Scenario 2.5
Account State in MMS
Member Details
Member Code | Member Name | Relationship Type |
|
---|---|---|---|
1001 | John Doe | Self |
|
1002 | Jane Doe | Spouse |
|
1003 | Mary Doe | Child |
|
1004 | Christy Doe | Child |
|
1005 | Timmy Doe | Child |
|
Enrollment Span
Enrollment Span Code | Start Date | End Date | Plan Id | Group Policy Id |
---|---|---|---|---|
2001 | 1/1/2023 | 12/31/2023 | 77842FL342531601 | 54350283 |
2002 | 1/1/2023 | 12/31/2023 | 77842FL342541601 | 54350284 |
2003 | 1/1/2023 | 12/31/2023 | 77842FL342551601 | 54350285 |
Premium Span
Premium Span Code | Start Date | End Date | CSR Variance | Total Premium | Total Responsibility Amount | APTC Amount |
---|---|---|---|---|---|---|
3001 | 1/1/2023 | 12/31/2023 | 01 | 200 | 200 | 0 |
3002 | 1/1/2023 | 12/31/2023 | 01 | 150 | 150 | 0 |
3003 | 1/1/2023 | 12/31/2023 | 01 | 100 | 75 | 25 |
Member Premium Mapping
Premium Span Code | Member Span Code |
---|---|
3001 | 1001 |
3001 | 1002 |
3002 | 1003 |
3002 | 1004 |
3003 | 1005 |