Defining a Delinquency Process Preference

Prerequisites

To define a delinquency process preference, you should have:

  • Field mapping business objects defined in the application.

  • Delinquency process defined in the application.

Procedure

To define a delinquency process preference:

  1. Click the Menu (The Menu Icon) icon in the Application toolbar.
    A list appears.
  2. Click the Admin Menu option from the list.
    A sub-menu appears.
  3. Select F and then click the Add button corresponding to the Field Mapping option from the sub-menu.

    The Select Business Object screen appears. It contains the following field:

    Field Name Field Description Mandatory (Yes or No)
    Field Mapping Business Object Used to indicate the business object using which you want to create the delinquency process preference. The valid values are:
    • Bill Route Method - Contact Method Mapping (i.e., C1_​​BillRouteCntMethMap) - Enables you to maintain a routing method - contact method mapping preference.

    • Field Mapping (i.e., C1-FieldMapping) - Enables you to maintain the following:
      • Automatic Refund/Write-Off Preference

      • Billing Preference

      • Binder Payment Preference

      • Configuration for Match Type - Handling Overpayment Preference

      • Delinquency Process Preference

      • Delinquency Process Type Preference

      • Geographic Rating Area Preference

      • Hold Request Preference

      • Individual Membership Preference

      • Medicare Preference

      • Member Reconciliation Preference

      • Member Relationship and Subscription Tier Preference

      • Membership Repricing Reasons Preference

      • MNI Derivation Input Preference

      • Statement Construct Preference

      • Transaction Paid Status Count Preference

    • Group Membership Status Reason Mapping (i.e., C1-MemStatusReasonMapGroup) - Enables you to maintain a group membership status reason preference.

    • Medicare Plan Benefit Package (i.e., C1-BenefitPackage) - Enables you to maintain a Medicare plan benefit package.

    • Membership Status Reason Mapping (i.e., C1-MemStatusReasonMapping) - Enables you to maintain an individual membership status reason preference.

    Note:
    The above business objects are shipped with the product. The list includes those business objects which are created using the Field Mapping (i.e., C1-FIELDMAP) maintenance object.
    Yes
    Note:
    Alternatively, you can access the Select Business Object screen by clicking the Add button in the Page Title area of the Field Mapping screen.
  4. Select the Field Mapping option from the Field Mapping Business Object list.
  5. Click OK.

    The Field Mapping screen appears. It contains the following sections:

    • Main - Used to specify basic details for the delinquency process preference. It contains the following fields:

      Field Name Field Description Mandatory (Yes or No)
      Preference Used to specify the delinquency process preference. Yes
      Description Used to specify the description for the delinquency process preference. Yes
      Detailed Description Used to specify additional information about the delinquency process preference. No
      Status Used to indicate the status of the delinquency process preference. The valid values are:
      • Active

      • Inactive

      Yes
    • Preference Category - Used to specify the preference category. It contains the following field:

      Field Name Field Description Mandatory (Yes or No)
      Preference Category Used to indicate the category to which the preference belongs. The valid values are:
      • Automatic Refund/Write-Off

      • Billing

      • Binder Payment

      • Configuration for Match Type - Handling Overpayment

      • Delinquency Process

      • Delinquency Process Type

      • Geographic Rating Area

      • Hold Request

      • Individual Membership

      • Medicare

      • Medicare Plan Benefit

      • Member Reconciliation

      • Member Relationship and Subscription Tier

      • Membership Repricing Reasons

      • Membership Status Reason

      • MNI Derivation Input

      • Routing Method - Contact Method Mapping

      • Statement Construct

      • Transaction Paid Status Count

      Note:

      The list includes only those values which are defined in the FIELD_​CAT_​FLG lookup field.

      You must select the Delinquency Process option from the list while creating a delinquency process preference.

      Yes
    • Preference Settings - Used to set the attributes in the delinquency process preference. It contains the following fields:

      Field Name Field Description Mandatory (Yes or No)
      Attribute Used to indicate the attribute which you want to set in the delinquency process preference. The valid values are:
      • Advance Deposit Account Relationship Type - Used to specify the account relationship type. It is used to identify the advance deposit account of a parent customer (i.e. policy holder) when the advance deposit level is set to PG or POLI, respectively. This attribute is required when the group customer wants to allocate advance deposit to settle its overdue bills. This attribute is only applicable for the fully insured group business.

      • Advance Deposit Contract Type - Used to specify the advance deposit contract type. It is used to identify the advance deposit contract on the parent customer’s advance deposit account or linked to the policy when the advance deposit level is set to PG or POLI, respectively. This attribute is required when the group customer wants to allocate advance deposit to settle its overdue bills. This attribute is only applicable for the fully insured group business.

      • Awaiting Membership Cancellation Reason for Direct Billed - Used to specify the cancellation reason assigned to a direct-billed group membership when the group membership is awaiting cancellation.

      • Awaiting Membership Cancellation Reason - Used to specify the reason why you want to cancel an individual membership which is billed to an account. Here, you must specify a status reason which is already defined for the Active status of the C1-IndMembership business object.

      • Awaiting Membership Termination Reason for Direct Billed - Used to specify the termination reason assigned to a direct-billed group membership when the group membership is awaiting termination.

      • Awaiting Membership Cancellation Reason for Termination - Used to specify the reason why you want to terminate an individual membership which is billed to an account. Here, you must specify a status reason which is already defined for the Terminated status of the C1-IndMembership business object.

      • Awaiting Membership Cancellation Reason for Termination - Direct Billed - Used to specify the cancellation reason assigned to a direct-billed group membership when the group membership is awaiting for cancellation as a part of the termination process.

