BenSelect:Admin:Plan:Service Area

Service Area Tab

Certain plans are available only in specific service areas, as defined by the employee's home address. Service areas are defined as a specific list of 5-digit ZIP codes. Only members residing in one of these zip codes are eligible for the product.

To define a new service area:

1. Click the New button.
2. Select the payer product from the Payer list.
3. Enter a name for the Service Area.
4. Enter the Network ID for the service area.
5. Enter any other EDI codes needed for the service area, including Master Group Number Label, Master Group Number, or Plan Code
6. Enter the list of zip codes associated with the service area.
7. Click Update.

Update service areas by clicking on the name of the service area in the list below. Click Update when you are finished.

You may delete a service area by selecting the service area from the list below and pressing Delete. Service areas are associated with specific plans on the Eligibility tab.

In this example, two service areas are defined for a Kaiser Permanente medical plan, "NCAL" and "SCAL". Each is associated with a list of zip codes. Once this setup is done, then script on the JScript tab will set eligibility based on this service area.