Cost Actual AmtCost CategoryCost CodeCost Forecast AmtCurrencyDirect IndFixed IndTime Spent
| Business Data Model Data Model |
| Description | A financial expense that is incurred in dealing with a claim. The costs may be identified at a very detailed level (claim line) or may be at a higher level that relates to the whole claim. For example: The administrative cost incurred in adjudicating a claim. |
| Attributes | |
| Cost Actual Amt |
|
| Cost Category |
|
| Cost Code |
|
| Cost Forecast Amt |
|
| Currency |
|
| Direct Ind |
|
| Fixed Ind |
|
| Time Spent |
|
| Relationship | |
 Claim Processing Cost_Claim Processing_FK |
|
| Dependencies | |
 NONE |
|
| Reverse Dependencies | |
| |
|
| Attribute Details |
Cost Actual Amt
| Description | The monetary amount corresponding to the cost related to a claim. |
| 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 |
Cost Category
| Description | Indicates the nature of the claim processing cost. |
| 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 |
Cost Code
| Description | Indicates a classification of the breakdown of the claim costs for claim statistical or financial reporting purposes. |
| 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 |
Cost Forecast Amt
| Description | The anticipated or projected activity cost. |
| 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 |
Currency
| Description | The currency that is used as the basis for all monetary amounts. |
| 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 |
Direct Ind
| Description | Indicates whether the cost is direct or indirect. |
| 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 |
Fixed Ind
| Description | Indicates whether the cost is fixed or variable. |
| 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 |
Time Spent
| Description | The time spent on the claim handling activity by the health plan, its providers, partners and intermediaries. |
| 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 |
Claim Processing Cost_Claim Processing_FK
| Is Identifying Relationship | false |
| Child Table | Claim Processing Cost |
| 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 | Claim Processing |
| Parent Multiplicity | ZERO_TO_MANY |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
| Business Data Model Data Model |