| 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 | |
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Relationship | |
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Dependencies | |
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Reverse Dependencies | |
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Attribute Details |
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 |
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 |
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 |
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 |
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 |
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 |