Test Case Id | Test Case Description | Transaction Type | Multiple Premium Spans | Dependent Only Coverage | Financial Change | Effective Date | Premium Span Dates | # of members in transaction | # of members in account |
|---|
ZEUS-APS-ACCT-Process-01
| New Account is created, only one premium span is created for the enrollment span
| ADD | No | No | NA | 3/1/2020 | 3/1/2020 | 22 | NA |
ZEUS-APS-ACCT-Process-02
| New Account is created, multiple premium spans are created for the enrollment span
| ADD | Yes | No | NA | 3/1/2020 | 3/1/2020 5/1/2020 7/1/2020 | 22 | NA |
ZEUS-APS-ACCT-Process-03
| New Enrollment span created for an existing account.
| ADD | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-04
| Existing account, new Enrollment span created and an existing enrollment span canceled.
| ADD | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-05
| Existing account, new Enrollment span created and existing enrollment spans canceled.
| ADD | No | No | | | | 3 | 3 |
ZEUS-APS-ACCT-Process-06
| Existing account, new Enrollment span created and an existing enrollment span termed and one canceled.
| ADD | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-07
| Existing account, new Enrollment span created and an existing enrollment span termed and one canceled. Gap between existing enrollment spans
| ADD | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-08
| Existing account, contains multiple enrollment spans. New span is created in between the existing enrollment spans
| ADD | Yes | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-09
| Existing account, brand new Enrollment span created for next year. Member middle name and last name is updated
| ADD | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-10
| Existing account, brand new Enrollment span created for next year. New residential address is added
| ADD | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-11
| Existing account, new Enrollment span created for next year, all members addresses are updated.
| ADD | No | No | | | | 3 | 3 |
ZEUS-APS-ACCT-Process-12
| Existing account, brand new Enrollment span created for next year. Addresses, phone number, language and email are updated
| ADD | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-13
| Non Financial Change - Middle Name Updated - PRE AMT TOT Not Present in the transaction - Only Primary Subscriber in the account
| CHANGE | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-14
| Non Financial Change - Middle Name Updated - PRE AMT TOT Present in the transaction - Only Primary Subscriber in the account
| CHANGE | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-15
| Non Financial Change - Address Updated - PRE AMT TOT Not Present in the transaction - Only Primary Subscriber in the account
| CHANGE | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-16
| Non Financial Change - Phone number, language and email Updated - PRE AMT TOT Not Present in the transaction - Only Primary Subscriber in the account
| CHANGE | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-17
| Non Financial Change - Address Updated - PRE AMT TOT Not Present in the transaction - Dependents present in the transaction and address is updated for all
| CHANGE | No | No | | | | 3 | 3 |
ZEUS-APS-ACCT-Process-18
| Non Financial Change - Phone number, email and language Updated - PRE AMT TOT Not Present in the transaction - Dependents present in the transaction and updates are done for all
| CHANGE | No | No | | | | 3 | 3 |
ZEUS-APS-ACCT-Process-19
| Non Financial Change - Middle Name Updated - PRE AMT TOT Present in the transaction - Dependents present in the account but not in the transaction
| CHANGE | No | No | | | | 1 | 3 |
ZEUS-APS-ACCT-Process-20
| Non Financial Change - Middle Name Updated - PRE AMT TOT Not Present in the transaction - Dependents present in the account but not in the transaction
| CHANGE | No | No | | | | 1 | 3 |
ZEUS-APS-ACCT-Process-21
| Financial Change - Only Primary Subscriber in the account, new APTC amount and CSR Amount for date greater than the current effective date
| CHANGE | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-22
| Financial Change - Only Primary Subscriber in the account, contains multiple enrollment spans for the same year, new APTC amount and CSR Amount for date greater than the current effective date
| CHANGE | No | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-23
| Financial Change - Only Primary Subscriber in the account, contains multiple premium spans for the matched enrollment span, new APTC amount and CSR Amount for date greater than one of the existing premium spans
| CHANGE | Yes | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-24
| Financial Change - Only Primary Subscriber in the account, contains multiple premium spans for the matched enrollment span, new APTC amount and CSR Amount for date equal to one of the existing premium spans
| CHANGE | Yes | No | | | | 1 | 1 |
ZEUS-APS-ACCT-Process-25
| Financial Change - Dependent Added - Only Primary Subscriber in the account before the transaction is received
| CHANGE | No | No | | | | 2 | 1 |
ZEUS-APS-ACCT-Process-26
| Financial Change - Dependents present in the account and in the transaction
| CHANGE | No | No | | | | 3 | 3 |
ZEUS-APS-ACCT-Process-27
| Financial Change - Dependents present in the account but not in the transaction. Change received for a date that is equal to one of the premium spans
| CHANGE | No | No | | | | 1 | 3 |
ZEUS-APS-ACCT-Process-28
| Financial Change - Dependent added - Dependents present in the account but not in the transaction. Change received for a date that is not equal to one of the premium spans
| CHANGE | No | No | | | | 2 | 3 |
ZEUS-APS-ACCT-Process-29
| Financial Change - Dependent Termed - Dependents present in the account and in the transaction
| CHANGE | No | No | | | | 3 | 3 |
ZEUS-APS-ACCT-Process-30
| Financial Change - Dependent Canceled - Only Subscriber and canceled dependent present in the transaction
| CHANGE | No | No | | | | 2 | 3 |
ZEUS-APS-ACCT-Process-31
| CSR Variant Change
| CHANGE | No | No | | | | 1 | 3 |
ZEUS-APS-ACCT-Process-32
| Multiple financial changes in a single transaction
| CHANGE | Yes | No | | | | 1 | 3 |
ZEUS-APS-ACCT-Process-33
| Multiple financial changes in a single transaction (Dependents added for different dates)
| CHANGE | Yes | No | | | | 3 | 3 |
ZEUS-APS-ACCT-Process-34
| Multiple financial changes in a single transaction (Dependents termed for different dates)
| CHANGE | Yes | No | | | | 3 | 3 |
ZEUS-APS-ACCT-Process-35
| Multiple financial changes in a single transaction (Dependent termed and one dependent added for different dates)
| CHANGE | Yes | No | | | | 3 | 3 |
ZEUS-APS-ACCT-Process-36
| Dependent only change transaction
| CHANGE | No | No | | | | 1 | 3 |
ZEUS-APS-ACCT-Process-37
| CANCEL Transaction
| CANCEL | No | No | | | | 1 | 3 |
ZEUS-APS-ACCT-Process-38
| TERM Transaction
| TERM | No | No | | | | 1 | 3 |
ZEUS-APS-ACCT-Process-39
| Canceled Span Reinstated
| REINSTATEMENT | No | No | | | | 1 | 3 |
ZEUS-APS-ACCT-Process-40
| Termed Span reinstated
| REINSTATEMENT | No | No | | | | 1 | 3 |
ZEUS-APS-ACCT-Process-41
| Canceled span reinstated. Canceled span has two set of premium spans with same start and end dates
| REINSTATEMENT | No | No | | | | 1 | 3 |
ZEUS-APS-ACCT-Process-42
| Termed span reinstated. Termed span has multiple sets of premium spans with same start dates after term date
| REINSTATEMENT | No | No | | | | 1 | 3 |
ZEUS-APS-ACCT-Process-43
| Termed span reinstated
| REINSTATEMENT | No | No | | | | 1 | 1 |
Fowler Family Account (Test Cases: 44, 45, 46, 47, 48, 49, 50 and 51) Has Dependent only coverage. HOH is not covered in any plan |
ZEUS-APS-ACCT-Process-44
| New dependent only coverage account is created.
| ADD | Yes | Yes | | | | 4 | N/A |
ZEUS-APS-ACCT-Process-45
| Financial Change Transaction for Dependent only coverage
| CHANGE | Yes | Yes | | | | 1 | 4 |
ZEUS-APS-ACCT-Process-46
| Terming the second child Rose Fowler effective 4/30/2023
| CHANGE | Yes | Yes | | | | 2 | 4 |
ZEUS-APS-ACCT-Process-47
| New enrollment span for the dependent Rose who was termed as of 4/30/2023 in the test case 46
| ADD | Yes | Yes | | | | 2 | 4 |
ZEUS-APS-ACCT-Process-48
| First child is getting termed from this plan as of 7/31/2023
| CHANGE | Yes | Yes | | | | 2 | 4 |
ZEUS-APS-ACCT-Process-49
| First child is getting added to the second enrollment span
| CHANGE | Yes | Yes | | | | 2 | 4 |
ZEUS-APS-ACCT-Process-50
| Term the first enrollment span as of 11/30/2023
| TERM | No | Yes | | | | 1 | 4 |
ZEUS-APS-ACCT-Process-51
| Add the spouse to the second enrollment span effective 12/1/2023
| CHANGE | No | Yes | | | | 2 | 4 |
Jones Family Account (Test Cases: 52, 53, 54 and 55) Primary Subscriber and Spouse are enrolled together initially, creating the account Children have their own enrollments after the account is created
|
ZEUS-APS-ACCT-Process-52
| First Add Transaction - For the HOH and SPE
| ADD | Yes | No | | | | 2 | NA |
ZEUS-APS-ACCT-Process-53
| Child # 1 in a separate plan for Jones Family
| ADD | Yes | Yes | | | | 2 | 2 |
ZEUS-APS-ACCT-Process-54
| Child # 2 in a separate plan for Jones Family
| ADD | Yes | Yes | | | | 2 | 3 |
ZEUS-APS-ACCT-Process-55
| Child # 3 in a separate plan for Jones Family
| ADD | Yes | Yes | | | | 2 | 4 |
Huber Family Account (Test Cases: 56, 57, 58 and 59) Dependents gets enrolled in a plan first which creates the account Subscriber gets enrolled in a separate pan after the account is created
|
ZEUS-APS-ACCT-Process-56
| Dependent is first enrolled
| ADD | Yes | Yes | | | | 2 | NA |
ZEUS-APS-ACCT-Process-57
| Theron Huber (HOH) and his spouse are getting enrolled in a separate plan
| ADD | Yes | No | | | | 2 | 2 |
ZEUS-APS-ACCT-Process-58
| Three more dependents in Heron household are getting enrolled in a separate plan
| ADD | Yes | Yes | | | | 4 | 3 |
ZEUS-APS-ACCT-Process-59
| Financial Change for the Primary subscriber enrollment span
| CHANGE | Yes | No | | | | 1 | 6 |
Key Family (Test Cases: 60, 61, 62 and 63) Adding a dependent that was present in the prior enrollment span to the new enrollment span via a change transaction and the subsequently canceling them in the following transaction |
ZEUS-APS-ACCT-Process-60
| 2023 Enrollment Span for Key family
| ADD | No | No | | | | 4 | NA |
ZEUS-APS-ACCT-Process-61
| 2024 Enrollment Span for Key family - One of the child is not present in the ADD
| ADD | No | No | | | | 3 | 4 |
ZEUS-APS-ACCT-Process-62
| Adding the dependent who is not present in the 2024 but is present in 2023
| CHANGE | No | No | | | | 2 | 4 |
ZEUS-APS-ACCT-Process-63
| Canceling the dependent who was added in test case 62
| CHANGE | No | No | | | | 2 | 4 |
Hart Family Account: (Test Cases: 64, 65, 66, 67 and 68) Add dependent without making any updates to the amounts and CSR Variant (Multiple financials received in the transaction). One dependent is added on the same date as that of the enrollment span start date One dependent is added on a date that is greater than the enrollment span start date Cancel the dependent added in Step 1 Cancel the dependent added in Step 2
|
ZEUS-APS-ACCT-Process-64
| Enrollment Span for Hart family
| ADD | No | No | | | | 4 | NA |
ZEUS-APS-ACCT-Process-65
| Add a dependent effective from 1/1/2023 with no change to the financials
| CHANGE | No | No | | | | 2 | 4 |
ZEUS-APS-ACCT-Process-66
| Add a dependent effective from 5/1/2023 with no change to the financials
| CHANGE | No | No | | | | 2 | 5 |
ZEUS-APS-ACCT-Process-67
| Cancel the last added dependent effective from 5/1/2023 with no change to the financials
| CHANGE | No | No | | | | 2 | 5 |
ZEUS-APS-ACCT-Process-68
| Cancel the first added dependent effective from 1/1/2023 with no change to the financials
| CHANGE | No | No | | | | 2 | 5 |
Kidd Family Account: (Test Cases: 69, 70, 71, 72 and 73) One dependent is added on the same date as that of the enrollment span start date One dependent is added on a date that is greater than the enrollment span start date Cancel the dependent added in Step 2 Cancel the dependent added in Step 1
|
ZEUS-APS-ACCT-Process-69
| Enrollment Span for Kidd family
| ADD | Yes | No | | | | 4 | NA |
ZEUS-APS-ACCT-Process-70
| Add a dependent effective 1/1/2023 and another dependent effective 5/1/2023 with no change to financials
| CHANGE | Yes | No | | | | 3 | 4 |
ZEUS-APS-ACCT-Process-71
| Cancel both the dependents added in the prior transaction
| CHANGE | Yes | No | | | | 3 | 6 |
ZEUS-APS-ACCT-Process-72
| Enrollment Span for Kidd family for the year 2024
| ADD | Yes | No | | | | 4 | 6 |
ZEUS-APS-ACCT-Process-73
| Add one dependent effective from 1/1/2024 and one dependent effective from 6/1/2024
| CHANGE | Yes | No | | | | 3 | 6 |
ZEUS-APS-ACCT-Process-74
| Cancel first dependent added in the previous transaction effective from 1/1/2024
| CHANGE | Yes | No | | | | 2 | 6 |
ZEUS-APS-ACCT-Process-75
| Cancel second dependent added effective from 6/1/2024"
| CHANGE | Yes | No | | | | 2 | 6 |