| Business Data Model Data Model |
| Description | A claim line that is in respect of services rendered by a healthcare professional such as a surgeon or a consultant. For example: A charge for performing bariatric surgery A charge for a psychiatric assessment |
| Generalization | |
 Professional Claim Line Item_Claim Line_Gen |
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| Dependencies | |
 NONE |
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| Reverse Dependencies | |
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| Attribute Details |
Ambulatory Patient Group Code
| Description | The ambulatory patient group (APG) of the patient. Relevant where the contractual reimbursement arrangement between provider and payer is based on APG. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Identifier Numeric [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Number of Claimed Services
| Description | A count of the services rendered that are included in the claim line. |
| 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 |
Number of Non Covered Services
| Description | A count of services rendered that are 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 |
Number of Services per Repetition Period
| Description | The number of service units that are rendered in the period specified. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Identifier Numeric [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Service Delivery Calendar
| Description | The days of the week or month that services are rendered. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Identifier Numeric [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Service Delivery Times
| Description | The times of the day that services are rendered. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Time [TIME] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Service Duration Period
| Description | The unit of measurement used to describe the period over which services are rendered. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Identifier Numeric [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Service Duration Period Cnt
| Description | The total number of duration periods that services are rendered over. For example: 21 days |
| Data Type | Standards - Data Domains.ddm/Data Domains/Small Counter [SHORT] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Service Repetition Cnt
| Description | The sampling frequency of the services. For example: 12 (every 12 hours) 3rd (every 3rd day) |
| Data Type | Standards - Data Domains.ddm/Data Domains/Identifier Numeric [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Service Repetition Period
| Description | The period of measurement that the selective rendering of services is based on. For example: days (every 3rd) hours (every 12) |
| Data Type | Standards - Data Domains.ddm/Data Domains/Identifier Numeric [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
| Generalization Details |
Professional Claim Line Item_Claim Line_Gen
| Supertype | Claim Line |
| Subtype | Professional Claim Line Item |
| Transform As | TABLE |
| Business Data Model Data Model |