Skip to main content


         This documentation site is for previous versions. Visit our new documentation site for current releases.      
 

Inheritance pattern 3

Updated on April 12, 2021

Inheritance for a benefit that works with the Lifetime maximum, Out-of-pocket, Annual maximum, Deductible, Limits, and Variation items, configured at the benefit or grouper level in products or plans (the Configure Benefits step in the product or plan wizards), follows Inheritance pattern 3.

Pega Product Composer for Healthcare

For example, if you have an Orthodontia benefit of $4,000 that is configured at the product level, it is inherited by the plan. To find the value of the Lifetime maximum for the benefit, use the inheritance tree in the following figure and start with a plan benefit (1). Review the plan configuration. If there is no override value, review the product benefit (2) configuration. If the override value is not there, look for the override value at the plan grouper (3), if the grouper contains benefits. If it is not there, look for the override value at the product grouper (4). When you locate the override value, you can stop, because the specified entity is the source of the value.

The rest of the tree does not apply because Inheritance pattern 3 describes benefits configured at the benefit or grouper level, and not at the network level.

Inheritance pattern 3

Have a question? Get answers now.

Visit the Support Center to ask questions, engage in discussions, share ideas, and help others.

Did you find this content helpful?

Want to help us improve this content?

We'd prefer it if you saw us at our best.

Pega.com is not optimized for Internet Explorer. For the optimal experience, please use:

Close Deprecation Notice
Contact us