Lasers & Contingency Lasers

Configure members in a Stop-Loss policy for automated lasers as well as contingency lasers.

By setting up a laser or contingency laser the system will automatically update the Spec Deductible for that individual.  A laser will be implemented immediately and a contingency laser will trigger an updated deductible when there is a Diagnosis Code and or a NDC Code match in the member's claims history.  

Note that if a Spec Deductible changes via a laser mid-policy, all of the filing calculations, receivables balances and filing audits will reflect this change. 

Setup Lasers & Contingency Lasers

• Go to Records > Members
• Find the member you want to apply a laser to and click on the ellipsis on the far right. 
• A modal will appear.  Select "Laser Member" .

• A new Laser modal will appear.
• The current Spec Deductible will appear in the top row.  Overwrite it with the laser amount (if desired).
  • Note that the Paid and Incurred dates are for label purposes only and will not effect the application of claims to the member.

• Select the checkbox to activate a Contingent Laser
• Select your codes that trigger the laser:
  • Diagnosis Codes from a drop down list
  • NDC Codes are free form text entries that are looking for an exact match.  Use enter or a comma to add items
• Add the Spec Deductible for the Contingency.  
• Add the Incurred and Paid periods for the Contingency.  
  • Note that the Paid and Incurred dates are for label purposes only and will not effect the application of claims to the member.
• Hit Save to employ the changes.