Claims AmtClaims CntCustomer ImportanceMedical Aid Annual Accumulator AmtMedical Aid Annual Threshold AmtNumber Of Products
| Business Data Model Data Model |
| Description | A party to whom the healthcare organization has sold or wants to sell products or services. For example: A member of a health plan sold by a healthcare insurer. A person who has availed of diagnostic tests offered by a healthcare provider. |
| Attributes | |
| Claims Amt |
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| Claims Cnt |
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| Customer Importance |
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| Medical Aid Annual Accumulator Amt |
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| Medical Aid Annual Threshold Amt |
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| Number Of Products |
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| Relationship | |
 Party represents Customer |
|
| Dependencies | |
 NONE |
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| Reverse Dependencies | |
| |
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| Attribute Details |
Claims Amt
| Description | The total monetary amount of claims, across all lines of business, related to this customer within the given time period. It only includes claims made to the modeled organization. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Claims Cnt
| Description | The total number of claims, across all line of business, related to this customer within the given time period. It only includes claims made to the modeled organization. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Number Integer [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Customer Importance
| Description | Customer importance classifies instances of customer according to the degree to which the modeled organization regards the importance of the relationship with the customer. For example: 1 (Highest priority/ VIP) 2 (High priority) 3 (Normal priority) 4 (Low priority) |
| 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 |
Medical Aid Annual Accumulator Amt
| Description | The amount of medical related expenditure the person has incurred during the year to date that contributes towards their entitlement to medical aid. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Medical Aid Annual Threshold Amt
| Description | The amount of medical related expenditure the person needs to incur during an annual period before they qualify for medical aid. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Number Of Products
| Description | The number of health plan products in which the customer is enrolled, either as a subscriber or dependent. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Small Counter [SHORT] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
| Relationship Details |
Party represents Customer
| Is Identifying Relationship | false |
| Child Table | Customer |
| Child Role Name | is represented by |
| 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 | Party |
| Parent Role Name | represents |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
| Business Data Model Data Model |