Você está aqui:
InsEnrollmentService:modifyEnrollment
Use esse serviço para modificar as inscrições, os dependentes e as coberturas de cada inscrição para membros de entrada. Você pode usar esse serviço para adicionar planos novos ou remover planos existentes ou adicionar ou remover dependentes.
Método: modifyEnrollment
Como funciona
-
Consulta para membros do censo de grupo, todos os membros de uma determinada
censusIDou apenas os membros especificados na lista decensusMemberIds. -
Pesquise planos pré-inscritos relacionados vinculados a cada membro pelo Plano do membro do censo de grupo.
-
Para cada membro, recupere o produto do plano e verifique a elegibilidade.
-
Se o produto for elegível, crie o objeto Apólice.
-
Para remover uma inscrição, uma entrada adicional "deletePolicies" nos detalhes do membro conterá uma lista de IDs de apólice a serem excluídos. Se isso não estiver presente, supõe-se que a política seja para modificação.
-
Para remover um dependente, um
"isDeleted"de entrada adicional: true existe nos detalhes dos dependentes em uma inscrição.
Opções remotas
Opção |
Descrição |
|---|---|
|
Obrigatório. A lista de inscrições a ser modificada para o membro. |
JSON de entrada
Aqui está um exemplo de JSON de entrada para censusId:
Ambiente |
pm_testing_daily@vlocity.com |
|---|---|
Cartão para simular testes |
pm_testing_daily modify enrollment OS |
-
A entrada para esse serviço tem um formato semelhante à saída para
InsEnrollmentService.getMemberEnrollments.
{
"records": {
"displaySequence": -1,
"First Name": "Allan",
"Last Name": "Border",
"Id": "a472E000001IH6tQAG",
"contactId": "0032E00002Znpm3QAB",
"deletePolicies": [
{
"Id": "02i2E00000GGExPQAX"
}
],
"enrollments": {
"totalSize": 4,
"records": [
{
"displaySequence": -1,
"Id": "02i2E00000GGExPQAX",
"productId": "01t2E00000Ne5usQAB",
"accountId": "0012E0000232F9XQAU",
"primaryMemberContactId": "0032E00002Znpm3QAB",
"productName": "Vlocity SG - Medical Plan PPO 35",
"Name": "Vlocity SG - Medical Plan PPO 35",
"EffectiveStart": "2019-09-12",
"EffectiveEnd": "2020-09-11",
"Price": 3000,
"planId": "a2N2E000003trGMUAY",
"contractId": "8002E000003lsR6QAI",
"ProductCode": "SG-PPO-35-GC",
"RecordTypeName__c": "Product",
"attributeCategories": {
"totalSize": 2,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 3,
"label": "Deductible",
"attributeId": "a092E00000W3ATfQAN",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_annualDed_INN"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 4,
"label": "Out Of Pocket",
"attributeId": "a092E00000W3AThQAN",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_annualOOP_INN"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 5,
"label": "Coinsurance",
"attributeId": "a092E00000W3ATjQAN",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_coinsurance_INN"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 6,
"label": "Office Visit",
"attributeId": "a092E00000W3AUBQA3",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_primaryCare_INN"
}
],
"totalSize": 4
},
"id": "a082E00000XTXs4QAH",
"Name": "SG Medical",
"Code__c": "SG_Medical",
"displaySequence": 2000
},
{
"productAttributes": {
"records": [
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": true,
"hasRules": false,
"displaySequence": 0,
"label": "Product Code",
"attributeId": "a092E00000W3AS0QAN",
"filterable": false,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_ProductCode"
},
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": true,
"hasRules": false,
"displaySequence": 1,
"label": "Product Name",
"attributeId": "a092E00000W3ARyQAN",
"filterable": false,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_ProductName"
},
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": true,
"hasRules": false,
"displaySequence": 2,
"label": "Product Subtype",
"attributeId": "a092E00000W3ARzQAN",
"filterable": false,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_ProductSubtype"
}
],
"totalSize": 3
},
"id": "a082E00000XTXr3QAH",
"Name": "SG Product Rating",
"Code__c": "SG_ProductRating",
"displaySequence": 2150
}
]
},
"Term": "Annual",
"childProducts": {
"totalSize": 0,
"records": [
