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InsEnrollmentService:getEligibleMemberProducts
Use this service to return eligible products for members of a census and groups them by type.
Method: getEligibleMemberProducts
How It works
-
This service takes a
contractIdand looks for information from theGroupCensus__cattached to it. -
Using the
GroupCensus__cobtained from the contractId, the service retrieves all primaryGroupCensusMembers__cand their dependents. -
The
censusRatingFactis created using theGroupCensus__cProduct Code and theAttributeSelectedValues__c. -
The
contractIdandcategoriesoptions are used to retrieve theContractLineItem__c(Plans) and associated metadata. -
The primary
GroupCensusMembers__cuses thecensusRatingFactand theAttributeSelectedValues__cof the primary member, and its dependents, to check the eligibility of a primary member. -
For each
ContractLineItem__con the contract, itsEligibilityCriteria__cwill be compared to the each of the primary member's inputs, from above.If a member has eligible products, the service will attach the primary member, sort it by category, then add it to the output JSON. Members with no eligible products will not be added to the output JSON.
Remote Options
Option |
Description |
|---|---|
|
Required. Id of the contract. |
|
Optional string. Comma separated list of categories (Medical, Dental, Vision). Will return plans only for specified categories. Default = all categories. |
|
Optional. Boolean. True returns options only when multiple plans are available. Used to display members with their available options for each category, so user can make selections. |
|
Optional. Boolean. True returns options only when single plans are available. Used for auto-enrollment when members have only a single plan option. |
|
Boolean. If Default = |
Output JSON
The output JSON is a list of census members, with First Name, Last Name, Census Member Id, Categories of Products that they are eligible for.
{
"contractId": "8006F0000014asaQAA",
"ContextId": "",
"timeStamp": "2019-08-30T08:34:43.150Z",
"userId": "0056F0000077bTYQAY",
"userName": "john@company.com",
"userProfile": "System Administrator",
"userTimeZone": -420,
"userCurrencyCode": "EUR",
"sfdcIFrameOrigin": "https://company.com",
"sfdcIFrameHost": "web",
"layout": "lightning",
"isdtp": "p1",
"id": "a1e6F000004RxxkQAC",
"vlcPersistentComponent": {},
"totalSize": 0,
"records": [
{
"displaySequence": -1,
"Id": "a386F000001ao9xQAA",
"FirstName": "Lynn",
"LastName": "Robbins",
"Medical": {
"totalSize": 1,
"records": [
{
"displaySequence": -1,
"Id": "01t6F00000AyW3ZQAV",
"planId": "a1u6F000005ipRCQAY",
"productName": "Acupuncture Office Professional",
"Type": "Medical",
"Description": "Anthem",
"ProductCode": "AcupOffiProf",
"MarketSegment": "Large Group",
"LineOfBusiness": "Group Health",
"attributeCategories": {
"totalSize": 2,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 1,
"label": "Covered at",
"attributeId": "a1R6F00000Km1XLUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "percentage",
"code": "INN_covered"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "yes",
"disabled": false,
"readonly": false,
"label": "Yes",
"id": "0"
},
{
"value": "no",
"disabled": false,
"readonly": false,
"label": "No",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 2,
"label": "Deductible",
"attributeId": "a1R6F00000Km1XMUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "INN_deductible"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 3,
"label": "Copay",
"attributeId": "a1R6F00000Km1XNUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "currency",
"code": "INN_copay"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 5,
"label": "IN covered",
"attributeId": "a1R6F00000Km1XKUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "checkbox",
"dataType": "text",
"code": "INNetwork_covered"
}
],
"totalSize": 4
},
"id": "a1Q6F00000FR6uJUAT",
"Name": "In-Network",
"Code__c": "Vlocity_INN",
"displaySequence": 210
},
{
"productAttributes": {
"records": [
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 1,
"label": "Covered at",
"attributeId": "a1R6F00000Km1ZGUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "percentage",
"code": "OON_covered"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "yes",
"disabled": false,
"readonly": false,
"label": "Yes",
"id": "0"
},
{
"value": "no",
"disabled": false,
"readonly": false,
"label": "No",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 2,
"label": "Deductible",
"attributeId": "a1R6F00000Km1ZHUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "radio",
"dataType": "text",
"code": "OON_deductible"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 3,
"label": "Copay",
"attributeId": "a1R6F00000Km1ZIUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "currency",
"code": "OON_copay"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 4,
"label": "ON Covered",
"attributeId": "a1R6F00000Km1ZFUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "checkbox",
"dataType": "text",
"code": "OutNetwork_covered"
}
],
"totalSize": 4
},
"id": "a1Q6F00000FR6vIUAT",
"Name": "Out-Of-Network",
"Code__c": "ANTM_OON",
"displaySequence": 220
}
]
}
}
]
},
"Dental": {
"totalSize": 1,
"records": [
{
"displaySequence": -1,
"Id": "01t6F000007sPVlQAM",
"planId": "a1u6F000005j7AlQAI",
"productName": "Dental 2",
"Type": "Dental",
"ProductCode": "DENTAL2",
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"hidden": false,
"hasRules": false,
"displaySequence": 1,
"label": "Office Visits & Exams",
"attributeId": "a1R6F00000K0X4sUAF",
"filterable": true,
"disabled": false,
"readonly": true,
"required": false,
"inputType": "number",
"dataType": "currency",
"code": "ILLNESS"
},
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"hidden": false,
"hasRules": false,
"displaySequence": 2,
"label": "Unexpected Illness",
"attributeId": "a1R6F00000K0X4tUAF",
"filterable": true,
"disabled": false,
"readonly": true,
"required": false,
"inputType": "number",
"dataType": "currency",
"code": "ILL-UNEXPECTED"
}
],
"totalSize": 2
},
"id": "a1Q6F000009NzKhUAK",
"Name": "Benefit",
"Code__c": "BENEFIT",
"displaySequence": 483
}
]
}
}
]
}
},
{
"displaySequence": -1,
"Id": "a386F000001aoA0QAI",
"FirstName": "Mara",
"LastName": "Robbins",
"Medical": {
"totalSize": 1,
"records": [
{
"displaySequence": -1,
"Id": "01t6F00000AyW3ZQAV",
"planId": "a1u6F000005ipRCQAY",
"productName": "Acupuncture Office Professional",
"Type": "Medical",
"Description": "Anthem",
"ProductCode": "AcupOffiProf",
"MarketSegment": "Large Group",
"LineOfBusiness": "Group Health",
"attributeCategories": {
"totalSize": 2,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 1,
"label": "Covered at",
"attributeId": "a1R6F00000Km1XLUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "percentage",
"code": "INN_covered"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "yes",
"disabled": false,
"readonly": false,
"label": "Yes",
"id": "0"
},
{
"value": "no",
"disabled": false,
"readonly": false,
"label": "No",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 2,
"label": "Deductible",
"attributeId": "a1R6F00000Km1XMUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "INN_deductible"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 3,
"label": "Copay",
"attributeId": "a1R6F00000Km1XNUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "currency",
"code": "INN_copay"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 5,
"label": "IN covered",
"attributeId": "a1R6F00000Km1XKUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "checkbox",
"dataType": "text",
"code": "INNetwork_covered"
}
],
"totalSize": 4
},
"id": "a1Q6F00000FR6uJUAT",
"Name": "In-Network",
"Code__c": "Vlocity_INN",
"displaySequence": 210
},
{
"productAttributes": {
"records": [
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 1,
"label": "Covered at",
"attributeId": "a1R6F00000Km1ZGUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "percentage",
"code": "OON_covered"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "yes",
"disabled": false,
"readonly": false,
"label": "Yes",
"id": "0"
},
{
"value": "no",
"disabled": false,
"readonly": false,
"label": "No",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 2,
"label": "Deductible",
"attributeId": "a1R6F00000Km1ZHUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "radio",
"dataType": "text",
"code": "OON_deductible"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 3,
"label": "Copay",
"attributeId": "a1R6F00000Km1ZIUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "currency",
"code": "OON_copay"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 4,
"label": "ON Covered",
