Claim DMO

Object API Name: std__ClaimDmo__dlm
Category: Unassigned
Availability: Available in 254 and later versions
Primary Key Field: Id

• ClaimPaymentId has a FOREIGNKEY relationship with the Claim Payment DMO Id field.
• PrimaryInsuredAssetId has a FOREIGNKEY relationship with the Insurance Policy Asset DMO Id field.
• ClaimantId has a FOREIGNKEY relationship with the Patient DMO Id field.
• TypeId has a FOREIGNKEY relationship with the Code Set DMO Id field.
• OwnerId has a FOREIGNKEY relationship with the User DMO Id field.
• PriorityId has a FOREIGNKEY relationship with the Code Set DMO Id field.
• InsurerId has a FOREIGNKEY relationship with the Account DMO Id field.
• AuthoredById has a FOREIGNKEY relationship with the Healthcare Provider DMO Id field.
• ServicingLocationId has a FOREIGNKEY relationship with the Healthcare Facility DMO Id field.
• ServicingLocationId has a FOREIGNKEY relationship with the Location DMO Id field.
• ClaimantId has a FOREIGNKEY relationship with the Individual DMO Id field.
• InsurancePolicyId has a FOREIGNKEY relationship with the Member Plan DMO Id field.
• InsurancePolicyId has a FOREIGNKEY relationship with the Insurance Policy DMO Id field.
• SubTypeId has a FOREIGNKEY relationship with the Code Set DMO Id field.
• ResponsiblePartyId has a FOREIGNKEY relationship with the Healthcare Provider DMO Id field.
• IncidentId has a FOREIGNKEY relationship with the Incident DMO Id field.
• ClaimantId has a FOREIGNKEY relationship with the Account DMO Id field.
• StatusId has a FOREIGNKEY relationship with the Code Set DMO Id field.
• ResponsiblePartyId has a FOREIGNKEY relationship with the Account DMO Id field.
• PayeeRecordId has a FOREIGNKEY relationship with the Individual DMO Id field.
• PayeeRecordId has a FOREIGNKEY relationship with the Healthcare Provider DMO Id field.
• PayeeRecordId has a FOREIGNKEY relationship with the Account Contact DMO Id field.
• PayeeRecordId has a FOREIGNKEY relationship with the Account DMO Id field.
• PayeeRecordId has a FOREIGNKEY relationship with the Party DMO Id field.

• ApprovedAmount
• AssessmentDateTime
• AuthoredById
• AuthoredByObject
• BilledAmount
• BillingEndDate
• BillingEndDt
• BillingStartDate
• BillingStartDt
• Category
• cdp_sys_record_currency
• ChannelType
• ClaimantId
• ClaimantObject
• ClaimPaymentId
• CoPayAmount
• CreatedDate
• DataSourceId
• DataSourceObjectId
• DeductibleAmount
• DeductibleUnallocatedAmount
• Description
• DispositionText
• EligibleAmount
• EligiblePercent
• FinalizedDateTime
• Id
• IncidentId
• InitiationDateTime
• InitiationDt
• InsurancePolicyId
• InsurancePolicyObject
• InsurerId
• InternalOrganizationId
• IsClosed
• IsDriveable
• IsInhabitable
• LastModifiedDateTime
• LossDateTime
• LossType
• NameInterfaceField
• OutcomeType
• OwnerId
• PayableAmount
• PayeeObject
• PayeeRecordId
• PayeeType
• PreauthIdentifier
• PrimaryInsuredAssetId
• PriorityId
• ReasonText
• ReasonType
• ResponsiblePartyId
• ResponsiblePartyObject
• ServicingLocationId
• ServicingLocationObject
• SiteVisitDateTime
• StatusId
• SubmittedAmount
• SubTypeId
• SummaryText
• TaxAmount
• TentativeServiceDate
• TotalCoInsAmount
• TotalCoInsuranceAmt
• TotalCoPayAmount
• TotalDeductibleAmount
• TotalDeductibleUnallocatedAmount
• TotalEligibleAmount
• TotalEligiblePercent
• TotalPayableAmount
• TotalTaxAmount
• TypeId
• UniqueIdentifier

• Field API Name: std__ApprovedAmount__c
• Data Type: DOUBLE
• Description: The amount that was approved for the repair of damages based on an agent's inspection.

• Field API Name: std__AssessmentDateTime__c
• Data Type: DATETIME
• Description: The date on which the claim was officially assessed.

• Field API Name: std__AuthoredById__c
• Data Type: TEXT
• Description: Represents an Individual who authored/created the claim, predetermination or preauthorization.

• Field API Name: std__AuthoredByObject__c
• Data Type: TEXT
• Description: The object name for the Entered By field record.

• Field API Name: std__BilledAmount__c
• Data Type: DOUBLE
• Description: The actual billed amount that was being claimed.

