Entity Applicant

DescriptionAn association between an agreement request and a party role. It identifies a party applying for health coverage. The party has not yet been accepted by the healthcare insurer; no agreement has been issued yet.

For example:
John Doe who wants to be insured in a new health insurance policy.

Attributes
Agreement Request SkAgreement Request Sk
Declared Claims AmtDeclared Claims Amt
Declared Claims CntDeclared Claims Cnt
Effective From DtEffective From Dt
Effective To DtEffective To Dt
Individual Or Group IndIndividual Or Group Ind
Load Info SkLoad Info Sk
No Claim Discount PeriodNo Claim Discount Period
No Claim Period Unit Code SkNo Claim Period Unit Code Sk
Party Role SkParty Role Sk
Relationship Type Code SkRelationship Type Code Sk
Source Code SkSource Code Sk
Tenant SkTenant Sk
Valid From TsValid From Ts
Valid To TsValid To Ts

Relationship
Applicant_Party Role_FKApplicant_Party Role_FK
Applicant_Agreement Request_FKApplicant_Agreement Request_FK

Primary Key
Applicant PKApplicant PK

Dependencies
 
 

Reverse Dependencies
 

Attribute Details

 Agreement Request Sk
DescriptionThe generated surrogate key of the Agreement Request anchor.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Declared Claims Amt
DescriptionThe monetary amount of claims declared by an applicant, not including claims filed to the modeled organization.
Data TypeStandards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Declared Claims Cnt
DescriptionThe number of claims declared by an applicant, not including claims filed to the modeled organization.
Data TypeStandards - Data Domains.ddm/Data Domains/Number Integer [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



 Individual Or Group Ind
DescriptionIndicates whether the applicant is a health benefits plan group or an individual (person).

For example:
G = Group
I = Individual
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)]
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



 No Claim Discount Period
DescriptionThe duration prior to the agreement start date during which the applicant has not made a claim on any insurer for this type of agreement or coverage. A premium discount is often given if the period is sufficiently long.
Data TypeStandards - Data Domains.ddm/Data Domains/Number Decimal Large [DECIMAL(15,6)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 No Claim Period Unit Code Sk
DescriptionIndicates the units used for the duration of No Claim Period.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Party Role Sk
DescriptionSurrogate key for Anchor entity.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Relationship Type Code Sk
DescriptionIdentifies the type of the relationship as defined in the business data model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeytrue
Is Requiredtrue
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

 Applicant_Party Role_FK
Is Identifying Relationshiptrue
Child TableApplicant
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableParty Role
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Applicant_Agreement Request_FK
Is Identifying Relationshiptrue
Child TableApplicant
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableAgreement Request
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE

Primary Key Details

 Applicant PK
Key AttributeAgreement Request Sk
Key AttributeParty Role Sk
Key AttributeRelationship Type Code Sk
Key AttributeValid From Ts