| Business Data Model Data Model |
| Description | A claim line that is in respect of a medical service or product provided by a healthcare facility such as a hospital or clinic. For example: A charge for an inpatient stay of 4 days duration |
| Attributes | |
Claimed Days Cnt |
|
Non Covered Days Cnt |
|
Paid Days Cnt |
|
| Generalization | |
Institutional Claim Line Item_Claim Line_Gen |
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| Dependencies | |
NONE |
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| Reverse Dependencies | |
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| Attribute Details |
Claimed Days Cnt
| Description | the number of days billed on an institutional claim line item. |
| 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 |
Non Covered Days Cnt
| Description | The number of claimed days not covered under coverage agreement specifications. |
| 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 |
Paid Days Cnt
| Description | The number of days paid by the health plan organization on an institutional claim. That is the claim days count less any days disallowed for reasons such as ineligibility, non-coverage, or excess of the maximum days allowed for the healthcare task rendered. |
| 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 |
| Generalization Details |
Institutional Claim Line Item_Claim Line_Gen
| Supertype | Claim Line |
| Subtype | Institutional Claim Line Item |
| Transform As | TABLE |
| Business Data Model Data Model |