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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At line 121 changed one line
;:%%information Definitions of each of the benefits components may be found in the Benefit Components section of this document.%%
;:%%information Definitions of each of the benefits components may be found in the [Benefit Components|BENEFIT COMPONENTS#Benefit Component Codes] section.%%
At line 126 changed one line
;[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|BC_RULE_CODE]:This field is used 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 either provided, manually enter or selected with the LOV (F9).
At line 130 changed one line
;[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 Action|BC_ACTION]:This is the action will be performed by this benefits component.
;:%%information 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 138 changed one line
;[User Calc|USER_CALC_CODE]:Users may specify a usercalc to calculate the benefits component amount, date, etc. This field is appropriate for those benefits components for which the Rule 00 – “Use UserCalc” is defined. UserCalcs may also be used to verify or change the component amount calculated. User_Calc_Code is a 16-character alphanumeric optional field you may manually enter or use the LOV (F9).
;[User Calc|USER_CALC_CODE]:You may specify a usercalc to calculate the benefits component amount, date, etc. This field is appropriate for those benefits components for which the Rule 00 – “Use UserCalc” is defined. UserCalcs may also be used to verify or change the component amount calculated. User_Calc_Code is a 16-character alphanumeric optional field you may manually enter or use the LOV (F9).
At line 140 changed one line
;[Allow Value Override|ALLOW_VALUE_OVERRIDE]:If the ‘Allow Value Override’ toggle is ON, the system allows users to see value on IBEL, and update it (must also have ‘enter on enrollment’ ON, and ‘enter on enrollment’). Allows users to override value on IBEN. If the toggle is OFF, a value may not be overridden. Both original values and overridden values are stored. The program will use the original or the override based on this toggle. Allow_Value_Override is an optional toggle; the value of which is provided for each benefits component.
;[Allow Value Override|ALLOW_VALUE_OVERRIDE]:If the ‘Allow Value Override’ toggle is ON, the system allows you to see value on [IBEL], and update it (must also have ‘enter on enrollment’ ON, and ‘enter on enrollment’). Allows users to override value on [IBEN]. If the toggle is OFF, a value may not be overridden. Both original values and overridden values are stored. The program will use the original or the override based on this toggle. Allow_Value_Override is an optional toggle; the value of which is provided for each benefits component.
At line 144 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.
At line 146 changed one line
;[Enter Remit History|ENTER_REMIT_HISTORY]:If the ‘Enter Remit History’ toggle is ON, the coverage component value may be overridden on the remit history form.\\ \\This field allows users to enter adjusting values (lines, similar to [IBBL] lines) to remittance history form ([IBRH]).\\ \\Edits on [IBRH] might be necessary to fix historical values, however these amounts should be updated by the B1400’s series of components, whose purpose is to make adjustments to previous remittance period.\\ \\ If the toggle is OFF, the component may not be overridden.\\ \\Enter_Remit_History is an optional toggle; the value of which is provided for each benefits component.
;[Enter Remit History|ENTER_REMIT_HISTORY]:If the ‘Enter Remit History’ toggle is ON, the coverage component value may be overridden on the remit history form.
;:This field allows users to enter adjusting values (lines, similar to [IBBL] lines) to remittance history form ([IBRH]).
;:Edits on [IBRH] might be necessary to fix historical values, however these amounts should be updated by the B1400’s series of components, whose purpose is to make adjustments to previous remittance period.
;:If the toggle is OFF, the component may not be overridden.
;:Enter_Remit_History is an optional toggle; the value of which is provided for each benefits component.
At line 151 changed 5 lines
!!Define Plans/Coverage Definitions (IBPN) - Coverages Tab - Rates
__Coverage Rates__ specify the set of rates applied to a specific step within the coverage detail.\\ \\__If using BC550, the rate steps must be 1, 2, 3, etc. not 01, 02, AA, BB etc.\\ \\
The Benefit Calculation routine expects all rates to be for the rate basis indicated on the Coverage tab.__
\\
;[Step|COVERAGE_STEP_CODE]:Coverage Step is a user-defined code uniquely identifying a set of rates for a coverage. Codes may be numeric (e.g. 01, 02, 03...) or alphanumeric (e.g. A, B, C, FS, MN, A1, A2...).\\ \\__If you are using component BC500, the rate steps must be 1, 2, 3,4, not 01, 02, AA, BB etc.__\\ \\Coverage_Step_Code is a mandatory 16-character alphanumeric field you must manually enter.
!!Coverages Tab - Rates
Coverage Rates specify the set of rates applied to a specific step within the coverage detail.
At line 164 added 6 lines
%%information If using BC550, the rate steps must be 1, 2, 3, etc. not 01, 02, AA, BB etc. The Benefit Calculation routine expects all rates to be for the rate basis indicated on the Coverage tab.%%
;[Step|COVERAGE_STEP_CODE]:Coverage Step is a user-defined code uniquely identifying a set of rates for a coverage. Codes may be numeric (e.g. 01, 02, 03...) or alphanumeric (e.g. A, B, C, FS, MN, A1, A2...).
;:%%information If you are using component BC500, the rate steps must be 1, 2, 3,4, not 01, 02, AA, BB etc.%%
;:Coverage_Step_Code is a mandatory 16-character alphanumeric field you must manually enter.
At line 180 changed one line
\\
At line 182 changed one line
!!Define Plan/Coverage Definitions (IBPN) - Coverages Tab - Waivers
!!Coverages Tab - Waivers
At line 184 changed one line
\\
This page (revision-46) was last changed on 07-Jul-2022 14:44 by Karen ParrottTop