Eligibility Response Definition

The following fields are configured to set up an eligibility response definition:

Field Description

Code

Uniquely identifies the eligibility response definition

Description

The description of the eligibility response definition

Response Mapping

The dynamic logic that is executed to generate the response message for the external system

Default?

Indicates that this is the default eligibility response definition (only one eligibility response definition can be marked as default)

Process Steps

The processing of an eligibility check involves sequential execution of process steps. A process step groups various related and interdependent process rules (callout rules and validation rules) to be executed in a user defined order.

Field Description

Sequence

The sequence of the process step

Display Name

The display name of the process step

The sequence of the process step determines the order in which the steps are executed. The steps are shown in the Eligibility Response Definition user interface page in the order in which they will be executed. This order can be changed by using the up/down arrow buttons (as shown in the mock up below). It is not possible to have multiple process steps with the same sequence. ;

Rule Steps

Rule steps identify which process rules are executed within a process step and the order of execution within the step. A step can have one or more rule steps.

Field Description

Process Step

The process step that the rule step belongs to

Sequence

The sequence within the process step in which the rule is executed

Callout Rule

The callout rule that is executed within the process step

Validation Rule

The validation rule that is executed within the process step

Eligibility Response Definition