Priorities
Oracle Health Insurance Product Definition allows for the configuration of three types of priorities:
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Product Priority
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Service Definition Priority
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Product Service Definition Priority
Based on all possible combinations of a service definition priority and a product service definition priority, benefit priorities are generated. Also for each service definition and product service definition priority a benefit priority is generated that is only based on a single priority.
The service definition priority and product service definition priority are combined to form the benefit specification priority when a benefit specification is generated.
A product priority indicates which product gets applied in the event that two or more products overlap.
Product Priority
Field | Description |
---|---|
Code |
Unique code of the priority |
Priority |
Priority is expressed in an integer - the lower the number the higher the priority |
Display Name |
Display name of the priority |
A service definition priority is used as input for generating benefit priorities.
Service Definition Priority
Field | Description |
---|---|
Short Code |
Unique code of the priority |
Code |
Unique code of the priority |
Priority |
Priority is expressed in an integer - the lower the number the higher the priority |
Display Name |
Display name of the priority |
Reference Only? |
Is this priority reference only? If set to yes, product priorities based on this service definition priority will not be exported |
A product service definition priority is used as input for generating benefit priorities.
Product Service Definition Priority
Field | Description |
---|---|
Short Code |
Unique code of the priority |
Priority |
Priority is expressed in an integer - the lower the number the higher the priority |
Display Name |
Display name of the priority |
A benefit priority indicates which benefit gets applied in the event that two or more benefits overlap.
Benefit Priority
Field | Description |
---|---|
Short Code |
Unique code of the priority (a combination of the code of the service definition priority and the short code of the product service definition priority) |
Priority |
Priority is expressed in an integer - the lower the number the higher the priority (a combination of the priorities of the service definition priority and the product service definition priority) |
Display Name |
Display name of the priority (a combination of the display names of the service definition priority and the product service definition priority) |