| Business Data Model Data Model |
Description | An organization that sells, underwrites and/or administers fully-insured health plan products and manages benefits for self-funded plans, or a company such as a Third Party Administrator (TPA) that manages claims for another organization. |
Attributes | |
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Generalization | |
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Dependencies | |
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Reverse Dependencies | |
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Attribute Details |
Description | A unique identifier for the health plan organization. |
Data Type | Standards - Data Domains.ddm/Data Domains/String [VARCHAR(255)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | The National Health Plan Identifier (HPID) is issued by the Centers for Medicare and Medicaid Services (CMS) as a standard identifier for health plan products. |
Data Type | Standards - Data Domains.ddm/Data Domains/String [VARCHAR(255)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | The Tax Identification Number (TIN) of the health plan organization. |
Data Type | Standards - Data Domains.ddm/Data Domains/String [VARCHAR(255)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Generalization Details |
Supertype | Organization |
Subtype | Health Plan Organization |
Transform As | TABLE |
| Business Data Model Data Model |