OverviewTopPackage
Dimensional Warehouse Model Data Model

Package Claim

DescriptionA package that contains data elements related to both claims being submitted by the provider and post-adjudicated claims.


Diagrams
DWM - ClaimDWM - Claim
DWM - Claim AdjustmentDWM - Claim Adjustment
DWM - Claim DRG and APGDWM - Claim DRG and APG
DWM - Claim LineDWM - Claim Line
DWM - Claim Line - OverviewDWM - Claim Line - Overview
DWM - Claim - OverviewDWM - Claim - Overview
DWM - Claim Processing CostDWM - Claim Processing Cost
DWM - Claim RecoveryDWM - Claim Recovery
DWM - Claim Remittance AdviceDWM - Claim Remittance Advice
DWM - ServiceDWM - Service

Entities
Claim / Claim BridgeClaim / Claim Bridge
Claim / Diagnosis BridgeClaim / Diagnosis Bridge
Claim / Episode Of Care BridgeClaim / Episode Of Care Bridge
Claim / Practitioner BridgeClaim / Practitioner Bridge
Claim Adjustment FactClaim Adjustment Fact
Claim APG FactClaim APG Fact
Claim Condition Code ArrayClaim Condition Code Array
Claim DimensionClaim Dimension
Claim DRG FactClaim DRG Fact
Claim FactClaim Fact
Claim Fact / Communication BridgeClaim Fact / Communication Bridge
Claim Insurance BridgeClaim Insurance Bridge
Claim Line / Claim Line BridgeClaim Line / Claim Line Bridge
Claim Line / Diagnosis BridgeClaim Line / Diagnosis Bridge
Claim Line / Episode Of Care BridgeClaim Line / Episode Of Care Bridge
Claim Line / Practitioner BridgeClaim Line / Practitioner Bridge
Claim Line Amounts ArrayClaim Line Amounts Array
Claim Line Codes ArrayClaim Line Codes Array
Claim Line DimensionClaim Line Dimension
Claim Line FactClaim Line Fact
Claim Line Payment Information ArrayClaim Line Payment Information Array
Claim Processing Cost / Claim BridgeClaim Processing Cost / Claim Bridge
Claim Processing Cost FactClaim Processing Cost Fact
Claim Recovery / Claim Line BridgeClaim Recovery / Claim Line Bridge
Claim Recovery / Organization BridgeClaim Recovery / Organization Bridge
Claim Recovery / Person BridgeClaim Recovery / Person Bridge
Claim Recovery FactClaim Recovery Fact
Claim Remittance Advice FactClaim Remittance Advice Fact
OverviewTopPackage
Dimensional Warehouse Model Data Model