| Dimensional Warehouse Model Data Model |
Description | The analysis of the overall performance of providers and physicians in terms of managing their billings and receiving payments. A range of measure and dimensions track the timing of providing healthcare services and subsequently billing for such services and being paid for them. These insights can be used to identify where delays are occurring and to remedy such delays by introducing new practices or improving supporting services. |
Primary Key | |
![]() |
Dependencies | |
![]() |
Reverse Dependencies | |
![]() |
Attribute Details |
Description | The average monetary value of claims settled by practitioners being the overall value of claim payments included in the analysis divided by the number of practitioners involved. This provides a comparative value for assessing the performance of individual practitioners in generating cash flow. Formula: [A/B] (see dependencies and their labels for measures used in the formula) |
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 |
Description | The average monetary value claimed by practitioners being the overall value of claims included in the analysis divided by the number of practitioners involved. This provides a comparative value for assessing the performance of individual practitioners in generating billable revenue. Formula: [A/B] (see dependencies and their labels for measures used in the formula) |
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 |
Description | The average time lag expressed in days between the completion of a billable service and the coding and billing of that service. The average is based on the number of claims included in the analysis. Formula: [A/B] (see dependencies and their labels for measures used in the formula) |
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 |
Description | The average time lag expressed in days between the completion of a billable service and the issuing of a claim for that service. The average is based on the number of claims included in the analysis. Formula: [A/B] (see dependencies and their labels for measures used in the formula) |
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 |
Description | The average time lag expressed in days between the completion of a billable service and the final adjudication of a claim for that service by a health insurer. The average is based on the number of claims included in the analysis. Formula: [A/B] (see dependencies and their labels for measures used in the formula) |
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 |
Description | The average time lag expressed in days between the completion of a billable service and the settlement of a claim for that service. The average is based on the number of claims included in the analysis. Formula: [A/B] (see dependencies and their labels for measures used in the formula) |
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 |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | The monetary amount of all payments made in settlement of claims by payers. |
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 |
Description | The monetary amount of all claim payments made within 120 days of the date of claim issue. Note that depending on the analytical requirements of the organization this measure may relate to all claims settled within 90 days or only to those settled between 91 days and 120 days. |
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 |
Description | The monetary amount of all claim payments made within 30 days of the date of claim issue. |
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 |
Description | The monetary amount of all claim payments made within 60 days of the date of claim issue. Note that depending on the analytical requirements of the organization this measure may relate to all claims settled within 60 days or only to those settled between 31 days and 60 days. |
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 |
Description | The monetary amount of all claim payments made within 90 days of the date of claim issue. Note that depending on the analytical requirements of the organization this measure may relate to all claims settled within 90 days or only to those settled between 61 days and 90 days. |
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 |
Description | The monetary amount claimed from payers in respect of healthcare services. |
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 |
Description | The monetary amount of all claims that remain outstanding 120 days after the date of claim issue. Note that this period of 120 days or some other period may be considered by the provider organization to be the limit after which claims are effectively unrecoverable and may have to be written off or reclassified as bad debts. |
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 |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | A count of claims submitted by health care providers. |
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 |
Description | A count of the claims that were adjusted after issue and before being cleared for payment by healthcare insurers. Adjustments to claims after issue typically reduce the value of the claim and therefore impact the profitability of the provider. Adjustments also introduce additional administrative effort, costs and delays. |
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 |
Description | A count of claims that are settled within 120 days of issue. Note that depending on the analytical requirements of the organization this measure may relate to all claims settled within 120 days or only to those settled between 91 days and 120 days. |
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 |
Description | A count of claims that are settled within 30 days of issue. |
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 |
Description | A count of claims that are settled within 60 days of issue. Note that depending on the analytical requirements of the organization this measure may relate to all claims settled within 60 days or only to those settled between 31 days and 60 days. |
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 |
Description | A count of claims that are settled within 90 days of issue. Note that depending on the analytical requirements of the organization this measure may relate to all claims settled within 90 days or only to those settled between 61 days and 90 days. |
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 |
Description | A count of the claims that were cleared for payment by healthcare insurers without any queries, clarifications, repricing or other manual interventions. Claims passed without intervention suggest that good practices are in place in the coding and billing of services. This wil speed the payment process and reduce the overall administrative cost, thereby delivering improved cash flow and profitability. |
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 |
Description | A count of the claims that were repriced after issue and before being cleared for payment by healthcare insurers. Adjustments to claims after issue typically reduce the value of the claim and therefore impact the profitability of the provider. Adjustments also introduce additional administrative effort, costs and delays. |
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 |
