CoverageBenefit

Represents the benefits provided to a covered member by a purchaser’s plan.

This guide only lists certain information for each object. For more information, including descriptions of the fields, see CoverageBenefit in the Life Sciences Cloud Developer Guide and Salesforce Health Cloud Developer Guide.

Fields

Field Name Field Label Type Digits Length Precision Scale
BenefitNotes Benefit Notes textarea 32000
BenefitPeriodEndDate Benefit Period End Date date
BenefitPeriodStartDate Benefit Period Start Date date
CareBenefitVerifyRequestId Care Benefit Verify Request ID reference 18
CoinsuranceNotes Coinsurance Notes textarea 32000
CopayNotes Copay Notes textarea 32000
CoverageType Coverage Type picklist 40
CreatedById Created By ID reference 18
CreatedDate Created Date datetime
DeductibleNotes Deductible Notes textarea 32000
Disclaimer Disclaimers string 255
EmergencyDepartmentCopay Emergency Department Copay currency 18 2
FamilyInNetworkDeductibleApplied Family In-Network Deductible Applied currency 18 2
FamilyInNetworkDeductibleLimit Family In-Network Deductible Limit currency 18 2
FamilyInNetworkDeductibleRemaining Family In-Network Deductible Remaining currency 18 2
FamilyInNetworkOutofPocketApplied Family In-Network Out-of-Pocket Applied currency 18 2
FamilyInNetworkOutofPocketLimit Family In-Network Out-of-Pocket Limit currency 18 2
FamilyInNetworkOutofPocketRemaining Family In-Network Out-of-Pocket Remaining currency 18 2
FamilyOutofNetworkDeductibleApplied Family Out-of-Network Deductible Applied currency 18 2
FamilyOutofNetworkDeductibleLimit Family Out-of-Network Deductible Limit currency 18 2
FamilyOutofNetworkDeductibleRemaining Family Out-of-Network Deductible Remaining currency 18 2
FamilyOutofNetworkOutofPocketApplied Family Out-of-Network Out-of-Pocket Applied currency 18 2
FamilyOutofNetworkOutofPocketLimit Family Out-of-Network Out-of-Pocket Limit currency 18 2
FamilyOutofNetworkOutofPocketRemaining Family Out-of-Network Out-of-Pocket Remaining currency 18 2
FinalCoverageStatusCodeId Code Set ID reference 18
Id Coverage Benefit ID id 18
InNetworkCoinsuranceAmount In-Network Coinsurance (Amount) currency 18 2
InNetworkCoinsurancePercentage In-Network Coinsurance (Percentage) percent 3 0
InNetworkLifetimeMaximum In-Network Lifetime Maximum currency 18 2
IndividualInNetworkDeductibleApplied Individual In-Network Deductible Applied currency 18 2
IndividualInNetworkDeductibleLimit Individual In-Network Deductible Limit currency 18 2
IndividualInNetworkDeductibleRemaining Individual In-Network Deductible Remaining currency 18 2
IndividualInNetworkOutofPocketApplied Individual In-Network Out-of-Pocket Applied currency 18 2
IndividualInNetworkOutofPocketLimit Individual In-Network Out-of-Pocket Limit currency 18 2
IndividualInNetworkOutofPocketRemaining Individual In-Network Out-of-Pocket Remaining currency 18 2
IndividualOutofNetworkDeductibleApplied Individual Out-of-Network Deductible Applied currency 18 2
IndividualOutofNetworkDeductibleLimit Individual Out-of-Network Deductible Limit currency 18 2
IndividualOutofNetworkDeductibleRemain Individual Out-of-Network Deductible Remaining currency 18 2
IndividualOutofNetworkOutofPocketApplied Individual Out-of-Network Out-of-Pocket Applied currency 18 2
IndividualOutofNetworkOutofPocketLimit Individual Out-of-Network Out-of-Pocket Limit currency 18 2
IndividualOutofNetworkOutofPocketRemain Individual Out-of-Network Out-of-Pocket Remaining currency 18 2
IsActive Active boolean
IsDeleted Deleted boolean
LastModifiedById Last Modified By ID reference 18
LastModifiedDate Last Modified Date datetime
LastReferencedDate Last Referenced Date datetime
LastViewedDate Last Viewed Date datetime
LifetimeMaximumNotes Lifetime Maximum Notes textarea 32000
MemberId Account ID reference 18
MemberPlanId Member Plan ID reference 18
Name Name string 255
OutcomeStatusCodeId Code Set ID reference 18
OutofNetworkCoinsuranceAmount Out-of-Network Coinsurance (Amount) currency 18 2
OutofNetworkCoinsurancePercentage Out-of-Network Coinsurance (Percentage) percent 3 0
OutofNetworkLifetimeMaximum Out-of-Network Lifetime Maximum currency 18 2
OutofPocketNotes Out-of-Pocket Notes textarea 32000
OwnerId Owner ID reference 18
PharmaCopayAmount Pharma Copay Amount currency 18 2
PrimaryCareCopay Primary Care Copay currency 18 2
SourceSystem Source System string 64
SourceSystemIdentifier Source System Identifier string 255
SourceSystemModified Source System Modified datetime
SpecialistCopay Specialist Copay currency 18 2
StatusCodeId Code Set ID reference 18
SystemModstamp System Modstamp datetime
UrgentCareCopay Urgent Care Copay currency 18 2
VerificationDate Verification Date datetime