| Business Data Model Data Model |
| Description | A party role in agreement request that describes 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 | |
Declared Claims Amt |
|
Declared Claims Cnt |
|
Individual Or Group Ind |
|
No Claim Discount Period |
|
No Claim Period Unit |
|
| Generalization | |
Applicant - Party Role In Agreement Request |
|
| Dependencies | |
NONE |
|
| Reverse Dependencies | |
|
|
| Attribute Details |
Declared Claims Amt
| Description | The monetary amount of claims declared by an applicant, not including claims filed to the modeled organization. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Declared Claims Cnt
| Description | The number of claims declared by an applicant, not including claims filed to the modeled organization. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Number Integer [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Individual Or Group Ind
| Description | Indicates whether the applicant is a health benefits plan group or an individual (person). For example: G = Group I = Individual |
| Data Type | Standards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
No Claim Discount Period
| Description | The duration before 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 Type | Standards - Data Domains.ddm/Data Domains/Number Decimal Large [DECIMAL(15,6)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
No Claim Period Unit
| Description | Indicates the units used for the duration of No Claim Period. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
| Generalization Details |
Applicant - Party Role In Agreement Request
| Supertype | Party Role In Agreement Request |
| Subtype | Applicant |
| Transform As | TABLE |
| Business Data Model Data Model |