CoverageBenefitItemLimit

Allows you to track details associated with a specific benefit as it relates to expenditures, limits, coverage levels, eligibility, and exclusion. This object is available in API version 53.0 and later.

Supported Calls

create(), delete(), describeLayout(), describeSObjects(), getDeleted(), getUpdated(), query(), retrieve(), search(), undelete(), update(), upsert()

Fields

Field	Details
AllowedLimit	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description Maximum amount that will be paid for the service.
AppliedLimit	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description Specifies whether the benefit has been claimed.
CareLimitTypeId	Type reference Properties Create, Filter, Group, Nillable, Sort, Update Description Specifies whether the limit is a required payment or excluded service. This is a relationship field. Relationship Name CareLimitType Relationship Type Lookup Refers To CareLimitType
CoverageBenefitItemId	Type reference Properties Create, Filter, Group, Sort Description Specific service covered by the insurance plan. This is a relationship field. Relationship Name CoverageBenefitItem Relationship Type Lookup Refers To CoverageBenefitItem
CoverageLevel	Type picklist Properties Create, Filter, Group, Nillable, Restricted picklist, Sort, Update Description Defines the persons eligible for the benefit item. Possible values are: `EmployeeSpouse`—Employee & Spouse `Family` `Individual`
LastReferencedDate	Type dateTime Properties Filter, Nillable, Sort Description The timestamp for when the current user last viewed a record related to this record.
LastViewedDate	Type dateTime Properties Filter, Nillable, Sort Description The timestamp for when the current user last viewed this record. If this value is null, it’s possible that this record was referenced (LastReferencedDate) and not viewed.
LimitNotes	Type textarea Properties Create, Nillable, Update Description General information about the limit.
Name	Type string Properties Create, Filter, Group, idLookup, Sort, Update Description The name of the coverage benefit item limit.
NetworkType	Type picklist Properties Create, Filter, Group, Nillable, Restricted picklist, Sort, Update Description Specifies whether the provider is eligible for reimbursement. Possible values are: `In` `NA` `Out`
PriorityOrder	Type double Properties Create, Filter, Nillable, Sort, Update Description This limit's position in the sequence for calculating limits.
TermType	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Specifies the type of time period during which the benefit item is available. Possible values are: `Calendar Year` `Day` `Month` `Year to Date`

Associated Objects

This object has the following associated objects. If the API version isn’t specified, they’re available in the same API versions as this object. Otherwise, they’re available in the specified API version and later.

CoverageBenefitItemLimitChangeEvent (API version 60.0): Change events are available for the object.

Salesforce Health Cloud Developer Guide

CoverageBenefitItemLimit

Supported Calls

Fields

Associated Objects