Entity Medical Treatment Authorization Detail

DescriptionAn approval that a healthcare practitioner receives from a health plan organization for a patient to receive treatment.

Attributes
Actual End DtActual End Dt
Actual Labor HoursActual Labor Hours
Actual Start DtActual Start Dt
Actual Time SpentActual Time Spent
Authorization Effective DtAuthorization Effective Dt
Authorization Expiration DtAuthorization Expiration Dt
Authorization IdAuthorization Id
Authorized Number Of Treatments CntAuthorized Number Of Treatments Cnt
Currency Code SkCurrency Code Sk
Delay Reason Code SkDelay Reason Code Sk
Effective From DtEffective From Dt
Effective To DtEffective To Dt
Insurance Plan NumInsurance Plan Num
Load Info SkLoad Info Sk
Medical Treatment Authorization SkMedical Treatment Authorization Sk
NameName
Origination DtOrigination Dt
Planned DurationPlanned Duration
Planned End DtPlanned End Dt
Planned ManpowerPlanned Manpower
Planned Start DtPlanned Start Dt
Procedure Code SkProcedure Code Sk
Reimbursement Limit AmtReimbursement Limit Amt
Requested Number Of Treatments CntRequested Number Of Treatments Cnt
Source Code SkSource Code Sk
Tenant SkTenant Sk
Valid From TsValid From Ts
Valid To TsValid To Ts

Relationship
Medical Treatment Authorization Detail_Medical Treatment Authorization_FKMedical Treatment Authorization Detail_Medical Treatment Authorization_FK

Primary Key
Medical Treatment Authorization Detail PKMedical Treatment Authorization Detail PK

Dependencies
 

Reverse Dependencies
 

Attribute Details

 Actual End Dt
DescriptionThe actual date upon which the activity was ended.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Actual Labor Hours
DescriptionThe actual number of hours that it took to perform the activity.
Data TypeStandards - Data Domains.ddm/Data Domains/Small Counter [SHORT]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Actual Start Dt
DescriptionThe actual date upon which the activity was started.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Actual Time Spent
DescriptionThe actual time spent performing the activity.
Data TypeStandards - Data Domains.ddm/Data Domains/Number Decimal Large [DECIMAL(15,6)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Authorization Effective Dt
DescriptionThe effective date upon which the authorized treatment can begin which is covered and issued by the insurer.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Authorization Expiration Dt
DescriptionThe expiration date upon which the authorized treatment will no longer be covered by the insurer.



Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Authorization Id
DescriptionThe coverage application's permanent identifier assigned to track the authorization and all related billing documents.
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Authorized Number Of Treatments Cnt
DescriptionThe number of times that the authorized treatment may be administered to the patient without obtaining additional authorization.
Data TypeStandards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Currency Code Sk
DescriptionIndicates the currency used as the basis for all monetary amounts.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Delay Reason Code Sk
DescriptionIndicates the cause of any discrepancy between planned and actual end dates.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Effective From Dt
DescriptionEstablishes a period where a set of attributes are true according to the business.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Effective To Dt
DescriptionEnds a period of effectivity.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Insurance Plan Num
DescriptionThe ID of the coverage plan authorizing treatment.
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Load Info Sk
DescriptionThe surrogate key of the load information entry describing the details regarding the loading of the row.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Medical Treatment Authorization Sk
DescriptionSurrogate key for Medical Treatment Authorization.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Name
DescriptionThe name of the medical treatment.
Data TypeStandards - Data Domains.ddm/Data Domains/Name [VARCHAR(30)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Origination Dt
DescriptionThe date upon which the authorization originated with the authorizing party.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Planned Duration
DescriptionThe time planned for the performing of the activity. This is the total elapsed time over which the activity is expected to be performed and not the planned labor hours.
Data TypeStandards - Data Domains.ddm/Data Domains/Number Decimal Large [DECIMAL(15,6)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Planned End Dt
DescriptionThe date upon which the medical treatment is planned to end.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Planned Manpower
DescriptionThe planned labor hours required for the activity.
Data TypeStandards - Data Domains.ddm/Data Domains/Number Decimal Large [DECIMAL(15,6)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Planned Start Dt
DescriptionDate upon which the activity is planned to start.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Procedure Code Sk
DescriptionIdentifies a procedure within a code set or code type. Standard procedure code sets include Current Procedural Terminology (CPT) and Universal Billing (UB) Revenue codes.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Reimbursement Limit Amt
DescriptionThe dollar limit for reimbursement specified by the coverage plan for the authorized treatment.
Data TypeStandards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Requested Number Of Treatments Cnt
DescriptionThe requested number of times that the treatment may be administered to the patient without obtaining additional authorization.
Data TypeStandards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Source Code Sk
DescriptionThe origin of the data identifying the actual load source, vendor, manual key entry, or context of the data in a specific row in the database.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Tenant Sk
DescriptionThe surrogate key of the entry identifying the legal owner of the data.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Valid From Ts
DescriptionEstablishes a period where a set of attributes are true in the source system. This would be populated with the transaction timestamp and would be used for the snapshot date.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Valid To Ts
DescriptionEnds a period of validity.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse

Relationship Details

 Medical Treatment Authorization Detail_Medical Treatment Authorization_FK
Is Identifying Relationshiptrue
Child TableMedical Treatment Authorization Detail
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableMedical Treatment Authorization
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE

Primary Key Details

 Medical Treatment Authorization Detail PK
Key AttributeMedical Treatment Authorization Sk
Key AttributeValid From Ts