Interactive Modeling and Simulation in Business System Design by Ella Roubtsova

Author:Ella Roubtsova
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Run the model.

Simulate and find out that only unique Medical Procedures and MPGroups are created.

4.8 Submodel for Interaction with a Product Manager

4.8.1 Goal G.1. A Product Is Composed

In order to fulfill the goal G.1. A product is composed (Fig. 3.​4), all compensation schemas (coverages) of an insurance product should be modeled. A coverage defines the rules of compensation of a group of medical procedures.

For the sake of simplicity, we define only two coverages: No Limit Coverage and a Max Coverage.

The No Limit Coverage tells that spending on medical procedures associated with this coverage is always compensated .

The Max Coverage defines a maximum limit of compensation. The spending on medical procedures associated with this coverage is summed up. The spending is compensated until the maximum value of the sum of compensation is achieved. After that, the costs of medical procedures associated with this coverage are not compensated .

At the stage of the product creation, the unique coverages are created and the maximum value is set for each Max Coverage. The groups of medical procedures are associated with coverages. A product is created and composed from coverages associated with the groups of medical procedures.

Listing 4.4 represents the model Insurance.bbm for the Perspective of a Product Manager. Figure 4.8 shows all protocol machines that synchronously support the interaction between a product manager and the business system .

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