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Transaction Processing Test Case

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Test Case Id

Test Case Description

Transaction Type

Multiple Premium Spans

Dependent Only Coverage

# 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

2

2

ZEUS-APS-ACCT-Process-02

New Account is created, multiple premium spans are created for the enrollment span

ADD

Yes

No

2

2

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)

  1. Primary Subscriber and Spouse are enrolled together initially, creating the account

  2. 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)

  1. Dependents gets enrolled in a plan first which creates the account

  2. 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:

Account that has dependent only enrollment spans

  1. First ADD transaction adds only the depdents

  2. Second ADD transaction adds the primary subscriber and the dependent

  3. Third ADD transaction adds three more dependents in their own plan

  4. Financial Change transaction for the primary subscriber enrollment span

Test Case 56

Test Case 57

Test Case 58

Test Case 59

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

Test Case 60

Add transaction for all the four members in the family for 2023

Test Case 61

Add transaction for only the HOH, Spouse and one child for 2024

Test Case 62

Change transaction that adds the fourth dependent to the family effective 3/1/2024

Test Case 63

Change transaction that cancels the dependent added effective 3/1/2024

Add dependent without making any updates to the amounts and CSR Variant (Single financials received in the transaction).

  1. One dependent is added on the same date as that of the enrollment span start date

  2. One dependent is added on a date that is greater than the enrollment span start date

  3. Cancel the dependent added in Step 2

  4. Cancel the dependent added in Step 1

Test Case 64

Test Case 65

Test Case 66

Test Case 67

Test Case 68

Add dependent without making any updates to the amounts and CSR Variant (Multiple financials received in the transaction).

  1. One dependent is added on the same date as that of the enrollment span start date

  2. One dependent is added on a date that is greater than the enrollment span start date

  3. Cancel the dependent added in Step 2

  4. Cancel the dependent added in Step 1

Add dependent without making any updates to the amounts and CSR Variant (Multiple financials received in the transaction).

  1. One dependent is added on the same date as that of the enrollment span start date

  2. One dependent is added on a date that is greater than the enrollment span start date

  3. Cancel the dependent added in Step 1

  4. Cancel the dependent added in Step 2

Multiple Financials present - Dependent canceled, termed and added

Dependents added, termed/canceled for the same effective date

Change transaction updating the end date of the enrollment span

Dependent termed effective for one date

Term transaction effective for one day

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