S-BEN-04 · W19 Benefits and Eligibility · fit: unknown
Record private insurance
As a benefits coordinator, I want to record a private policy, its holder and the family members it covers, so that the insurer is billed under the right policy and holder.
| Persona | benefits_coordinator |
|---|---|
| Journey | A patient's coverage is recorded |
| Step | Records the coverage Task_04_RecordsTheCoverage |
Scenarios
| S-BEN-04.1 | Given a patient who holds a policy, When I record the insurer, policy number, coverage type and effective date with the patient as holder, Then POLICY HOLDER holds the policy and PRIVATE INSURANCE ELIGIBLE (#9000006) holds the patient as a member of it. |
|---|---|
| S-BEN-04.2 | Given a policy held by the patient's parent, When I add the patient as a member with their relationship to the holder, Then PRIVATE INSURANCE ELIGIBLE (#9000006) holds the patient under that policy with that relationship. |
| S-BEN-04.3 | Given a member added to a policy in error, When I remove the member, Then the policy and its other members are unchanged. |
| S-BEN-04.4 | Given coverage that a claim has already been billed to, When I ask to delete the coverage, Then I am warned that claims use it before anything is deleted. |
| S-BEN-04.5 | Given a new policy holder with no relationship to the insured, name as on the policy, policy number, effective date, sex, date of birth or address, When I save, Then it is refused, names the field, and nothing is filed. |