| Atomic Warehouse Model Data Model |
| Description | A communication that a health plan organization sends to a healthcare provider explaining the settlement of a submitted claim . The remittance advice will contain details of the payment amounts and will typically accompany or precede the payment. |
| Relationship | |
 Claim Remittance Advice Detail_Anchor_FK |
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| Primary Key | |
 Claim Remittance Advice Detail PK |
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| Dependencies | |
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| Reverse Dependencies | |
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| Attribute Details |
Capitation Payment Amt
| Description | The amount of the claim payment representing capitation amounts. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Currency Amount Large [DECIMAL(20,2)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Claim Remittance Advice Sk
| Description | Anchor surrogate key for the Encounter data. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
| Is Part Of PrimaryKey | true |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Effective From Dt
| Description | Establishes a period where a set of attributes are true according to the business. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Date [DATE] |
| Is Part Of PrimaryKey | false |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Effective To Dt
| Description | Ends a period of effectivity. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Date [DATE] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Interest Amt
| Description | The portion of the claim payment relating to interest obligations. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Currency Amount Large [DECIMAL(20,2)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Late Claim Filing Penalty Amt
| Description | The amount that the provider is charged for late filing of claims. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Currency Amount Large [DECIMAL(20,2)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Load Info Sk
| Description | The surrogate key of the load information entry describing the details regarding the loading of the row. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
| Is Part Of PrimaryKey | false |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Loan Repayment Amt
| Description | An adjustment to the claim payment in respect to loan amounts being repaid. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Currency Amount Large [DECIMAL(20,2)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Periodic Interim Payment Amt
| Description | The monetary value of any periodic interim payment included in the claim payment. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Currency Amount Large [DECIMAL(20,2)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Source Code Sk
| Description | The 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 Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Tenant Sk
| Description | The surrogate key of the entry identifying the legal owner of the data. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Type Code Sk
| Description | Identifies the actual type of the entry based on the entity type hierarchy defined in the business data model. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Valid From Ts
| Description | Establishes 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 Type | Standards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP] |
| Is Part Of PrimaryKey | true |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Valid To Ts
| Description | Ends a period of validity. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
| Relationship Details |
Claim Remittance Advice Detail_Anchor_FK
| Is Identifying Relationship | true |
| Child Table | Claim Remittance Advice Detail |
| Child Multiplicity | ZERO_TO_MANY |
| Child Referential Integrity: On Delete | NONE |
| Child Referential Integrity: On Insert | NONE |
| Child Referential Integrity: On Update | NONE |
| Parent Table | Claim Remittance Advice |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
| Primary Key Details |
Claim Remittance Advice Detail PK
| Key Attribute | Claim Remittance Advice Sk |
| Key Attribute | Valid From Ts |
| Atomic Warehouse Model Data Model |