| 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 | |
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Generalization | |
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Dependencies | |
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Reverse Dependencies | |
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Attribute Details |
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 |
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 |
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 |
Supertype | Party Role |
Subtype | Claimant |
Transform As | TABLE |
| Business Data Model Data Model |