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  1. New Features 2017
  2. NF-5137

County of Sutter-Invoice Adjustment Errors

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    Details

    • Type: Bug
    • Status: Closed
    • Priority: Medium
    • Resolution: Bug Fixed
    • Affects Version/s: None
    • Fix Version/s: None
    • Component/s: UI Refresh
    • Labels:
      None
    • Environment:
      Others
    • Bug Severity:
      Medium
    • Module:
      BenAdmin
    • Reported by:
      Client
    • Company:
      All Clients/Multiple Clients
    • Item State:
      Stage QA - Ready for Production
    • Issue Importance:
      Must Have

      Description

      Hello,
      Per the client: County of Sutter has notified BCC they are having an issue with the billing adjustments on their August invoice (please see attached).

      We have looked into the issue with Harminder Dosanjh:
      1. Beginning May 1, 2017 when BCC begins administration of COSR, Employee is enrolled in the Anthem PPO 500 plan as Employee + 1 Child (Rate $1,463.00)
      2. On June 20, 2017 QE Add Newborn occurs, takes the Anthem PPO 500 plan enrollment to Employee + 2 Children (Rate $2,072.00)
      3. Billing rule is Free In/Pay Out and is built in the Billing Period Policies on the General Plan Design page as follows:
      a. Billing Period Adds = Premiums Waived After the Cut-Off Day; Day of Billing Period = 1
      b. Billing Period Changes/Terminations = Bill for Entire Month; Day of Billing Period = 0
      4. The August invoice incorrectly credits the June premium.
      5. The August invoice does correctly credit and bill the July adjustments
      6. The August invoice does correctly bill for the month of August
      Kenya Olivas is having the exact same issue as Harminder Dosanjh
      a. EE has been effective since 5/1/17 on the Anthem PPO 1000 plan with EE + SP + 2+ Children on the plan (Rate $1,698.00)
      b. On 6/23/17 QE Add Newborn was initiated for a baby born 5/24/17. This has no effect on the enrollment level as the EE already has 2+ Children on the plan
      c. Billing rule is Free In/Pay Out and is built in the Billing Period Policies on the General Plan Design page as follows:
      i. Billing Period Adds = Premiums Waived After the Cut-Off Day; Day of Billing Period = 1
      ii. Billing Period Changes/Terminations = Bill for Entire Month; Day of Billing Period = 0
      d. The August invoice incorrectly credits the May premium
      e. The August invoice does correctly credit and bill the June and July adjustments
      f. The August invoice does correctly bill for the month of August

      Could you please have your development team look into this ASAP, the group is extremely unhappy with their invoices.

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              Assignee:
              venkatesh.pujari Venkatesh Pujari
              Reporter:
              jyoti.agrawal Jyoti Agrawal (Inactive)
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                Dates

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                Updated:
                Resolved:
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