Rules Engine Structure: Duplicates

Regardless of st_DU.Action

st_DU.Winner Optional

st_DU.Exception Optional

st_DU.Ex_Type Optional, defaults to “Duplicate” if st_DU.Exception is not null

When st_DU.Action = "Approved"

st_DU.Action = "Approved"

st_DU.Bill_Type = "Original"

st_DU.Force_Financial Allowed, defaults to False

st_DU.Reason_Code Ignored

st_DU.Reason_Text Ignored

st_DU.Action = "Approved"

st_DU.Bill_Type = "Supplemental"

st_DU.Force_Financial Allowed, defaults to False

st_DU.Reason_Code Ignored

st_DU.Reason_Text Ignored

st_DU.Action = "Approved"

st_DU.Bill_Type = "Balance Due"

st_DU.Force_Financial Allowed, defaults to False

st_DU.Reason_Code Ignored

st_DU.Reason_Text Ignored

When st_DU.Action = "Denied"

st_DU.Action = "Denied"

st_DU.Bill_Type = "Duplicate"

st_DU.Force_Financial Ignored

st_DU.Reason_Code Allowed, defaults to "19"

st_DU.Reason_Text Allowed, defaults to corresponding text for given Reason_Code

st_DU.Action = "Denied"

st_DU.Bill_Type = "Not My Bill"

st_DU.Force_Financial Ignored

st_DU.Reason_Code Allowed, defaults to "18"

st_DU.Reason_Text Allowed, defaults to corresponding text for given Reason_Code

Any other combinations of st_DU.Action and st_DU.Bill_Type result in a rules error.