Plan info Contract Management

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Company Name

Jaskolski-Torp

Company Contract Name

โรงแรมเซ็นทรัลพลาซา จำกัด(มหาชน)(สัญญารักษาพยาบาล)

Plan ID

C433000000

Plan Name

ห้างสรรพสินค้าโรบินสัน จำกัด (มหาชน)(สัญญารักษาพยาบาล)

Plan Name Thai

ห้างสรรพสินค้าโรบินสัน จำกัด (มหาชน)(สัญญารักษาพยาบาล)

Override

Yes

Payement By *

Company

Employee

Add Employee

Yes

Price Parameter *

Round Up

Round Down

N/A

Total Billable Price To Be Calculated Based On Price Parameter

Note

Plan Start Date *

Plan End Date *

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Package Details (Covered Income Type)

Bulk Upload for Discount Factor

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Discount Factor

Income Type Code *

Income Type (Computed) *

OPD Discount *

IPD Discount *

Income Type Code	Income Type	OPD Discount	IPD Discount
10000000	1 Medical Services	1	1
11000000	1.1 Hospital Medical Expenses	1	1
11010000	1.1.1 Drugs and Parenteral Nutrition	0.9	0.9
11010001	1.1.1 (1) Inpatient Medication	0.9	0.9
11010002	1.1.1 (2) Home medication	0.9	0.9

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Coverage Bifurcation

OPD Coverage

By Amount

By Visit

Per Visit Coverage

Max No. of Visits

Validity

Income Type Code *

Income Type (Computed) *

Covered Amount

Income Type	Covered Amount
1 Medical Services	100
1.1 Hospital Medical Expenses	100

IPD Coverage

By Amount

By Admission

Per Visit Coverage

Max No. of Visits

Validity

Income Type Code *

Income Type (Computed) *

Covered Amount

Income Type	Covered Amount
1 Medical Services	100
1.1 Hospital Medical Expenses	100

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Package Details (Covered Income Type)

Bulk Upload for Discount Factor

Discount Factor

Coverage Bifurcation

OPD Coverage

IPD Coverage