Editing a Geographic Rating Area Preference

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

• Main - Used to specify basic details for the geographic rating area preference. It contains the following fields:

  Field Name	Field Description	Mandatory (Yes or No)
  Preference	Displays the geographic rating area preference.	Not applicable
  Description	Used to specify the description for the geographic rating area preference.	Yes
  Detailed Description	Used to specify additional information about the geographic rating area preference.	No
  Status	Used to indicate the status of the geographic rating area preference. The valid values are: Active Inactive	Yes
  Preference Category	Indicates the category to which the preference belongs. The valid value is: Geographic Rating Area	Not applicable

• Preference Settings - Used to set the attributes in the geographic rating area 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 geographic rating area preference. The valid values are: Address Source Characteristic Type - Used when the system derives the geographic rating area for a membership. Address Type Characteristic Type - Used when the system derives the geographic rating area for a membership. Default Address Source - Used when the address source characteristic is not defined for any of the following entities: Policy Plan State where the Policy Plan is Issued Policy State where the Policy is Issued Default Address Type - Used when the address type characteristic is not defined for any of the following entities: Policy Plan State where the Policy Plan is Issued Policy State where the Policy is Issued Default Geographic Rating Area - Used when the system is unable to derive the geographic rating area for the following combination: State and zip code (this combination is considered when the Use Plan Details attribute is set to No) State, zip code, policy number, plan number, and source system (this combination is considered when the Use Plan Details attribute is set to Yes) Geographic Rating Area Characteristic Type - Used when the system stores the geographic rating area for a membership. Use Health Plan Details - Used to indicate whether the health plan number, health product number, plan characteristics, and pricing rule should be considered while deriving the geographic rating area for a membership. Use Policy Plan Details - Used to indicate whether the policy number, plan number, and source system should be considered while deriving the geographic rating area for a membership.	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 geographic rating area preference. The valid values are: Address Source Characteristic Type - The Value field is used to specify the characteristic type that indicates the address source. The system supports two address sources named Policy Holder and Main Subscriber. This type of characteristic can be defined for the following entities: Policy Plan State where the Policy Plan is Issued Policy State where the Policy is Issued Note: Here, you must specify a characteristic type where the characteristic entity is set to Policy Plan, State, and Policy. The C1-ADSRC characteristic type is shipped with the product. Address Type Characteristic Type - The Value field is used to specify the characteristic type that indicates the address type. The system supports three address types named Person Mailing, Person Seasonal, and Account Override. This type of characteristic can be defined for the following entities: Policy Plan State where the Policy Plan is Issued Policy State where the Policy is Issued Note: Here, you must specify a characteristic type where the characteristic entity is set to Policy Plan, State, and Policy. The C1-ADTYP characteristic type is shipped with the product. Default Address Source - The Value list is used to indicate the address source. The valid values are: Main Subscriber Policy Holder Note: The list includes only those values which are defined in the ADDRESS_​SRC_​FLG lookup field. Default Address Type - The Value list is used to indicate the address type. The valid values are: Person Mailing Person Seasonal Account Override Note: The list includes only those values which are defined in the ADDRESS_​TYPE_​FLG lookup field. Default Geographic Rating Area - The Value field is used to specify the geographic rating area that is used as a default. Note: Here, you can specify a geographic rating area which is already defined in the system. Geographic Rating Area Characteristic Type - The Value field is used to specify the characteristic type where you can store the geographic rating area. This type of characteristic is defined for the membership. Here, you must specify a characteristic type where the characteristic entity is set to Membership. Note: The C1-GEORT characteristic type is shipped with the product. Use Health Plan Details - The Value field is used to indicate whether health plan details should be used as a source to derive the geographic rating area. The valid values are: Yes - Used when you want to derive the geographic rating area using the health plan details. No - Used when you want to derive the geographic rating area using the membership details, policy plan details, or person details. Use Policy Plan Details - The Value field is used to indicate whether policy plan details should be used as a source to derive the geographic rating area. The valid values are: Yes - Used when you want to derive the geographic rating area using the state, zip code, policy number, plan number, and source system combination. No - Used when you want to derive the geographic rating area using the state and zip code combination. Note: The attribute value list appears only when the attribute is selected from the respective list.	Yes
  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

  Tip:

  Alternatively, you can click the Edit button in the Field Mapping zone to edit the details of the geographic rating area preference.