| BenefitCategory |
- Type
- string
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- Name of the benefit category this item belongs to.
|
| CoverageLevel |
- Type
- string
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- Description of the level of coverage provided.
|
| FrequencyType |
- Type
- picklist
- Properties
- Create, Filter, Group, Nillable, Restricted picklist,
Sort, Update
- Description
- The frequency type of the plan benefit item associated
with the home healthcare visit.
- Possible values are:
- Daily
- Fortnightly
- Monthly
- Quarterly
- Weekly
- Yearly
- This field is available in API version 66.0 and later
with the Home Health add-on license.
|
| InNetworkCoverage |
- Type
- currency
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- The amount available to contribute towards treatment
costs for each treatment undertaken by the health plan’s
preferred providers.
|
| IsInPlanNetwork |
- Type
- boolean
- Properties
- Create, Defaulted on create, Filter, Group, Sort, Update
- Description
- Indicates if the benefit is only available in the plan
network.
|
| ItemCodeId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The code of the plan benefit item.
- This field is a polymorphic relationship field.
- This field is available in API version 64.0 and
later.
- Relationship Name
- ItemCode
- Refers To
- CodeSet, CodeSetBundle
|
| 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.
|
| Name |
- Type
- string
- Properties
- Create, Filter, Group, Sort, Update
- Description
- Name of this benefit item.
|
| Notes |
- Type
- textarea
- Properties
- Create, Nillable, Update
- Description
- Additional information about this benefit item.
|
| OutofNetworkCoverage |
- Type
- currency
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- The amount available to contribute towards treatment
costs for each treatment undertaken by non-preferred
providers.
|
| OwnerId |
- Type
- reference
- Properties
- Create, Defaulted on create, Filter, Group, Sort, Update
- Description
- The ID of the user who owns this record.
|
| PauthRequirementEndDate |
- Type
- dateTime
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- The date from which preauthorization for the plan
benefit item is required or not.
- This field is available in API version 64.0 and
later.
|
| PauthRequirementStartDate |
- Type
- dateTime
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- The last date for which preauthorization for the plan
benefit item is required or not.
- This field is available in API version 64.0 and
later.
|
| PlanBenefitId |
- Type
- reference
- Properties
- Create, Filter, Group, Sort
- Description
- The ID of the benefit this item belongs to.
|
| PreauthorizationTypeCodeId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The code which represents the type of preauthorization
that the plan benefit item requires.
- This field is a relationship field.
- This field is available in API version 64.0 and
later.
- Relationship Name
- PreauthorizationTypeCode
- Refers To
- CodeSet
|
| ServiceType |
- Type
- string
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The type of service this plan benefit item provides
for.
|
| ServiceTypeCode |
- Type
- string
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The code for the type of service this plan benefit item
provides for.
|
| SourceSystem |
- Type
- string
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The name of the system this benefits item record came
from.
|
| SourceSystemIdentifier |
- Type
- string
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The ID of this benefits item record on its source
system.
|
| SourceSystemModified |
- Type
- date
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The date on which this benefits item was last updated
from the source system.
|
| TimePeriod |
- Type
- string
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- A description of the period during which services under
this plan benefit item are to be rendered or
continued.
|
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