Page Comparison

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Method Detail	Value
Visibility	Public
Method Parameters	TransactionDto, Account, List<EnrollmentSpanDto> priorEnrollmentSpans
Return	EnrollmentSpan
Functionality	Below are the steps to create the enrollment span. Identify the primary subscriber in the transaction (getPrimaryMember) Generate a unique code for the new enrollment span to be created. Create the enrollment span entity with the below details retrieved from the transaction Set the account enrollment span sk to NULL, since this is a new enrollment span. Set the enrollment span code Set the account for which the enrollment span is being created Set the zeus transaction control number Set the state type code Set the marketplace type code Set the business unit type code Set the coverage type code Set the start date Set the end date (determineEndDate) Set the exchange subscriber id Set the effectuation date (determineEffectuationDate) Set the plan Set the product type Set the group policy id Set the changed flag to "TRUE" Set the enrollment span status (determineEnrollmentSpanStatus) Save the enrollment span Call the premium span helper instance to create the premium spans (createPremiumSpans)

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Method Detail	Value
Visibility	Public
Method Parameters	AccountDto, Account, Sting (Ztcn)
Return Parameter	void
Functionality	The main objective of this method is to retrieve the enrollment spans present in the Account entity and convert them into dto object and set them in the Account Dto object. This method also internally invokes the premium span helper to set the premium span dto in the respective enrollment span dto object.

Update Enrollment Span

Method Detail	Value
Visibility	Public
Method Parameters	AccountDto, TransactionDto, Account
Return Parameter	void
Functionality	Check if there are any enrollment spans that are being affected by add this enrollment span to the account (getOverlappingEnrollmentSpans). Update these overlapping enrollment spans as appropriate by terming or canceling them as needed. (updateOverlappingEnrollmentSpans) Update the account dto object with the enrollment spans that have been identified as overlapping and are termed or canceled (updateAccountDtoWithOverlappingSpans) Save the updated enrollment spans in the database (saveUpdatedEnrollmentSpans) Create the new enrollment span based on the information from the transaction (createEnrollmentSpan) Update the account entity with the updated and created enrollment spans.

Cancel Premium Span

Method Detail	Value
Visibility	Private
Method Parameter	PremiumSpanDto
Return Parameter	void
Functionality	If the premium span start date is not equal to end date or if they are equal and the status is "ACTIVE" then, Set the end date same as that of the start date Set the status of the premium span to "CANCEL" Set the "Changed" flag to TRUE.

Cancel Premium Spans

Method Detail	Value
Visibility	Private
Method Parameter	Set<PremiumSpanDto>
Return Parameter	void
Functionality	Iterate through each premium span and invoke cancel premium span (cancelPremiumSpan) method to cancel the premium span.

Determine Effectuation Date

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Method Detail	Value
Visibility	Private
Method Parameters	TransactionMemberDto (Primary Subscriber Info)
Return Parameter	String (Exchange Subscriber Id)
Functionality	Iterate through the identifiers list of the member to find an identifier of type "EXCHSUBID" and return the value.

Get Overlapping Enrollment Spans

Method Detail	Value
Visibility	Private
Method Parameters	AccountDto, LocalDate (Effective Start date), LocalDate (Effective End Date), String (coverageTypeCode)
Return Parameter	List<EnrollmentSpanDto>
Functionality	Follow the below steps to identify the enrollment spans that will overlap with the the effective date received for the transaction. Get all the enrollment spans that are present for the year for which the effective date is received and has the same coverage type code that is passed to the method. i.e. if the effective date is 2/1/2023 get all the enrollment spans that belong to the year 2023 and also has the same coverage type code "FAM" or "DEP". From the enrollment spans filtered from step 1, get all the enrollment spans that have the end date that is greater than the effective start date. This eliminates all the enrollment spans that are termed prior to the effective start date of the transaction. From the enrollment spans filtered from step 2, Get all enrollment spans that have the start date that is before the effective end date received in the transaction and is not in CANCEL status. After completion of steps 1, 2 and 3, if there are any overlapping enrollment spans still, present, return that list, else return NULL.

