Administering Group Benefits

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Administering Group Benefits

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1.In order to administer group benefits, go to Database > Covered Health Plans Benefits in the main menu window.

 

"Covered Health Plans Benefits" in the "Database" menu.

"Covered Health Plans Benefits" in the "Database" menu.

 

The following window will open:

 

"Health Plan Benefits" table.

"Health Plan Benefits" table.

 

Information in the Health Plan Benefits:

PlanName

EligibilityStatus

ServiceTypeCode

BenefitsInPlanNetwork

AnnualDedInNetworkIND

AnnualDedInNetworkFAM

AnnualDedOutNetworkIND

AnnualDedOutNetworkFAM

CoPayInNetworkQual

CoPayInNetwork

CoPayOutNetworkQual

CoPayOutNetwork

CoInsuranceInNetwork

CoInsuranceOutNetwork

 

2.In order to add a health plan, click the "Add" button in the bottom left corner.

 

"Add" button in the "Covered Health Plan Benefits" window.

"Add" button in the "Covered Health Plan Benefits" window.

 

3.When you click the "Add" button, this pop-up window will be displayed:

 

"Health Plan" pop-up window.

"Health Plan" pop-up window.

 

Fields to fill in the Health Plan:

Name

Health Plan ID (optional)

Group ID (optional)

Base Deductible Begin Date

 

4.Once the information is filled, click "Save" and it will display in the Covered Health Plan Benefits window.

 

New health plan displayed in window.

New health plan displayed in window.

 

5.Once the new health plan is displayed, the Health Plan Benefits cells can be populated.

 

"Health Plan Benefits" populated table.

"Health Plan Benefits" populated table.