Cover Withhold Categories

The cover withhold category specifies the type of cover withhold rule. Cover withhold categories are created and maintained in OHI Claims Adjudication and Pricing. The product building blocks integration point imports cover withhold categories into Oracle Health Insurance Product Definition.

Cover withhold categories are connected to coverage regimes through coverage regime parameters. In Oracle Health Insurance Product Definition cover withhold categories contains a type used to indicate if it is possible to parametrize them by defining parameter aliases for the cover withhold category. Setting this type is done in the Cover Withhold Categories page.

Field Description

UUID

Unique identifier across OHI modules

Code

The code for this cover withhold category

Display Name

Used to determine how to display the connected parameter values

Type

Used to determine how to display the connected parameter values