Entity Health Plan Organization

DescriptionAn 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
Health Plan IdHealth Plan Id
National Health Plan IdNational Health Plan Id
Tax IdTax Id

Generalization
Health Plan Organization_Organization_GenHealth Plan Organization_Organization_Gen

Dependencies
 NONE

Reverse Dependencies
 

Attribute Details

 Health Plan Id
DescriptionA unique identifier for the health plan organization.
Data TypeStandards - Data Domains.ddm/Data Domains/String [VARCHAR(255)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 National Health Plan Id
DescriptionThe 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 TypeStandards - Data Domains.ddm/Data Domains/String [VARCHAR(255)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Tax Id
DescriptionThe Tax Identification Number (TIN) of the health plan organization.
Data TypeStandards - Data Domains.ddm/Data Domains/String [VARCHAR(255)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse

Generalization Details

 Health Plan Organization_Organization_Gen
SupertypeOrganization
SubtypeHealth Plan Organization
Transform AsTABLE