Description | A count of claims that remain outstanding 120 days after issue. Note that this period of 120 days or some other period may be considered by the provider organization to be the limit after which claims are effectively unrecoverable and may have to be written off or reclassified as bad debts. |
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 |
Description | A count of the healthcare practitioners included in the analysis. |
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 |
Description | A count of the claims that were adjusted after issue and before being cleared for payment by healthcare insurers expressed as a percentage of the overall number of claims. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | A count of the claims that were settled by healthcare insurers within 120 days of their date of issue expressed as a percentage of the number of claims involved. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | A count of the claims that were settled by healthcare insurers within 30 days of their date of issue expressed as a percentage of the number of claims involved. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | A count of the claims that were settled by healthcare insurers within 60 days of their date of issue expressed as a percentage of the number of claims involved. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | A count of the claims that were settled by healthcare insurers within 90 days of their date of issue expressed as a percentage of the number of claims involved. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | A count of the claims that were cleared for payment by healthcare insurers without manual interventions expressed as a percentage of the number of claims involved. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | A count of the claims that were repriced after issue and before being cleared for payment by healthcare insurers expressed as a percentage of the overall number of claims. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | A count of the claims that remain outstanding 120 days after their date of issue expressed as a percentage of the number of claims involved. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | The monetary amount of all payments made in settlement of claims expressed as a percentage of the monetary value of claims submitted. This measure indicates how accurate the pricing and billing of services is in respect of coverage agreements. If the analysis is restricted to include the submitted and paid values only of claims that have actually been paid, the result will not be distorted by payment lag times. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
Data Type | Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)] |
Is Part Of PrimaryKey | false |
Is Required | false |
Is Derived | false |
Is Surrogate Key | false |
Description | The monetary value of claim settlements made within 120 days of the date of claim issue expressed as a percentage of the monetary value of claims issued. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
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 |
Description | The monetary value of claim settlements made within 30 days of the date of claim issue expressed as a percentage of the monetary value of claims issued. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
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 |
Description | The monetary value of claim settlements made within 60 days of the date of claim issue expressed as a percentage of the monetary value of claims issued. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
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 |
Description | The monetary value of claim settlements made within 90 days of the date of claim issue expressed as a percentage of the monetary value of claims issued. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
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 |
Description | The monetary value of claims that remain outstanding 120 days after the date of claim issue expressed as a percentage of the monetary value of claims issued. Formula: [(A/B)*100] (see dependencies and their labels for measures used in the formula) |
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 |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
Is Part Of PrimaryKey | true |
Is Required | true |
Is Derived | false |
Is Surrogate Key | false |
Description | The time lag expressed in days between the completion of a billable service and the coding and billing of that service. Long delays in the preparation of service bills negatively impact on the healthcare organization's cash flow and profitability. Delays can be the result of poor administrative practice at a systemic level or at the level of individual practitioners. |
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 |
Description | The time lag expressed in days between the completion of a billable service and the issuing of a claim for that service. Long delays in the issuing of claims negatively impact on the healthcare organization's cash flow and profitability. |
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 |
Description | The time lag expressed in days between the completion of a billable service and the final adjudication of a claim for that service by a health insurer. This period covers all of the time taken to prepare, code and issue claims as well as the time taken to follow up on any queries or repricing. |
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 |
Description | The time lag expressed in days between the completion of a billable service and the settlement of a claim for that service. |
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 |
Relationship Details |
Is Identifying Relationship | true |
Child Table | Provider Revenue Cycle Analysis |
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 | Provider Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | Provider Revenue Cycle Analysis |
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 | Practitioner Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | Provider Revenue Cycle Analysis |
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 | Point Of Care Location Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | Provider Revenue Cycle Analysis |
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 | Healthcare Insurer Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | Provider Revenue Cycle Analysis |
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 | Calendar Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | Provider Revenue Cycle Analysis |
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 | Diagnosis Related Group Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Is Identifying Relationship | true |
Child Table | Provider Revenue Cycle Analysis |
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 | Service Dimension |
Parent Multiplicity | ONE |
Parent Referential Integrity: On Delete | NONE |
Parent Referential Integrity: On Insert | NONE |
Parent Referential Integrity: On Update | NONE |
Primary Key Details |
Key Attribute | Provider Dk |
Key Attribute | Practitioner Dk |
Key Attribute | Point Of Care Location Dk |
Key Attribute | Healthcare Insurer Dk |
Key Attribute | Calendar Dk |
Key Attribute | Diagnosis Related Group Dk |
Key Attribute | Service Dk |
| Dimensional Warehouse Model Data Model |