Countries and regions

A country region is an area that is clearly defined by a geographical border such as a province or a state. Country regions are created and maintained in OHI Claims Adjudication and Pricing and are imported in Oracle Health Insurance Product Definition through the building blocks integration point. Because country regions are only unique per country, Oracle Health Insurance Product Definition stores a country reference table.

The function setup country region groups in Oracle Health Insurance Product Definition offers the possibility to create country region groups and to add country regions to this group or delete them from the group. Country region groups and their country regions can be exported through the Export in Oracle Health Insurance Product Definition.

Country

Unlike the country regions, countries themselves are not imported. The following fields are stored for a country

Field	Description
Code	The code for this country
Name	The full name of the country
Active Indicator	Indicates if the country can be used when creating a new country region
Integer Format	The format of standard integers (including thousand separator) in the UI
Number Format	The format of standard numbers in the UI
Amount Number Format	The format of amounts and percentages in the UI
Primary Date Format	The format for a date field
Secondary Date Format	The shorthand format for a date field

Country Region

The following fields are stored for a country region.

Field	Description
UUID	Unique identifier across OHI modules
Code	The code for this country region
Description	The description of the country region
Country	The country to which the region belongs
Active Indicator	Indicates if new references can be created to the country region

Country Region Group

A country region group assembles country regions in a logical set. For example, the country region group 'West coast States' would assemble the country regions Washington, Oregon and California.

It is possible to specify three different country regions (or groups) on a product service definition: for the person, for the provider and for the employer. If a country region (group) is specified for a person, the product service definition only applies to person having a home address in this country region (group).

If a country region (group) is specified for a provider, the product service definition only applies to providers having a site address in this country region (group). If a country region (group) is specified for an employer, the product service definition only applies to employers having a site address in this country region (group). The employer’s site address is based on enrollment information.

The following fields are stored for a country region group.

Field	Description
UUID	Unique identifier across OHI modules
Code	The code for this country region group
Description	The description of the country region group

The relation between groups and individual regions is stored in the country region group detail entity.

Field	Description
Country Region Group	A reference to a country region group
County Region	A reference to a country region