen | Pricing Group |
| Pricing Rule Type screen | Pricing Rule Type |
| Claim Pricing screen | Claim Pricing |
| Specific Stop-Loss (SSL) Pricing screen | Specific Stop-Loss (SSL) Pricing |
| Aggregate Stop-Loss (ASL) Pricing screen | Aggregate Stop-Loss (ASL) Pricing |
| Retention Type Claim Based Pricing screen | Retention Type Claim Based Pricing |
| Retention Type Enrollment Based Pricing screen | Retention Type Enrollment Based Pricing |
| Flat Fee Pricing screen | Flat Fee Pricing |
| Ancillary Pricing screen | Ancillary Pricing |
| Discount Pricing screen | Discount Pricing |
| Level Funded Pricing screen | Level Funding Pricing |
| Minimum Premium Program screen | Minimum Premium Program |
| Pricing Rule screen | Pricing Rule (Used for Viewing) |
| Self-Funded Pricing Rule Versioning screen | Self-Funded Pricing Rule Versioning |
Parent Topic: Oracle Revenue Management and Billing Insurance Business Processes