Priorities

Oracle Health Insurance Product Definition allows for the configuration of three types of priorities:

  • Product Priority

  • Service Definition Priority

  • 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

Table 1. 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

Table 2. 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

Table 3. 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

Table 4. 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)