• Field API Name: std__BillingEndDate__c
• Data Type: DATETIME
• Description: The end date of the billing billing period for which the claim charges being submitted.

• Field API Name: std__BillingEndDt__c
• Data Type: DATEONLY
• Description: Calendar date representing the billing end dt in the YYYY-MM-DD format.

• Field API Name: std__BillingStartDate__c
• Data Type: DATETIME
• Description: The start date of the billing billing period for which the claim charges being submitted.

• Field API Name: std__BillingStartDt__c
• Data Type: DATEONLY
• Description: Calendar date representing the billing start dt in the YYYY-MM-DD format.

• Field API Name: std__Category__c
• Data Type: TEXT
• Description: The category of the claim record. For example, Claim, Preauthorization, Predetermination.

• Field API Name: std__cdp_sys_record_currency__c
• Data Type: TEXT
• Description: System-generated metadata field that stores a 3-letter ISO currency code.

• Field API Name: std__ChannelType__c
• Data Type: TEXT
• Description: Represnts the communication channel type for claim.

• Field API Name: std__ClaimantId__c
• Data Type: TEXT
• Description: The Account/Party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.

• Field API Name: std__ClaimantObject__c
• Data Type: TEXT
• Description: The object name for the claimant field record.

• Field API Name: std__ClaimPaymentId__c
• Data Type: TEXT
• Description: The reference to final claim payment done for the claim.

• Field API Name: std__CoPayAmount__c
• Data Type: DOUBLE
• Description: The co-pay amount for patient.

• Field API Name: std__CreatedDate__c
• Data Type: DATETIME
• Description: The date and time the record was originally created.

• Field API Name: std__DataSourceId__c
• Data Type: TEXT
• Description: A unique, system-generated identifier for this record.

• Field API Name: std__DataSourceObjectId__c
• Data Type: TEXT
• Description: A unique, system-generated identifier for this record.

• Field API Name: std__DeductibleAmount__c
• Data Type: DOUBLE
• Description: Amount deducted from the eligible amount prior to adjudication.

• Field API Name: std__DeductibleUnallocatedAmount__c
• Data Type: DOUBLE
• Description: The amount of deductible that's not allocated to other line items.

• Field API Name: std__Description__c
• Data Type: TEXT
• Description: Description of the Claim.

• Field API Name: std__DispositionText__c
• Data Type: TEXT
• Description: The adjudication result or claim disposition status.

• Field API Name: std__EligibleAmount__c
• Data Type: DOUBLE
• Description: Amount of the change which is considered for adjudication.

• Field API Name: std__EligiblePercent__c
• Data Type: DOUBLE
• Description: The percentage value for eligible percent of the claim.

• Field API Name: std__FinalizedDateTime__c
• Data Type: DATETIME
• Description: Represnts the data on which claim was marked as resolved, with claim status as approved or rejected.

• Field API Name: std__Id__c
• Data Type: TEXT
• Description: Required. A unique, system-generated identifier for this Claim record. Maximum size is 15 characters.

• Field API Name: std__IncidentId__c
• Data Type: TEXT
• Description: The incident/accident/occurence event which resulted into filing this claim.

• Field API Name: std__InitiationDateTime__c
• Data Type: DATETIME
• Description: Represent the date on which the claim is initiated.

• Field API Name: std__InitiationDt__c
• Data Type: DATEONLY
• Description: Calendar date representing the initiation dt in the YYYY-MM-DD format.

• Field API Name: std__InsurancePolicyId__c
• Data Type: TEXT
• Description: The insurance policy record id.

• Field API Name: std__InsurancePolicyObject__c
• Data Type: TEXT
• Description: The object name for the Insurance Policy field record.

• Field API Name: std__InsurerId__c
• Data Type: TEXT
• Description: The Account/Party responsible for reimbursement of the claim.

• Field API Name: std__InternalOrganizationId__c
• Data Type: TEXT
• Description: A unique, system-generated identifier for this record.

• Field API Name: std__IsClosed__c
• Data Type: BOOLEAN
• Description: Indicates whether the claim is closed.

• Field API Name: std__IsDriveable__c
• Data Type: BOOLEAN
• Description: Whether the asset/vehicle is drivable after the accident. The default value is False.

• Field API Name: std__IsInhabitable__c
• Data Type: BOOLEAN
• Description: Whether the asset/property is inhabitable after the accident. The default value is False.

• Field API Name: std__LastModifiedDateTime__c
• Data Type: DATETIME
• Description: The date and time when the claim was last modified.

• Field API Name: std__LossDateTime__c
• Data Type: DATETIME
• Description: The date on which the accident took place.

• Field API Name: std__LossType__c
• Data Type: TEXT
• Description: The type of the loss for which the claim was initiated. For example, partial loss, repair, replacement.