      • Delinquency Process Approval In Progress Status - Used to specify the status to which a delinquency process should be transitioned when approval process is configured for any manual action in a delinquency process type. This attribute is required only when you opt to configure approval process for any manual action in the delinquency process.

      • Delinquency Process Automatic Reinstatement Stopped - Used to specify the status to which a delinquency process should be transitioned when automatic reinstatement of the delinquency process is stopped due to some reason.

      • Delinquency Process Canceled Status - Used to specify the status to which a delinquency process should be transitioned when it is canceled due to any reason. It is also referred while resuming a delinquency process due to cancellation of a payment or an adjustment.

      • Delinquency Process Completed Status - Used to specify the status to which a delinquency process should be transitioned when all its delinquency events are triggered successfully.

      • Delinquency Process Customer Reinstated Status - Used to specify the status to which a delinquency process should be transitioned when the policies or individual memberships billed to the person or account are reinstated. It is also referred while resuming a delinquency process due to cancellation of a payment or an adjustment.

      • Delinquency Process Hold Status - Used to specify the status to which a delinquency process should be transitioned when you manually hold the delinquency process or when the system automatically holds the delinquency process if the certain conditions are met.

      • Delinquency Process Initiate Cancel Status - Used to specify the status to which a delinquency process should be transitioned when you manually cancel the delinquency process.

      • Delinquency Process Initiate Hold Status - Used to specify the status to which a delinquency process should be transitioned when you manually hold the delinquency process.

      • Delinquency Process Initiate Pending Reinstate Status - Used to specify the status to which a delinquency process should be transitioned when you manually initiate reinstatement of the delinquency process.

      • Delinquency Process Initiate Reinstate Status - Used to specify the status to which a delinquency process should be transitioned when you manually reinstate the delinquency process.

      • Delinquency Process Initiate Release Status - Used to specify the status to which a delinquency process should be transitioned when you manually release the hold on delinquency process.

      • Delinquency Process Initiated Status - Used to specify the status to which a delinquency process should be transitioned when it is created for a person or an account.

      • Delinquency Process InProgress Status – Used to specify the status to which a delinquency process should be transitioned when its first event is triggered.

      • Delinquency Process Pending Reinstatement Status – Used to specify the status to which a delinquency process should be transitioned when the reinstatement of an individual membership is pending.

      • Delinquency Process Pending Termination Status – Used to specify the status to which a delinquency process should be transitioned on the termination request date when the C1-DPMON batch is executed.

      • Delinquency Process Reinstate Status - Used to specify the status to which a delinquency process should be transitioned when you manually reinstate the delinquency process or when the system automatically reinstates the delinquency process if the certain conditions are met.

      • Delinquency Process Reinstatement Reason – Used to specify the reason for reinstating a previously cancelled or terminated delinquency process.

      • Delinquency Process Released Status – Used to specify the status to which a delinquency process should be transitioned when you manually release the hold on the delinquency process or when the system automatically releases the hold on the delinquency process if the certain conditions are met.

      • Delinquency Process Request Reinstatement Status – Used to specify the status to which a delinquency process should be transitioned when reinstatement is requested for an individual membership.

      • Delinquency Process Terminated Status – Used to specify the status to which a delinquency process should be transitioned when the policies or individual memberships billed to the respective account are terminated in ORMB. This attribute is referred while executing the C1-DPMON batch.

      • Delinquency Reinstatement Payment/Adjustment Canceled Status – Used to specify the status to which a delinquency process should be transitioned when you want to resume the reinstated delinquency process due to cancellation of a payment or an adjustment.

      • Membership Termination Reason for Delinquency – Used to indicate the reason why you want to terminate an active individual membership which is billed to an account. Here, you must specify a status reason which is already defined for the Terminated status of the C1-IndMembership business object.

      • Policy Characteristic Type for Customer Contact – Used to indicate the characteristic type using which you want to store the policy ID on the customer contact. Here, you must specify a characteristic type where the characteristic entity is set to Customer Contact. This attribute is also referred while deriving the policy ID from the customer contact.

      • Policy Termination Reason for Delinquency Process - Used to indicate the reason why you want to terminate an active policy which is billed to a person or an account. Here, you must specify a status reason which is already defined for the Terminated status of the C1-POLICY business object.

      Yes
      Value Used to specify the attribute value. The attribute value that you can specify varies depending on the attribute you want to set in the delinquency process preference. Yes (Conditional)
      Note:
      This field is required while setting an attribute in the delinquency process preference.
      Entity Type Used to indicate the type of entity for which the attribute is applicable. The valid values are:
      • Account

      • Adjustment

      • Billable Charge

      • Membership

      • Payment

      • Policy

      Note:
      At present, this data is stored for informational purposes only and is not considered in the business logic. If required, you can add more entity types to the MAP_​ENTITY_​FLG lookup field.
      No
      Note:
      While defining a delinquency process preference, you must set at least one attribute in the delinquency process preference.
  6. Select the Delinquency Process option from the Preference Category list.
    The Preference Category section disappears and the Preference Category field appears in the Main section.
  7. Enter the required details in the Main section.
  8. Set the required attributes in the delinquency process preference.
  9. If you want to set more than one attribute in the delinquency process preference, click the Add (The Add Icon) icon and then repeat step 8.
    Note:
    However, if you want to remove an attribute from the delinquency process preference, click the Delete (The Delete Icon) icon corresponding to the attribute.
  10. Click Save.
    The delinquency process preference is defined.

Related Topics

For more information on... See...
Field Mapping screen Field Mapping