Get Primary Member

Method Detail	Value
Visibility	Private
Method Parameters	TransactionDto
Return	TransactionMemberDto
Functionality	Iterate through the members in the transaction the retrieve the member with the relationship type code "HOH" Note: No exception handling is added if no member with relationship type code of "HOH" is not present, because such validations should have been done by rules well before the transaction is at this step.

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Method Detail	Value
Visibility	Private
Method Parameter	AccountDto, LocalDate (Start Date), boolean (match cancel span or not)
Return Parameter	List<EnrollmentSpanDto>
Functionality	Get all the enrollment spans that are in the account with end date that is prior to the start date of the transaction. If the match cancel span boolean is set to false then remove any canceled enrollment spans (removeCanceledSpans) from the list and then return the enrollment that has the max end date among all of the remaining enrollment spans.

Is Delinquent

Method Detail	Value
Visibility	Private
Method Parameters	EnrollmentSpan (Current Enrollment Span), List<EnrollmentSpanDto> priorEnrollmentSpans
Return Parameter	int
Functionality	This method returns one of the three below values 1 - To indicate the current enrollment span should be set to delinquent -1 - To indicate that the current enrollment span should be set to suspended 0 - To indicate that the current enrollment span is not delinquent. Below is how the logic is perform the determine which of the above three should be sent. Check for below conditions Current Enrollment Span effectuation date is not NULL Current Enrollment Span delinquency indicator is set to TRUE Current Enrollment Span start date is greater than the end date (Cancel span condition) If any of the above conditions are false, then span is not delinquent return the value "0" If all of the above conditions are true, then follow the below logic. If the current enrollment span does not have claim paid through date, then return the value -1 (Suspended - Note at this point the delinquency indicator is true and the effectuation date is not null) If the current enrollment span has a claim paid through date then If the the current system date is before or equal to the claim paid through date and There is no gap in coverage between the current enrollment and the prior enrollment span, and Both enrollments are for the same plan and The prior enrollment span is in delinquent status If all of the above conditions are true, then return the value "1" (Delinquent) If any of the above conditions are false, then return the value "-1" (Suspended)

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Method Detail	Value
Visibility	Private
Method Parameter	List<EnrollmentSpanDto>
Return Parameter	List<EnrollmentSpanDto>
Functionality	Iterate through the input list of enrollment spans and remove the enrollment spans that are canceled and return the remaining enrollment spans.

Save Updated Enrollment Spans

Method Detail	Value
Visibility	Private
Method Parameter	List<EnrollmentSpanDto>, Account
Return Parameter	List<EnrollmentSpan>
Functionality	Retrieve the enrollment spans from the list and convert them into enrollment span entities with the help of the mapper and set the account the MMS key of the enrollment span and save the enrollment span to the repository. The corresponding premium spans are also updated by invoking the methods in the premium span helper.

Update Account Dto With Overlapping Spans

Method Detail	Value
Visibility	Private
Method Parameters	AccountDto, List<EnrollmentSpanDto> (overlapping enrollment spans)
Return Parameter	void
Functionality	In the account dto, remove the enrollment span that matches using the enrollment span code from the overlapping enrollment span list. Once the stale enrollment spans are removed, add the overlapping enrollment span list received in the input to the account.

Update Overlapping Enrollment Spans

Method Detail	Value
Visibility	Private
Method Parameters	List<EnrollmentSpanDto> (Overlapping Enrollment Spans), LocalDate (Effective Start Date), LocalDate (Effective End Date)
Return Parameter	List<EnrollmentSpanDto>
Functionality	The objective of this method is to identify the overlapping enrollment spans and term or cancel them appropriately. It follows the below steps to achieve this objective. Get the enrollment span in which the effective date is falling in between its start date and end date. Term the enrollment span identified in step 1, the premium spans will also be termed or canceled If there are additional overlapping enrollment spans, cancel those enrollment spans. All the premium spans should be canceled.

Versions Compared

Old Version 3

New Version Current

Key

Update Enrollment Span

Cancel Premium Span

Cancel Premium Spans

Determine Effectuation Date

Get Overlapping Enrollment Spans

Get Primary Member

Is Delinquent

Save Updated Enrollment Spans

Update Account Dto With Overlapping Spans

Update Overlapping Enrollment Spans