This page (revision-46) was last changed on 07-Jul-2022 14:44 by Karen Parrott

This page was created on 26-Nov-2021 10:22 by KateN

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Version Date Modified Size Author Changes ... Change note
46 07-Jul-2022 14:44 25 KB Karen Parrott to previous
45 26-Nov-2021 10:22 24 KB kparrott to previous | to last
44 26-Nov-2021 10:22 24 KB kparrott to previous | to last
43 26-Nov-2021 10:22 24 KB kparrott to previous | to last
42 26-Nov-2021 10:22 24 KB kparrott to previous | to last
41 26-Nov-2021 10:22 23 KB kparrott to previous | to last

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At line 85 changed 4 lines
;[BC Code|BC_CODE]:The component description is a brief explanation of the benefits component code highlighted. BC_Code defaults in from the benefits code.
;[Rule|BC_RULE_CODE]:Rule is a High Line provided 2-digit code to describe the possible options available for each benefits component. The rules shown are applicable to the highlighted benefits component in the BC Code field of the form. BC_Rule_Code from the P2K_BE_BC_RULES table is a mandatory 2-character numeric field provided by High Line that you may either manually enter or use the LOV (F9).
;[Rule Description|RULE]:The rule description is a brief explanation of the benefits component rule highlighted. Rule defaults in from the rule code chosen.
;[BC Action|BC_ACTION]:This is the action will be performed by this benefits component.\\ \\ __You may move a component action forward from ‘Calculate’ to ‘Log to BE line’ or ‘Store on Enroll’ but may not move backwards.__ \\ \\BC_Action is a mandatory fixed lexicon (X_BC_Action) you may use to look up the value.
;[BC Code|DESCRIPTION]:The component description is a brief explanation of the benefits component code highlighted. Description defaults in from the benefit code.
;[Rule|BC_RULE_CODE]:Rule is a High Line provided 2-digit code to describe the possible options available for each benefits component. The rules shown are applicable to the highlighted benefits component in the BC Code field of the form. BC_Rule_Code from the [P2K_BE_BC_RULES] table is a mandatory 2-character numeric field provided by High Line that you may either manually enter or use the LOV (F9).
;[Rule Description|DESCRIPTION]:The rule description is a brief explanation of the benefits component rule highlighted. The description defaults in from the rule code chosen.
;[BC Action|BC_ACTION]:This is the action will be performed by this benefits component.\\ \\ __You may move a component action forward from ‘Calculate’ to ‘Log to BE line’ or ‘Store on Enroll’ but may not move backwards.__ \\ \\BC_Action is a mandatory fixed lexicon ([X_BC_ACTION]) you may use to look up the value.
At line 95 changed one line
;[Enter Benefit Lines|ENTER_BENEFIT_LINES]:If the ‘Enter Benefit Lines’ toggle is ON, a benefit line may override the coverage component value.\\ \\This field allows users to enter values on the [IBBL] to update this component.\\ \\If users ever have to edit the values updated on the IBBL (which updates remittance), they will have to enter a benefit line ([IBBL]) line. This will happen if a pay reversal is run (does not update benefit line automatically) or if an adjustment is made to a PC after benefits are calculated in [UPCALC] due to an overpayment/underpayment from a past period. Editing a PC does not update the line.\\ \\Should be ON for any component that updates remittance (Elig $, Covg, Prem, ER, EE), since users may have to add a benefit line to update.\\If the toggle is OFF, the component may not be overridden. Enter_Benefit_Lines is an optional toggle; the value of which is provided for each benefits component.
;[Enter Benefit Lines|ENTER_BENEFIT_LINES]:If the ‘Enter Benefit Lines’ toggle is ON, a benefit line may override the coverage component value.\\ \\This field allows users to enter values on the [IBBL] to update this component.\\ \\If users ever have to edit the values updated on the [IBBL] (which updates remittance), they will have to enter a benefit line ([IBBL]) line. This will happen if a pay reversal is run (does not update benefit line automatically) or if an adjustment is made to a PC after benefits are calculated in [UPCALC] due to an overpayment/underpayment from a past period. Editing a PC does not update the line.\\ \\Should be ON for any component that updates remittance (Elig $, Covg, Prem, ER, EE), since users may have to add a benefit line to update.\\If the toggle is OFF, the component may not be overridden. Enter_Benefit_Lines is an optional toggle; the value of which is provided for each benefits component.
This page (revision-46) was last changed on 07-Jul-2022 14:44 by Karen ParrottTop