"attributeId": "a1R6F00000Km1ZFUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "checkbox",
"dataType": "text",
"code": "OutNetwork_covered"
}
],
"totalSize": 4
},
"id": "a1Q6F00000FR6vIUAT",
"Name": "Out-Of-Network",
"Code__c": "ANTM_OON",
"displaySequence": 220
}
]
}
}
]
},
"Dental": {
"totalSize": 1,
"records": [
{
"displaySequence": -1,
"Id": "01t6F000007sPVlQAM",
"planId": "a1u6F000005j7AlQAI",
"productName": "Dental 2",
"Type": "Dental",
"ProductCode": "DENTAL2",
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"hidden": false,
"hasRules": false,
"displaySequence": 1,
"label": "Office Visits & Exams",
"attributeId": "a1R6F00000K0X4sUAF",
"filterable": true,
"disabled": false,
"readonly": true,
"required": false,
"inputType": "number",
"dataType": "currency",
"code": "ILLNESS"
},
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"hidden": false,
"hasRules": false,
"displaySequence": 2,
"label": "Unexpected Illness",
"attributeId": "a1R6F00000K0X4tUAF",
"filterable": true,
"disabled": false,
"readonly": true,
"required": false,
"inputType": "number",
"dataType": "currency",
"code": "ILL-UNEXPECTED"
}
],
"totalSize": 2
},
"id": "a1Q6F000009NzKhUAK",
"Name": "Benefit",
"Code__c": "BENEFIT",
"displaySequence": 483
}
]
}
}
]
}
},
{
"displaySequence": -1,
"Id": "a386F000001ao9yQAA",
"FirstName": "Bill",
"LastName": "William",
"Medical": {
"totalSize": 1,
"records": [
{
"displaySequence": -1,
"Id": "01t6F00000AyW3ZQAV",
"planId": "a1u6F000005ipRCQAY",
"productName": "Acupuncture Office Professional",
"Type": "Medical",
"Description": "Anthem",
"ProductCode": "AcupOffiProf",
"MarketSegment": "Large Group",
"LineOfBusiness": "Group Health",
"attributeCategories": {
"totalSize": 2,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 1,
"label": "Covered at",
"attributeId": "a1R6F00000Km1XLUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "percentage",
"code": "INN_covered"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "yes",
"disabled": false,
"readonly": false,
"label": "Yes",
"id": "0"
},
{
"value": "no",
"disabled": false,
"readonly": false,
"label": "No",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 2,
"label": "Deductible",
"attributeId": "a1R6F00000Km1XMUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "INN_deductible"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 3,
"label": "Copay",
"attributeId": "a1R6F00000Km1XNUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "currency",
"code": "INN_copay"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 5,
"label": "IN covered",
"attributeId": "a1R6F00000Km1XKUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "checkbox",
"dataType": "text",
"code": "INNetwork_covered"
}
],
"totalSize": 4
},
"id": "a1Q6F00000FR6uJUAT",
"Name": "In-Network",
"Code__c": "Vlocity_INN",
"displaySequence": 210
},
{
"productAttributes": {
"records": [
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 1,
"label": "Covered at",
"attributeId": "a1R6F00000Km1ZGUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "percentage",
"code": "OON_covered"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "yes",
"disabled": false,
"readonly": false,
"label": "Yes",
"id": "0"
},
{
"value": "no",
"disabled": false,
"readonly": false,
"label": "No",
"id": "1"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 2,
"label": "Deductible",
"attributeId": "a1R6F00000Km1ZHUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "radio",
"dataType": "text",
"code": "OON_deductible"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 3,
"label": "Copay",
"attributeId": "a1R6F00000Km1ZIUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "currency",
"code": "OON_copay"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 4,
"label": "ON Covered",
"attributeId": "a1R6F00000Km1ZFUAZ",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "checkbox",
"dataType": "text",
"code": "OutNetwork_covered"
}
],
"totalSize": 4
},
"id": "a1Q6F00000FR6vIUAT",
"Name": "Out-Of-Network",
"Code__c": "ANTM_OON",
"displaySequence": 220
}
]
}
}
]
},
"Dental": {
"totalSize": 1,
"records": [
{
"displaySequence": -1,
"Id": "01t6F000007sPVlQAM",
"planId": "a1u6F000005j7AlQAI",
"productName": "Dental 2",
"Type": "Dental",
"ProductCode": "DENTAL2",
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
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