| Business Data Model Data Model |
| Description | A party who submits a claim for an incurred service. For example: Acme healthcare provider, as claimant of multiple procedures it has carried out under the relevant health plan product. Michael Gregory, as claimant of a benefit under his personal health plan product. |
| Attributes | |
Claimant Confirmation |
|
Claimant Confirmation Date |
|
Claimant Type |
|
| Generalization | |
Claimant_Party Role_Gen |
|
| Dependencies | |
NONE |
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| Reverse Dependencies | |
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| Attribute Details |
Claimant Confirmation
| Description | Indicates whether the claimant is accepted as being a valid member of the insurance policy against which the claim was filed. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Claimant Confirmation Date
| Description | The date upon which which the claimant confirmation status was set. |
| 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 |
Claimant Type
| Description | Indicates nature of the relationship between a claimant and the healthcare insurer. |
| 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 |
| Generalization Details |
Claimant_Party Role_Gen
| Supertype | Party Role |
| Subtype | Claimant |
| Transform As | TABLE |
| Business Data Model Data Model |