Service Definition, Product Service Definition and Benefit Priorities

Just as benefit specifications are based on a combination of a service definition and a product service definition, benefit priorities can also be based on the combination of a service definition priority and a product service definition priority. But this is not mandatory, benefit priorities can also be based on solely a service definition priority or a product service definition priority.

So dependent on the configured priorities three flavors are automatically created:

  • Benefit Priorities based on a service definition and a product service definition priority

  • Benefit Priorities based on a service definition priority (and no product service definition priority)

  • Benefit Priorities based on a product service definition priority (and no service definition priority)

To clarify this and the (im)possibilities, some examples are given in this document.

Using only Product Service Definition Priorities

Consider the following example containing two product service definition priorities.

Product Service Definition Priorities

Code Short Code Display Name Priority

REGULAR

REGL

Regular Service

3

FEDERAL MANDATE

FMAN

Federal Mandate

2

This results in the generation of two benefit priorities.

Benefit Priorities

Code Display Name Priority

FEDERAL MANDATE

Federal Mandate

2999

REGULAR

Regular Service

3999

The value of the benefit priority is calculated as follows:

Product Service Definition Priority * 1000 + Service Definition Priority AND if either priority is missing, use value "999" for that priority

This is why the value of the resulting benefit priority is "2999" and not "2".

Combined Priorities

Using both service definition and product service definition priorities to generate benefit priorities allows for the most fine grained list of benefit priorities, as each possible combination of two priorities results in a benefit priority. Consider the following example containing two product service definition priorities.

Product Service Definition Priorities

Code Short Code Display Name Priority

REGULAR

REGL

Regular Service

3

FEDERAL MANDATE

FMAN

Federal Mandate

2

And two service definition priorities.

Service Definition Priorities

Code Short Code Display Name Priority

DEFAULT

DFLT

Default

5

EXCEPTION

EXCP

Exception

3

These configured (product) service definition priorities result in the generation of the following benefit priorities (ordered from high to low priority).

Benefit Priorities

Code Display Name Priority

FMANEXCP

Federal Mandate Exception

2003

FMANDFLT

Federal Mandate Default

2005

FEDERAL MANDATE

Federal Mandate

2999

REGLEXCP

Regular Service Exception

3003

REGLDFLT

Regular Service Default

3005

REGULAR

Regular Service

3999

EXCEPTION

Exception

999003

DEFAULT

Default

999005

For each benefit priority that is based on two priorities the two short codes are used to create the code for the benefit priority. If the benefit priority is only based on a single priority, the code of that priority is used to create the code of the benefit priority.

Incorrect Setup

It is not possible to create a service definition and a product service definition priority with the same code. This will encounter an error when benefit priorities are generated. So the following example must be avoided.

Product Service Definition Priorities

Code Short Code Display Name Priority

REGULAR

REGL

Regular Service

3

And two service definition priorities.

Service Definition Priorities

Code Short Code Display Name Priority

REGULAR

REGL

Regular Service Definition

5

In this situation the system tries to create two benefit priorities with the same code which results in a unique key violation.