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HierCondHlthRskAdjFctr

Stores the risk adjustment factor for patients and members based on the set of Hierarchical Condition Category (HCC) codes that apply to them and the status of their benefits eligibility. This object is available in API version 61.0 and later.

Supported Calls

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

Fields

Field Details
CmnyFullBnftDualDisabled
Type
double
Properties
Create, Filter, Nillable, Sort, Update
Description
Specifies the risk adjustment factor for a patient who lives at home, has full benefits from both Medicare and Medicaid, and is enrolled in Medicare because of a disability.
CmnyPartialBenefitDualAged
Type
double
Properties
Create, Filter, Nillable, Sort, Update
Description
Specifies the risk adjustment factor for a patient who lives at home, has partial benefits from both Medicare and Medicaid, and is enrolled in Medicare because of their age.
CmnyPartialBnftDualDsbl
Type
double
Properties
Create, Filter, Nillable, Sort, Update
Description
Specifies the risk adjustment factor for a patient who lives at home, has partial benefits from both Medicare and Medicaid, and is enrolled in Medicare because of a disability.
Community
Type
double
Properties
Create, Filter, Nillable, Sort, Update
Description
Specifies the risk adjustment factor for a patient who lives at home.
CommunityFullBnftDualAged
Type
double
Properties
Create, Filter, Nillable, Sort, Update
Description
Specifies the risk adjustment factor for a patient who lives at home, has full benefits from both Medicare and Medicaid, and is enrolled in Medicare because of their age.
CommunityNonDualAged
Type
double
Properties
Create, Filter, Nillable, Sort, Update
Description
Specifies the risk adjustment factor for a patient who lives at home, is covered only by Medicare, and is enrolled in Medicare because of their age.
CommunityNonDualDisabled
Type
double
Properties
Create, Filter, Nillable, Sort, Update
Description
Specifies the risk adjustment factor for a patient who lives at home, is covered only by Medicare, and is enrolled in Medicare because of a disability.
Condition
Type
string
Properties
Create, Filter, Group, Sort, Update
Description
Specifies the condition for which the HCC code is defined.
ConditionCategory
Type
picklist
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Specifies the broader category that the specified condition belongs to. For instance, Respiratory Ailment.
HierCondCategoryCodeId
Type
reference
Properties
Create, Filter, Group, Sort, Update
Description
The record ID of the HCC code.
This field is a relationship field.
Relationship Name
HierCondCategoryCode
Relationship Type
Lookup
Refers To
CodeSet
Institutional
Type
double
Properties
Create, Filter, Nillable, Sort, Update
Description
Specifies the risk adjustment factor for a patient who lives at a healthcare facility.
IsActive
Type
boolean
Properties
Create, Defaulted on create, Filter, Group, Sort, Update
Description
Indicates that the risk adjustment factors defined in the record are active.
The default value is false.
LastReferencedDate
Type
dateTime
Properties
Filter, Nillable, Sort
Description
The date and time when the record was last referenced.
LastViewedDate
Type
dateTime
Properties
Filter, Nillable, Sort
Description
The date and time when the record was last viewed.
Name
Type
string
Properties
Autonumber, Defaulted on create, Filter, idLookup, Sort
Description
The system-generated name of the record.
OverriddenCodes
Type
textarea
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The list of HCC codes overridden by the specified HCC code.
OwnerId
Type
reference
Properties
Create, Defaulted on create, Filter, Group, Sort, Update
Description
The owner of the record in the system.
This field is a polymorphic relationship field.
Relationship Name
Owner
Relationship Type
Lookup
Refers To
Group, User
PublishedYear
Type
int
Properties
Create, Filter, Group, Sort, Update
Description
The year when the specified risk adjustment factors were published.