C1-CANDPAPTC

This algorithm is used only for the fully insured individual business. It considers a delinquency process for cancellation when either of the following condition is met:

  • Membership benefit charges is billed in the earliest unpaid coverage period and now the benefit charge is no longer applicable from the earliest unpaid coverage period.

  • Membership benefit charges was not billed in the earliest unpaid coverage period, but the benefit charge is now applicable from the earliest unpaid coverage period.

Note: This algorithm is invoked by the C1-DPMON batch. If any of the above cancel criteria is met, the system changes the status of the delinquency process to Canceled when the C1-DPMON batch is executed.

This algorithm checks whether there is any bill in the delinquency process with the due date earlier than the delinquency due date. If so, the system does the following:

  • Add a record for the delinquent account in CI_​ADM_​RVW_​SCH table.

  • The next credit review date of the account is set to the processing date (i.e., batch business date).

Note: The system will create a delinquency process for the account using the appropriate delinquency process type when the C1-ACDLQ batch is executed subsequently.

It contains the following parameters:

  • Delinquency Process Cancel Reason For APTC Benefit Update – Used to indicate the cancel reason that you want to use while canceling a delinquency process. This parameter is optional. Here, you must specify a reason which is defined for the Canceled status of the C1-DelinquencyProcess business object through the Status Reason screen.

  • Delinquency Process Type Field Mapping – Individual – Used to specify a preference where the preference category is set to Delinquency Process Type. The system uses the preference to determine the benefit sub type whose benefits should be monitored for applicability in the earliest unpaid coverage period. This parameter is mandatory. For more information about the delinquency process type preference, see Delinquency Process Preference.