C1_MEMBGDRV
This algorithm is responsible:
For Group
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Deriving Bill Group - The algorithm soft parameter for bill levels signifies the bill level characteristic type that should be defined on the membership. The algorithm soft parameter for source system signifies the source system characteristic type that should be defined either on the membership or on policy plan or on policy. The source system characteristic value is determined in following sequence, a) Membership b) Policy plan c) Policy Based on the characteristic values on the membership for bill level 1 to bill level 4 and characteristic value of source system, the bill group and parent customer corresponding to the membership is derived
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Deriving Policy - Policy is derived from the plan to which the membership is linked.
For Individual - For membership of type Individual, Health plan will be populated for membership. When membership status is Pending effectuation or Active, this algorithm derives the Financial Responsible person as bill group person.