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InsEnrollmentService:getEligibleMemberProducts
Use esse serviço para devolver produtos elegíveis para membros de um censo e agrupá-los por tipo.
Método: getEligibleMemberProducts
Como funciona
-
Esse serviço toma uma
contractIde procura informações doGroupCensus__canexado a ele. -
Usando os
GroupCensus__cobtidos do contractId, o serviço recupera todos osGroupCensusMembers__cprimários e seus dependentes. -
O
censusRatingFacté criado usando o Código do produtoGroupCensus__ce oAttributeSelectedValues__c. -
As opções de
contractIdecategoriessão usadas para recuperar osContractLineItem__c(Planos) e os metadados associados. -
A
GroupCensusMembers__cprimária utiliza oscensusRatingFacte osAttributeSelectedValues__cdo membro primário e seus dependentes para verificar a elegibilidade de um membro primário. -
Para cada
ContractLineItem__cno contrato, suaEligibilityCriteria__cserá comparada com as entradas de cada um dos membros principais, de cima.Se um membro tiver produtos elegíveis, o serviço anexará o membro principal, o classificará por categoria e o adicionará ao JSON de saída. Membros sem produtos elegíveis não serão adicionados ao JSON de saída.
Opções remotas
Opção |
Descrição |
|---|---|
|
Obrigatório. ID do contrato. |
|
String opcional. Lista separada por vírgulas de categorias (Médico, Dental, Vision). Retornará planos apenas para categorias especificadas. Padrão = todas as categorias. |
|
Opcional. Booleano. True retorna opções apenas quando há vários planos disponíveis. Usado para exibir membros com suas opções disponíveis para cada categoria para que o usuário possa fazer seleções. |
|
Opcional. Booleano. True retorna opções apenas quando há planos únicos disponíveis. Usado para inscrição automática quando os membros têm apenas uma única opção de plano. |
|
Booleano. Se Padrão = |
JSON de saída
O JSON de saída é uma lista de membros do censo, com Primeiro nome, Sobrenome, ID do membro do censo e Categorias de produtos para os quais eles são elegíveis.
{
"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
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