SegmentPrograms

Description

The SegmentPrograms business rule aligns programs to a policy and defines the policy characteristics that determine eligibility.

SegmentPrograms Element and Attribute Table
Element Attribute Definition Value and Description

<SegmentPrograms>

     

<Eligibility>

 

Required and repeatable element

Can be repeated to define difference between new program Add and existing program Maintain eligibility.

 

<PolicyStatusCode>

  Optional and repeatable element

Policy status code from AsCodeStatus

A singular code value is expected per element; no comma delimited lists are allowed.

<Operation>

 

Required element

Associates the eligibility conditions with a program operation: Add or existing program Maintain eligibility.

Add:Determines what programs are available in the Programs drop-down on the Program Screen during the ADD program function.

Maintain: Addresses existing program eligibility. Determines whether SAVE is available on the Programs Screen – Programs Detail.

Both: Pertains to both new add and existing programs.

<Tests>

  Optional element  

<Test>

 

Required element

Can access policy fixed and dynamic data.

Policy:, Plan:, and Segment: are available to the configuration.

XML Example

<SegmentPrograms>
<Eligibility>
<PolicyStatusCode>08</PolicyStatusCode>
<PolicyStatusCode>05</PolicyStatusCode>
<Operation>Both</Operation>
<Tests>
<Test>Policy:IssueStateCode &lt;&gt; '05'</Test>
</Tests>
</Eligibility>
</SegmentPrograms>

XML Schema

<SegmentPrograms>
<Eligibility>
<PolicyStatusCode>Program Status Code value</PolicyStatusCode>
<PolicyStatusCode> Program Status Code value </PolicyStatusCode>
<PolicyStatusCode> Program Status Code value </PolicyStatusCode>
<Operation>Add|Maintain|Both</Operation>
</Eligibility>
<Eligibility>
<PolicyStatusCode> Program Status Code value </PolicyStatusCode>
<PolicyStatusCode> Program Status Code value </PolicyStatusCode>
<PolicyStatusCode> Program Status Code value </PolicyStatusCode>
<Operation> Add|Maintain|Both </Operation>
<Tests>
<Test>expression</Test>
</Tests>
</Eligibility>
</SegmentPrograms>