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InsEnrollmentService:getEligibleMemberProducts

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InsEnrollmentService:getEligibleMemberProducts

Använd denna tjänst för att returnera kvalificerade produkter för medlemmar i en folkräkning och gruppera dem efter typ.

Klass: InsEnrollmentService

Metod: getEligibleMemberProducts

Hur det fungerar

  1. Denna tjänst tar en contractId och letar efter information från den bifogade GroupCensus__c.

  2. Med hjälp av GroupCensus__c från contractId hämtar tjänsten alla primära GroupCensusMembers__c och deras underordnade.

  3. censusRatingFact skapas med GroupCensus__c och AttributeSelectedValues__c.

  4. Alternativen contractId och categories används för att hämta ContractLineItem__c (planer) och associerade metadata.

  5. Den primära GroupCensusMembers__c använder censusRatingFact och AttributeSelectedValues__c för den primära medlemmen och dess underordnade för att kontrollera om en primär medlem är berättigad.

  6. För varje ContractLineItem__c i kontraktet kommer dess EligibilityCriteria__c att jämföras med var och en av den primära medlemmens inmatningar ovanifrån.

    Om en medlem har kvalificerade produkter kommer tjänsten att bifoga den primära medlemmen, sortera den efter kategori och sedan lägga till den i JSON för utdata. Medlemmar utan kvalificerade produkter kommer inte att läggas till i JSON för utdata.

Fjärralternativ

Alternativ

Beskrivning

contractId

Obligatoriskt.

ID för kontraktet.

category

Valfri sträng.

Kommaavgränsad lista över kategorier (Medicinsk, Tandvård, Syn).

Returnerar endast planer för specificerade kategorier.

Standard = alla kategorier.

onlyWhenMultiplePlansAvailable

Valfritt.

Boolesk.

Sant returnerar endast alternativ när flera planer är tillgängliga.

Används för att visa medlemmar med deras tillgängliga alternativ för varje kategori, så att användare kan göra val.

onlyWhenSinglePlansAvailable

Valfritt.

Boolesk.

Sant returnerar endast alternativ när enskilda planer är tillgängliga.

Används för automatisk registrering när medlemmar endast har ett enskilt planalternativ.

omitChildProducts

Boolesk.

Om true returneras endast rotprodukter.

Standard = false.

Indata-JSON

Denna tjänst använder inte en indata-JSON.

JSON för utdata

Utdata-JSON är en lista över folkräkningsmedlemmar, med Förnamn, Efternamn, ID för folkräkningsmedlem, Kategorier av produkter som de är berättigade till.

{
  "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
                          }
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