Adjustment AmtPremium Billed AmtPremium Enrollee CntPremium Group CntPremium Paid AmtPremium Payment Date
| Business Data Model Data Model |
| Description | A communication that a plan sponsor sends to a health plan organization explaining the premium payments in relation to a group agreement. |
| Attributes | |
| Adjustment Amt |
|
| Premium Billed Amt |
|
| Premium Enrollee Cnt |
|
| Premium Group Cnt |
|
| Premium Paid Amt |
|
| Premium Payment Date |
|
| Generalization | |
 Premium Remittance Advice - Explanation Of Payment |
|
| Dependencies | |
 NONE |
|
| Reverse Dependencies | |
| |
|
| Attribute Details |
Adjustment Amt
| Description | The adjustment amount to the basic premium amount. |
| 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 |
Premium Billed Amt
| Description | The premium amount due or billed. This may be different from the paid amount. |
| 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 |
Premium Enrollee Cnt
| Description | The number of enrolled members covered by the premium payment. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Count [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Premium Group Cnt
| Description | The number of health benefits plan groups covered under the premium payment. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Count [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Premium Paid Amt
| Description | Amount of premium actually paid by, or on behalf of, the policyholder. |
| 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 |
Premium Payment Date
| Description | The date upon which the premium payment was made. |
| 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 |
| Generalization Details |
Premium Remittance Advice - Explanation Of Payment
| Supertype | Explanation of Payment |
| Subtype | Premium Remittance Advice |
| Transform As | TABLE |
| Business Data Model Data Model |