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This entity sets the medical claim policy limits. |
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Name |
Code |
Class Name |
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Reference |
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Name |
Code |
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Name |
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Code |
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Data Type |
char(20) |
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Mandatory |
Yes |
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Shows the identity of the medical claim policy. It also acts as a primary key for the MClaimPolicy table. |
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Name |
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Code |
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Data Type |
integer |
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Mandatory |
Yes |
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A system generated identity. It is blind to the user. It holds the primary key for the MClaimCycle table. |
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Name |
|
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Code |
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Data Type |
date |
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Mandatory |
No |
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Shows the starting date for the medical claim cycle. |
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Name |
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Code |
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Data Type |
date |
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Mandatory |
No |
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Shows the end date of the medical claim cycle. |
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Name |
|
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Code |
|
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Data Type |
double |
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Mandatory |
No |
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Shows the limited number of claims per policy, in a form of a checkbox. Each approved claim amount is deducted from this. |
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Name |
|
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Code |
|
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Data Type |
integer |
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Mandatory |
No |
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Shows the number of medical claim submissions per employee. Similar to the LimitPerPolicy attribute, when the limit is reached, the employee cannot submit his/her claims, regardless of the amount of limit remaining. If you have the ePortal application, each time a claim is submitted, the policy limits are checked and if exceeded, an error message is displayed. The employee would then be prevented from submitting a claim. |
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