{
"displaySequence": -1,
"productId": "01t2E00000Ne5t0QAB",
"productName": "Small Group Census",
"ProductCode": "SG-Census-RF",
"Name": "Small Group Census",
"pciId": "a322E000003w55lQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 2,
"records": [
{
"productAttributes": {
"records": [
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 0,
"label": "Employee Only Count",
"attributeId": "a092E00000W3AS3QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "number",
"code": "SG_empOnlyCount"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 1,
"label": "Employee + Spouse Count",
"attributeId": "a092E00000W3AS2QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "number",
"code": "SG_empSpouseCount"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 3,
"label": "Employee + Child Count",
"attributeId": "a092E00000W3AS5QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "number",
"code": "SG_empChildCount"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 5,
"label": "Employee + Family Count",
"attributeId": "a092E00000W3AS4QAN",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "number",
"code": "SG_empFamilyCount"
}
],
"totalSize": 4
},
"id": "a082E00000XTXr4QAH",
"Name": "Census",
"Code__c": "SG_Census",
"displaySequence": 2100
},
{
"productAttributes": {
"records": [
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 2,
"label": "Age",
"attributeId": "a092E00000W3ASDQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "number",
"dataType": "number",
"code": "SG_CM_Age"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 4,
"label": "State",
"attributeId": "a092E00000W3ASCQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_CM_State"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 6,
"label": "Gender",
"attributeId": "a092E00000W3ASBQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_CM_Gender"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 7,
"label": "Smoker",
"attributeId": "a092E00000W3ASKQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "checkbox",
"dataType": "text",
"code": "SG_CM_Smoker"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 8,
"label": "IsPrimary",
"attributeId": "a092E00000W3ASIQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "checkbox",
"dataType": "text",
"code": "SG_CM_IsPrimary"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 9,
"label": "IsSpouse",
"attributeId": "a092E00000W3ASAQA3",
"filterable": false,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "checkbox",
"dataType": "text",
"code": "SG_CM_IsSpouse"
},
{
"userValues": null,
"values": [
{
"disabled": false,
"readonly": false
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 10,
"label": "Birthdate",
"attributeId": "a092E00000W3ASMQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "date",
"dataType": "date",
"code": "SG_CM_Birthdate"
},
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 11,
"label": "MemberClassCode",
"attributeId": "a092E00000W3AS7QAN",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_CM_MemberClassCode"
},
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 12,
"label": "CensusMemberId",
"attributeId": "a092E00000W3AS8QAN",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_CM_CensusMemberId"
},
{
"userValues": null,
"values": [
{
"disabled": true,
"readonly": true
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 13,
"label": "GroupPlans",
"attributeId": "a092E00000W3AS6QAN",
"filterable": true,
"disabled": true,
"readonly": true,
"required": false,
"multiselect": false,
"inputType": "text",
"dataType": "text",
"code": "SG_CM_GroupPlans"
}
],
"totalSize": 10
},
"id": "a082E00000XTXr5QAH",
"Name": "CensusMember",
"Code__c": "SG_CensusMember",
"displaySequence": 2110
}
]
}
},
{
"displaySequence": -1,
"productId": "01t2E00000Ne5uTQAR",
"productName": "Emergency Services",
"ProductCode": "SG_Emerg_Serv",
"Name": "Emergency Services",
"pciId": "a322E000003w55mQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$175 Copay",
"disabled": false,
"readonly": false,
"label": "$175 Copay",
"id": "0"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "1"
},
{
"value": "$150 Copay",
"disabled": false,
