User Acceptance Testing Help Topics

Confirm that the Client's Employer Groups and Members with Health Insurance Plans are reflected accurately within the TALON Platform. The Client's adjudication engine is considered the Source of Truth.

Ensure that Client Support Staff know how to access and share the URL for outbound MRF's for Employer Group(s).

To determine (or create): 1) The Client Specific source of truth for the mapping of one or more Pricing Contracts to Employer Group/Plan combinations. 2) The highest level of automation achievable, so that future changes/additions of Employer Group/Plan combinations require minimal human intervention for mapping of pricing contracts.

Identify the best Plans and Members to test all configuration settings.

Understand how to edit Member Profiles. The most common reason Members have trouble logging in is that they're using an email address that's different than the one we received via eligibility. When that's the case, additional email addresses may be added, and the 'Primary' designation may be added to any of them. Outbound emails from TALON go only to the Primary email address.

Make Plan Documents (Summaries of Benefits and Coverage or Summary Plan Documents) available to Members for reference and to support staff for troubleshooting when needed.

Ensure Dependents are accurately reflected.

Invite TPA Support Team Members with the appropriate roles and Employer Group access.

Invite TPA or Channel Partner Sales Team Members with the appropriate roles and Employer Group access.

Confirm appropriate configuration of Rewards.

Confirm desired and appropriate Widgets are displayed on Member Home screens.

Confirm desired and appropriate Announcements are displayed on Member Home screens.

Audit Collateral library for completeness (including languages) and branding.

Audit the Member experience to ensure it reflects the desired variations in Widgets, Announcements, and layout.

Confirm Support Notifications are properly configured.

Confirm Single Sign On integration is properly configured. For almost all Use Cases, SSO integration means the Members authenticate in a Benefits Admin platform (or other 'Front Door'), and the Member navigates to somewhere on that Platform where they can click through and see the TALON home screen, Shopping experience, or combination of other TALON functionality.

Audit Price Contract Mapping to ensure accuracy. Price Contracts include MRF's, Fee Schedules, and Reference Based Pricing Agreements.

Confirm that known INN and OON Providers are displaying as expected.

Confirm that Claims have been ingested and accumulators applied accurately.

Confirm that Your Cost accurately reflects Member Cost Share considering the Plan Design and a Member's Accumulators.

Ensure Initial and Ongoing Engagement is executed as planned.