OverviewTopPackage
Atomic Warehouse Model Data Model

Package Claim

DescriptionA package that contains data elements related to both claims being submitted by the provider and post-adjudicated claims.


Diagrams
AWM - ClaimAWM - Claim
AWM - Claim AdjustmentAWM - Claim Adjustment
AWM - Claim AppealAWM - Claim Appeal
AWM - Claim CommunicationAWM - Claim Communication
AWM - Claim FraudAWM - Claim Fraud
AWM - Claim - OverviewAWM - Claim - Overview
AWM - Claim Processing And RecoveryAWM - Claim Processing And Recovery
AWM - Coordination Of BenefitsAWM - Coordination Of Benefits
AWM - Explanation Of BenefitsAWM - Explanation Of Benefits
AWM - ServiceAWM - Service
ClaimClaim

Entities
ClaimClaim
Claim / APGClaim / APG
Claim / ClaimClaim / Claim
Claim / Claim ConditionClaim / Claim Condition
Claim / Claim LineClaim / Claim Line
Claim / CommunicationClaim / Communication
Claim / DiagnosisClaim / Diagnosis
Claim / DRGClaim / DRG
Claim / EncounterClaim / Encounter
Claim / Insurance PolicyClaim / Insurance Policy
Claim / OrganizationClaim / Organization
Claim / PatientClaim / Patient
Claim / PractitionerClaim / Practitioner
Claim AdjustmentClaim Adjustment
Claim Adjustment / ClaimClaim Adjustment / Claim
Claim Adjustment / Claim LineClaim Adjustment / Claim Line
Claim Adjustment / Party RoleClaim Adjustment / Party Role
Claim Adjustment DetailClaim Adjustment Detail
Claim AppealClaim Appeal
Claim Appeal / ClaimClaim Appeal / Claim
Claim Appeal / Claim LineClaim Appeal / Claim Line
Claim Appeal / CommunicationClaim Appeal / Communication
Claim Appeal / Plan MemberClaim Appeal / Plan Member
Claim Appeal / ProviderClaim Appeal / Provider
Claim Appeal DetailClaim Appeal Detail
Claim AttachmentClaim Attachment
Claim Attachment / ClaimClaim Attachment / Claim
Claim Attachment DetailClaim Attachment Detail
Claim ConditionClaim Condition
Claim Condition CodeClaim Condition Code
Claim Condition DetailClaim Condition Detail
Claim Coverage Precedence AlterationClaim Coverage Precedence Alteration
Claim Coverage Precedence Alteration / COBClaim Coverage Precedence Alteration / COB
Claim Coverage Precedence Alteration DetailClaim Coverage Precedence Alteration Detail
Claim DetailClaim Detail
Claim Fraud InvestigationClaim Fraud Investigation
Claim Fraud Investigation / ClaimClaim Fraud Investigation / Claim
Claim Fraud Investigation / Claim ConditionClaim Fraud Investigation / Claim Condition
Claim Fraud Investigation / Claim LineClaim Fraud Investigation / Claim Line
Claim Fraud Investigation / OrganizationClaim Fraud Investigation / Organization
Claim Fraud Investigation / PersonClaim Fraud Investigation / Person
Claim Fraud Investigation DetailClaim Fraud Investigation Detail
Claim InsuranceClaim Insurance
Claim LineClaim Line
Claim Line / Account StructureClaim Line / Account Structure
Claim Line / Claim LineClaim Line / Claim Line
Claim Line / DiagnosisClaim Line / Diagnosis
Claim Line / Fee Schedule ItemClaim Line / Fee Schedule Item
Claim Line / PractitionerClaim Line / Practitioner
Claim Line AmountsClaim Line Amounts
Claim Line CodesClaim Line Codes
Claim Line DetailClaim Line Detail
Claim Line OCE EditClaim Line OCE Edit
Claim Line Payment InformationClaim Line Payment Information
Claim Line ServiceClaim Line Service
Claim OCE EditClaim OCE Edit
Claim ProcessingClaim Processing
Claim Processing / ClaimClaim Processing / Claim
Claim Processing / Claim Processing CostClaim Processing / Claim Processing Cost
Claim Processing CostClaim Processing Cost
Claim Processing Cost DetailClaim Processing Cost Detail
Claim Processing DetailClaim Processing Detail
Claim RecoveryClaim Recovery
Claim Recovery / ClaimClaim Recovery / Claim
Claim Recovery / Claim LineClaim Recovery / Claim Line
Claim Recovery / OrganizationClaim Recovery / Organization
Claim Recovery / PersonClaim Recovery / Person
Claim Recovery DetailClaim Recovery Detail
Claim Remittance AdviceClaim Remittance Advice
Claim Remittance Advice / ClaimClaim Remittance Advice / Claim
Claim Remittance Advice DetailClaim Remittance Advice Detail
COB / Claim Line / Coverage AgreementCOB / Claim Line / Coverage Agreement
Coordination Of BenefitsCoordination Of Benefits
Coordination Of Benefits / ClaimCoordination Of Benefits / Claim
Coordination Of Benefits / Insurance PolicyCoordination Of Benefits / Insurance Policy
Coordination Of Benefits / OrganizationCoordination Of Benefits / Organization
Coordination Of Benefits / Plan MemberCoordination Of Benefits / Plan Member
Coordination Of Benefits DetailCoordination Of Benefits Detail
Explanation Of BenefitsExplanation Of Benefits
ServiceService
Service / Point Of Care LocationService / Point Of Care Location
Service DetailService Detail
OverviewTopPackage
Atomic Warehouse Model Data Model