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Enhancement: Time Validity On Intersection Enrollment Product - Product (Doc ID 2530806.1)

Last updated on APRIL 22, 2019

Applies to:

Oracle Health Insurance Enterprise Policy Administration - Version 3.18.3.0.0 and later
Information in this document applies to any platform.

Goal

At HealthPartners, health plans are sold to members. Health plans contain a benefit package code which is used in Claims processing. A plan has a time-valid association to a package.The reason for this is that the plan typically does not change but the underlying benefit package changes each year. If a package changes, HP creates a new package. This new package is then associated to the applicable plan with a date range.

In OHI the plan maps to enrollment product and the packages maps to 'product' The product can be associated to the enrollment product but it does not have time validity.

No workaround possible since the enrollment product/product intersection cannot be extended with dynamic fields and the enrollment product cannot be extended with a dynamic record.



Solution

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In this Document
Goal
Solution
References


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