Eligibility Validation Rules
A validation rule is a user defined validation of the data elements on the eligibility check e.g. a person born in a certain country, is aligned to a certain provider etc. The result of failing the validation is that a message is attached to the eligibility response and/or a function dynamic logic is executed that can set certain fields and can also add messages to the eligibility response. Fatal messages prevent that the eligibility check is approved.
Field | Description |
---|---|
Code |
The identifying code of the validation rule |
Description |
The description of the validation rule |
Condition |
The dynamic logic condition that is executed to determine if the message must be attached to the eligibility response and/or the dynamic logic function must be executed |
Function |
The dynamic logic function that is executed if the conditions are met |
Message |
The message that is attached to the eligibility response if the conditions are met (the message placeholders are described below) |
Enabled? |
Is the validation rule enabled? |
Message Placeholders
The following table specifies the placeholder values for messages that are attached to eligibility responses when a validation rule is applied:
# | Eligibility Response |
---|---|
0 |
The code of the rule |
1 |
The description of the rule |
2 |
N/A |
3 |
N/A |
4 |
N/A |
5 |
N/A |
6 |
N/A |
7 |
N/A |
8 |
N/A |
9 |
N/A |