"readonly": false,
"label": "$150 Copay",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 1,
"label": "Ambulance",
"attributeId": "a092E00000W3ATJQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_ambula_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "$175 Copay",
"disabled": false,
"readonly": false,
"label": "$175 Copay",
"id": "0"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "1"
},
{
"value": "$150 Copay",
"disabled": false,
"readonly": false,
"label": "$150 Copay",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 2,
"label": "Ambulance",
"attributeId": "a092E00000W3ATKQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_ambula_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$250 Copay",
"disabled": false,
"readonly": false,
"label": "$250 Copay",
"id": "0"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "1"
},
{
"value": "$175 Copay",
"disabled": false,
"readonly": false,
"label": "$175 Copay",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
},
{
"value": "$125 Copay",
"disabled": false,
"readonly": false,
"label": "$125 Copay",
"id": "4"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 3,
"label": "Emergency Room",
"attributeId": "a092E00000W3ATLQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_emergRoom_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "$500 Copay",
"disabled": false,
"readonly": false,
"label": "$500 Copay",
"id": "0"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "1"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 4,
"label": "Emergency Room",
"attributeId": "a092E00000W3ATMQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_emergRoom_OON"
},
{
"attributeGroupType": "In-Network",
"userValues": null,
"values": [
{
"value": "$100 Copay",
"disabled": false,
"readonly": false,
"label": "$100 Copay",
"id": "0"
},
{
"value": "$150 Copay",
"disabled": false,
"readonly": false,
"label": "$150 Copay",
"id": "1"
},
{
"value": "20% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "20% Coins After Ded",
"id": "2"
},
{
"value": "$50 Copay",
"disabled": false,
"readonly": false,
"label": "$50 Copay",
"id": "3"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "4"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 5,
"label": "Urgent Care Facility",
"attributeId": "a092E00000W3ATNQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_urgentCareFacility_INN"
},
{
"attributeGroupType": "Out-Of-Network",
"userValues": null,
"values": [
{
"value": "Not Covered",
"disabled": false,
"readonly": false,
"label": "Not Covered",
"id": "0"
},
{
"value": "40% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "40% Coins After Ded",
"id": "1"
},
{
"value": "50% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "50% Coins After Ded",
"id": "2"
},
{
"value": "30% Coins After Ded",
"disabled": false,
"readonly": false,
"label": "30% Coins After Ded",
"id": "3"
}
],
"isNotTranslatable": false,
"cloneable": true,
"hidden": false,
"hasRules": false,
"displaySequence": 6,
"label": "Urgent Care Facility",
"attributeId": "a092E00000W3ATOQA3",
"filterable": true,
"disabled": false,
"readonly": false,
"required": false,
"multiselect": false,
"inputType": "dropdown",
"dataType": "text",
"code": "SG_urgentCareFacility_OON"
}
],
"totalSize": 6
},
"id": "a082E00000XTXs4QAH",
"Name": "SG Medical",
"Code__c": "SG_Medical",
"displaySequence": 2000
}
]
},
"attributeSelectedValues": "{\"SG_urgentCareFacility_OON\":\"Not Covered\",\"SG_urgentCareFacility_INN\":\"$100 Copay\",\"SG_emergRoom_OON\":\"$500 Copay\",\"SG_emergRoom_INN\":\"$250 Copay\",\"SG_ambula_OON\":\"$175 Copay\",\"SG_ambula_INN\":\"$175 Copay\"}",
"Id": "a3n2E000005DRMdQAO"
},
{
"displaySequence": -1,
"productId": "01t2E00000Ne5uUQAR",
"productName": "Health Savings Account",
"ProductCode": "SG_HSA",
"Name": "Health Savings Account",
"pciId": "a322E000003w55nQAA",
"isOptional": false,
"attributeCategories": {
"totalSize": 1,
"records": [
{
"productAttributes": {
"records": [
{
"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,
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}
}
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