Entity Institutional Claim Line Item

DescriptionA 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 CntClaimed Days Cnt
Non Covered Days CntNon Covered Days Cnt
Paid Days CntPaid Days Cnt

Generalization
Institutional Claim Line Item_Claim Line_GenInstitutional Claim Line Item_Claim Line_Gen

Dependencies
 NONE

Reverse Dependencies
 

Attribute Details

 Claimed Days Cnt
Descriptionthe number of days billed on an institutional claim line item.
Data TypeStandards - Data Domains.ddm/Data Domains/Number Integer [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Non Covered Days Cnt
DescriptionThe number of claimed days not covered under coverage agreement specifications.
Data TypeStandards - Data Domains.ddm/Data Domains/Number Integer [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Paid Days Cnt
DescriptionThe 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 TypeStandards - Data Domains.ddm/Data Domains/Number Integer [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse

Generalization Details

 Institutional Claim Line Item_Claim Line_Gen
SupertypeClaim Line
SubtypeInstitutional Claim Line Item
Transform AsTABLE