Entity Insurance Plan Coverage Array

DescriptionThe coverage to which a subscriber of the insurance plan is entitled. The insurance plan coverage represents a basic set of information about the coverages of an insurance plan known to the healthcare provider.

Attributes
AWM Load Info SkAWM Load Info Sk
Co-Payment AmtCo-Payment Amt
Co-Payment PctCo-Payment Pct
Coverage LimitCoverage Limit
Coverage Type CdCoverage Type Cd
Coverage Type Code DescrCoverage Type Code Descr
Coverage Type Code SkCoverage Type Code Sk
Current IndCurrent Ind
DWM Load Info SkDWM Load Info Sk
Effective From DtEffective From Dt
Effective To DtEffective To Dt
Health Plan Product DkHealth Plan Product Dk
Source Code SkSource Code Sk
Tenant SkTenant Sk
Valid From TsValid From Ts
Valid To TsValid To Ts

Relationship
Health Plan Coverage Dimension_Health Plan Product Dimension_FKHealth Plan Coverage Dimension_Health Plan Product Dimension_FK

Primary Key
Insurance Plan Coverage Array PKInsurance Plan Coverage Array PK

Dependencies
 
 

Reverse Dependencies
 

Attribute Details

 AWM Load Info Sk
DescriptionThe surrogate key of the load information entry describing the details regarding the loading of the row in the atomic data warehouse.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Co-Payment Amt
DescriptionThe specific co-payment amount applying to all benefits under the coverage.
Data TypeStandards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Co-Payment Pct
DescriptionThe specific co-payment percentage applying to all benefits for the coverage.
Data TypeStandards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Coverage Limit
DescriptionThe maximum amount that can be received in eligible benefits for the coverage.
Data TypeStandards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Coverage Type Cd
DescriptionIdentifies the type of insurance coverage, or what types of services are covered.
Data TypeStandards - Data Domains.ddm/Data Domains/Tenant Common Code [VARCHAR(80)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Coverage Type Code Descr
DescriptionIdentifies the type of insurance coverage, or what types of services are covered.
Data TypeStandards - Data Domains.ddm/Data Domains/Description [VARCHAR(250)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Coverage Type Code Sk
DescriptionIdentifies the type of insurance coverage, or what types of services are covered.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Current Ind
DescriptionSet to 'Y' if this is the most recent row of a group having the same Surrogate Key.
Data TypeStandards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 DWM Load Info Sk
DescriptionThe surrogate key of the load information entry describing the details regarding the loading of the row.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Effective From Dt
DescriptionEstablishes a period where a set of attributes are true according to the business.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Effective To Dt
DescriptionEnds a period of effectivity.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Health Plan Product Dk
DescriptionA numeric surrogate key used to uniquely identify entities in the dimensional model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Source Code Sk
DescriptionThe origin of the data identifying the actual load source, vendor, manual key entry, or context of the data in a specific row in the database.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Tenant Sk
DescriptionThe surrogate key of the entry identifying the legal owner of the data.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Valid From Ts
DescriptionEstablishes a period where a set of attributes are true in the source system. This would be populated with the transaction timestamp and would be used for the snapshot date.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Valid To Ts
DescriptionEnds a period of validity.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse

Relationship Details

 Health Plan Coverage Dimension_Health Plan Product Dimension_FK
Is Identifying Relationshiptrue
Child TableInsurance Plan Coverage Array
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableHealth Plan Product Dimension
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE

Primary Key Details

 Insurance Plan Coverage Array PK
Key AttributeHealth Plan Product Dk
Key AttributeValid From Ts
Key AttributeCoverage Type Code Sk