• Field API Name: std__NameInterfaceField__c
• Data Type: TEXT
• Description: Name of this record.

• Field API Name: std__OutcomeType__c
• Data Type: TEXT
• Description: Alphanumeric string representing the outcome type.

• Field API Name: std__OwnerId__c
• Data Type: TEXT
• Description: Represents ID of the record owner.

• Field API Name: std__PayableAmount__c
• Data Type: DOUBLE
• Description: Amount payable under the coverage.

• Field API Name: std__PayeeObject__c
• Data Type: TEXT
• Description: The object type of the payee, such as Account, Contact, Provider, etc.

• Field API Name: std__PayeeRecordId__c
• Data Type: TEXT
• Description: The reference ID of the payee record.

• Field API Name: std__PayeeType__c
• Data Type: TEXT
• Description: The type of payee, such as Subscriber or Provider.

• Field API Name: std__PreauthIdentifier__c
• Data Type: TEXT
• Description: The reference number of the prior authorization.

• Field API Name: std__PrimaryInsuredAssetId__c
• Data Type: TEXT
• Description: The primary insured asset for the claim.

• Field API Name: std__PriorityId__c
• Data Type: TEXT
• Description: The priority of processing the claim request. For example, Immediate, Normal, Deferred.

• Field API Name: std__ReasonText__c
• Data Type: TEXT
• Description: The reason for initiating the claim.

• Field API Name: std__ReasonType__c
• Data Type: TEXT
• Description: The type of the claim reason belong to. For example, Natural Disaster, Accident.

• Field API Name: std__ResponsiblePartyId__c
• Data Type: TEXT
• Description: The party which is responsible for the claim, predetermination or preauthorization.

• Field API Name: std__ResponsiblePartyObject__c
• Data Type: TEXT
• Description: The object name for the Responsible Party field record.

• Field API Name: std__ServicingLocationId__c
• Data Type: TEXT
• Description: The servicing facility/location where the services were provided.

• Field API Name: std__ServicingLocationObject__c
• Data Type: TEXT
• Description: The object name for the Servicing Location field record.

• Field API Name: std__SiteVisitDateTime__c
• Data Type: DATETIME
• Description: The timestamp for when the agent visited the site of the accident or the place where the vehicle was moved after the accident.

• Field API Name: std__StatusId__c
• Data Type: TEXT
• Description: The status of the claim record. For example, Draft, Cancelled, Active, Entered in Error.

• Field API Name: std__SubmittedAmount__c
• Data Type: DOUBLE
• Description: The total submitted amount for the claim or group or line item.

• Field API Name: std__SubTypeId__c
• Data Type: TEXT
• Description: The finer grained suite of claim type which may convey additional information. For example, Inpatient, Outpatient, Specialty Service.

• Field API Name: std__SummaryText__c
• Data Type: TEXT
• Description: The human readable summary of the status of the claim.

• Field API Name: std__TaxAmount__c
• Data Type: DOUBLE
• Description: The tax amount for the claim.

• Field API Name: std__TentativeServiceDate__c
• Data Type: DATEONLY
• Description: Calendar date representing the tentative service date in the YYYY-MM-DD format.

• Field API Name: std__TotalCoInsAmount__c
• Data Type: DOUBLE
• Description: Numeric value representing the total co ins amount. Do not include currency symbols or commas.

• Field API Name: std__TotalCoInsuranceAmt__c
• Data Type: CURRENCY
• Description: Monetary amount representing the total co insurance amt. Do not include currency symbols or commas.

• Field API Name: std__TotalCoPayAmount__c
• Data Type: DOUBLE
• Description: The total co-pay amount for patient.

• Field API Name: std__TotalDeductibleAmount__c
• Data Type: DOUBLE
• Description: The total amount deducted from the eligible amount prior to adjudication.

• Field API Name: std__TotalDeductibleUnallocatedAmount__c
• Data Type: DOUBLE
• Description: The total amount of deductible that's not allocated to other line items.

• Field API Name: std__TotalEligibleAmount__c
• Data Type: DOUBLE
• Description: The total amount of the change which is considered for adjudication.

• Field API Name: std__TotalEligiblePercent__c
• Data Type: DOUBLE
• Description: The total eligible percentage.

• Field API Name: std__TotalPayableAmount__c
• Data Type: DOUBLE
• Description: The total amount payable under the claim.

• Field API Name: std__TotalTaxAmount__c
• Data Type: DOUBLE
• Description: The total tax amount.

• Field API Name: std__TypeId__c
• Data Type: TEXT
• Description: The type of the claim record. For example, Oral, Pharmacy, Vision, Institutional.

• Field API Name: std__UniqueIdentifier__c
• Data Type: TEXT
• Description: The unique identifier of the claim.