Entity Claim Coverage Precedence Alteration

DescriptionA 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 DateAlteration Date
Alteration Effective DateAlteration Effective Date
Alteration InitiatorAlteration Initiator
ReasonReason
Type of AlterationType of Alteration

Relationship
Claim Coverage Precedence Alteration_Coordination Of Benefits_FKClaim Coverage Precedence Alteration_Coordination Of Benefits_FK

Dependencies
 NONE

Reverse Dependencies
 

Attribute Details

 Alteration Date
DescriptionDate upon which the alteration was made.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Alteration Effective Date
DescriptionDate upon which the alteration becomes effective.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Alteration Initiator
DescriptionIndicates whether the alteration was initiated by the member or subscriber, by notification from another carrier, or by the health plan itself.
Data TypeStandards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Reason
DescriptionThe explanation of why the alteration was made.
Data TypeStandards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Type of Alteration
DescriptionIndicates the nature of the alteration made to the coverage precedence level whether it be to a higher or lower level precedence.
Data TypeStandards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse

Relationship Details

 Claim Coverage Precedence Alteration_Coordination Of Benefits_FK
Is Identifying Relationshipfalse
Child TableClaim Coverage Precedence Alteration
Child Role Nameis based on
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableCoordination Of Benefits
Parent Role Nameis basis for
Parent MultiplicityZERO_TO_ONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE