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Library

The canonical vocabulary and standards every client draws from. Standard entries are e123-owned; clients may add Custom entries where allowed.

Identity2

The regulatory/market classification a product belongs to. Each line owns the field schema its products render.

Plan types for each line of business.

Governance2

The two e123 enrollment channels — Member and Agent.

Types of enrollment periods — some CMS-defined.

Coverage1

Benefit categories by coverage domain. Products pick from this list.

Pricing3

Regulatory validation rules per line of business that a product's rates are checked against.

The factor and question library the rating engine speaks — each with its answers, shape and canonical status.

Who gets paid out of a product's revenue — carriers, TPAs and processors. Cost lines in Pricing reference this list.

Requirements2

Canonical terms sourced from filed certificates, and the carrier aliases mapped to them.

Questions asked because the member is buying this product. Some gate eligibility; some collect information the product needs.

Go-to-Market1

Search filters on the product catalog. Each facet points at a field from a Line of Business schema and adds only its widget, status and order.