| Business Data Model Data Model |
| Description | A change that is made to the health plan organization's sequence of liability for a claim that is subject to coordination of benefits (COB). |
| Attributes | |
Alteration Date |
|
Alteration Effective Date |
|
Alteration Initiator |
|
Reason |
|
Type of Alteration |
|
| Relationship | |
Claim Coverage Precedence Alteration_Coordination Of Benefits_FK |
|
| Dependencies | |
NONE |
|
| Reverse Dependencies | |
|
|
| Attribute Details |
Alteration Date
| Description | Date upon which the alteration was made. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Date [DATE] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Alteration Effective Date
| Description | Date upon which the alteration becomes effective. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Date [DATE] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Alteration Initiator
| Description | Indicates whether the alteration was initiated by the member or subscriber, by notification from another carrier, or by the health plan itself. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Reason
| Description | The explanation of why the alteration was made. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Type of Alteration
| Description | Indicates the nature of the alteration made to the coverage precedence level whether it be to a higher or lower level precedence. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
| Relationship Details |
Claim Coverage Precedence Alteration_Coordination Of Benefits_FK
| Is Identifying Relationship | false |
| Child Table | Claim Coverage Precedence Alteration |
| Child Role Name | is based on |
| Child Multiplicity | ZERO_TO_MANY |
| Child Referential Integrity: On Delete | NONE |
| Child Referential Integrity: On Insert | NONE |
| Child Referential Integrity: On Update | NONE |
| Parent Table | Coordination Of Benefits |
| Parent Role Name | is basis for |
| Parent Multiplicity | ZERO_TO_ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
| Business Data Model Data Model |