Friday, January 13, 2017

Validating Pre-Existing Conditions in Facets

It is one of the most important requirements for a Non-Grandfathered health Pan to validate that it has no Pre-Existing conditions after ACA comes into force. The test case should be like this or similar:
Validate that the existing conditions have been removed from the heath plan of the group.

In Facets, every health plan has four major components. They are Group Id, Product Id, Plan ID and BSBS prefix. In Facets, there is an application group named Medical Plan. This application group has many applications  and one of the applications is BSBS. So in order to validate that the health plan has no pre-existing conditions, we have to perform following steps: 
Step1: Open Facets and scroll down to Medical Plan application group.
Step2: Open the applications of the  Medical Plan application group
Step3: Scroll down to BSBS application and press Ctrl+O to open BSBS window.
Step4: Now enter BSBS prefix in BSBS window edit box and click OK.
Step5: Now Scroll down to PREX(PRE-EXISTING WAITING PERIOD) and click on it.

Now facets will show you whether the plan has pre-existing conditions or not. If the Health Plan has no pre-existing conditions, Facets will display the following information:
No Pre-existing Waiting Period is applicable

This is how Pre-existing conditions are validated using Facets.

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