willdwyer / bcbsmaissuestracker

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3421189 Blue Choice New England Celldex Therapeutics: Capture File Fill Diabetes And Maternity Values #194

Closed GoogleCodeExporter closed 9 years ago

GoogleCodeExporter commented 9 years ago
1. Log into HR as a BCBSMA Administrator
2. Once you are logged in the HR System, click Manage Plan in toolbar
3. In the ‘Plan Search’ screen, enter:
 Effective Date - 2015
Financial Arrangement - Insured
Product Type - POS
Plan Type - Custom
Click - Show Me Plans
4. Hover over plan 3421189 Blue Choice New England Celldex Therapeutics, click 
edit Plan, click save and click plan document options
5.  Generate PDF final with disclosures

Actual Result:
See screenshot.  Error says 3421189 Blue Choice New England Celldex 
Therapeutics: Capture File Fill Diabetes And Maternity Values

Expected Result:
User should be able to generate the SBC document

Test Case:
E2E_17

Original issue reported on code.google.com by g4gaur...@gmail.com on 12 Jun 2015 at 3:40

Attachments:

GoogleCodeExporter commented 9 years ago
Issue has been shared with HighRoads team for review.

Original comment by Tim.at.H...@gmail.com on 12 Jun 2015 at 3:45

GoogleCodeExporter commented 9 years ago
Capture file is being reviewed.

Original comment by Tim.at.H...@gmail.com on 12 Jun 2015 at 5:58

GoogleCodeExporter commented 9 years ago
Option used is not coded currently - updating the coding with all Eligible 
Options in Rx dropdown. 

Original comment by michelle...@gmail.com on 16 Jun 2015 at 1:53

GoogleCodeExporter commented 9 years ago
Issue priority has been set at ST L1.  Changing priority to match.

Original comment by Patrick.C.Commander on 16 Jun 2015 at 2:06

GoogleCodeExporter commented 9 years ago
After re-reviewing the issue - the statement '$5 / retail and mail service 
supply' is not one of the eligible options. We have '$10/$25/$50 retail and 
mail in-network' as the only option with an 'and' in it. Is this a viable and 
common enough option to add to the Eligible Options dropdown and code for? 
Again, we want to be sure we're not spending our time coding to every single 
possibility.

Original comment by michelle...@gmail.com on 16 Jun 2015 at 5:33

GoogleCodeExporter commented 9 years ago
When you select $10/$25/$50 retail and mail in-network / Not Covered 
out-of-network from the eligible options field and cascade/save, it results 
into 
$10 / retail and mail service supply for Generic drugs
$25 / retail and mail service supply for Preferred brand drugs
$50 / retail and mail service supply for Non-preferred brand drugs

The format above is the same as "$5 / retail and mail service supply" which is 
$X / retail and mail service supply. So you can code to this format.

Original comment by g4gaur...@gmail.com on 16 Jun 2015 at 6:45

GoogleCodeExporter commented 9 years ago
Adding comment captured during discussion of 169.  Comment applies here.  This 
is a High priority item but it is not a showstopper and can be deferred until 
after this release.

Original comment by Patrick.C.Commander on 16 Jun 2015 at 7:31

GoogleCodeExporter commented 9 years ago
milestone updated to post per the above.

Original comment by Patrick.C.Commander on 17 Jun 2015 at 2:59

GoogleCodeExporter commented 9 years ago
Updating priority per comment #7.

Original comment by Tim.at.H...@gmail.com on 17 Jun 2015 at 3:01

GoogleCodeExporter commented 9 years ago
based on re-prioritization on 6/12 this moved to show stopper

Original comment by decoste....@gmail.com on 17 Jun 2015 at 4:11

GoogleCodeExporter commented 9 years ago

Original comment by decoste....@gmail.com on 17 Jun 2015 at 4:13

GoogleCodeExporter commented 9 years ago
Updated priority based on re-prioritization.

Original comment by Tim.at.H...@gmail.com on 17 Jun 2015 at 5:35

GoogleCodeExporter commented 9 years ago
HighRoads testing internally and will notify BCBS team when they can retest.

Original comment by Tim.at.H...@gmail.com on 17 Jun 2015 at 6:58

GoogleCodeExporter commented 9 years ago
priority is being updated to High per defect meeting.

Original comment by Patrick.C.Commander on 18 Jun 2015 at 7:18

GoogleCodeExporter commented 9 years ago
HighRoads team will test internally based on priority.

Original comment by Tim.at.H...@gmail.com on 19 Jun 2015 at 6:18

GoogleCodeExporter commented 9 years ago
Tested and confirmed values appear correctly.  Ready for retest.

Original comment by Tim.at.H...@gmail.com on 22 Jun 2015 at 5:54

GoogleCodeExporter commented 9 years ago

Original comment by Tim.at.H...@gmail.com on 22 Jun 2015 at 6:25

GoogleCodeExporter commented 9 years ago
Works on the plan it was reported on. But when I try it on other plans, the 
calculation seems incorrect. Generate a PDF for 
3430173__Preferred_Blue_Ded_1000 using
Plan document options and review the Type II diabetes calculator. See 
screenshot.

Original comment by g4gaur...@gmail.com on 23 Jun 2015 at 3:18

Attachments:

GoogleCodeExporter commented 9 years ago
Calculator issue is being researched and HighRoad's team is working on a fix.

Original comment by Tim.at.H...@gmail.com on 23 Jun 2015 at 3:31

GoogleCodeExporter commented 9 years ago
Guarang, can you confirm if we should pull the $1000 prescription drug benefit 
into the Pharmacy Out of Pocket Limit for the Diabetes calculation? Thank you.

Original comment by Tim.at.H...@gmail.com on 23 Jun 2015 at 4:14

Attachments:

GoogleCodeExporter commented 9 years ago
Tim, yes you should. The second issue was a benefit input error on my part. 
Original issue looks fixed. Can be closed

Original comment by BCBSMAMa...@gmail.com on 23 Jun 2015 at 4:33

GoogleCodeExporter commented 9 years ago
Guarang, thank you for the update. 

Original comment by Tim.at.H...@gmail.com on 23 Jun 2015 at 4:43

GoogleCodeExporter commented 9 years ago
Tim, this does not seem to work when you edit the plan through the edit feature 
in content library  and insert the $20 / retail and mail service supply cost 
share ?
Try it on a custom plan design. I edited 3426175 Greater New Bedford Reg 
Vo-Tech High School Access Blue Basic Saver Greater New Bedford Reg Vo-Tech 
High School

Original comment by BCBSMAMa...@gmail.com on 23 Jun 2015 at 6:25

GoogleCodeExporter commented 9 years ago
HighRoads team is reviewing calculator.

Original comment by Tim.at.H...@gmail.com on 23 Jun 2015 at 8:38

GoogleCodeExporter commented 9 years ago
Guarang the calculator fix as been implemented and values are appearing 
correctly during retest.  Ready for retest.

Original comment by Tim.at.H...@gmail.com on 24 Jun 2015 at 3:48

GoogleCodeExporter commented 9 years ago
Testing in-progress. Looks good so far. Will close defect if no issues found by 
EOD.

Original comment by BCBSMAMa...@gmail.com on 24 Jun 2015 at 6:06

GoogleCodeExporter commented 9 years ago
This can be closed.

Original comment by BCBSMAMa...@gmail.com on 25 Jun 2015 at 3:07

GoogleCodeExporter commented 9 years ago
Closing per Guarang's comment.

Original comment by Tim.at.H...@gmail.com on 25 Jun 2015 at 3:15