Claim Item DMO

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

• ServicingFacilityId has a FOREIGNKEY relationship with the Healthcare Facility DMO Id field.
• ClaimId has a FOREIGNKEY relationship with the Claim DMO Id field.
• InsurancePolicyAssetId has a FOREIGNKEY relationship with the Insurance Policy Asset DMO Id field.
• InsurancePolicyCoverageId has a FOREIGNKEY relationship with the Insurance Policy Coverage DMO Id field.
• LocationId has a FOREIGNKEY relationship with the Location DMO Id field.
• ClaimParticipantId has a FOREIGNKEY relationship with the Claim Participant DMO Id field.
• ItemCodeId has a FOREIGNKEY relationship with the Code Set Bundle DMO Id field.
• QuantityUnitOfMeasureId has a FOREIGNKEY relationship with the Unit Of Measure DMO Id field.
• CoverageCategoryCodeId has a FOREIGNKEY relationship with the Code Set DMO Id field.
• ItemCodeId has a FOREIGNKEY relationship with the Code Set DMO Id field.
• CoverageCategoryCodeId has a FOREIGNKEY relationship with the Code Set Bundle DMO Id field.
• AssetId has a FOREIGNKEY relationship with the Asset DMO Id field.

• AddedByType
• AssetId
• cdp_sys_record_currency
• ClaimId
• ClaimParticipantId
• CoInsAmount
• CoInsuranceAmt
• CoPayAmount
• CoverageCategoryCodeId
• CoverageCategoryCodeObject
• DataSourceId
• DataSourceObjectId
• DeductibleAmount
• DeductibleUnallocatedAmount
• DispositionText
• EligibleAmount
• EligiblePercent
• Id
• InsurancePolicyAssetId
• InsurancePolicyCoverageId
• InternalOrganizationId
• ItemCategory
• ItemCodeId
• ItemCodeObject
• LocationId
• NameInterfaceField
• OutcomeText
• PayableAmount
• PreauthIdentifier
• PriceAdjustmentValueNumber
• Quantity
• QuantityUnitOfMeasureId
• ServicedEndDateTime
• ServicedStartDateTime
• ServicingFacilityId
• TaxAmount
• TotalAmount
• UnitPriceAmount

• Field API Name: std__AddedByType__c
• Data Type: TEXT
• Description: The origin/source who added the item. For example, Provider, Payer.

• Field API Name: std__AssetId__c
• Data Type: TEXT
• Description: The asset associated with the claim.

• 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__ClaimId__c
• Data Type: TEXT
• Description: The parent claim that includes this claim item.

• Field API Name: std__ClaimParticipantId__c
• Data Type: TEXT
• Description: The claim participant associated with the claim item.

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

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

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

• Field API Name: std__CoverageCategoryCodeId__c
• Data Type: TEXT
• Description: The code to identify the general category of insurance coverage under which products and services are provided.

• Field API Name: std__CoverageCategoryCodeObject__c
• Data Type: TEXT
• Description: The object name for the Coverage Category Code field record.

• 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__DispositionText__c
• Data Type: TEXT
• Description: The adjudication result or claim item 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 item.

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

• Field API Name: std__InsurancePolicyAssetId__c
• Data Type: TEXT
• Description: The insurance policy asset associated with the claim item.

• Field API Name: std__InsurancePolicyCoverageId__c
• Data Type: TEXT
• Description: The ID of the coverage that covers this claim item.

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

• Field API Name: std__ItemCategory__c
• Data Type: TEXT
• Description: The category of the claim item. For example, Damaged Property, Involved Injury.

• Field API Name: std__ItemCodeId__c
• Data Type: TEXT
• Description: The product/service/other item which is being claimed.

• Field API Name: std__ItemCodeObject__c
• Data Type: TEXT
• Description: The object name for the Item Code field record.

• Field API Name: std__LocationId__c
• Data Type: TEXT
• Description: The location at which item serviced or provided.

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

• Field API Name: std__OutcomeText__c
• Data Type: TEXT
• Description: Indicates whether the claim item was processed.

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

• Field API Name: std__PreauthIdentifier__c
• Data Type: TEXT
• Description: The prior authorization reference number associated with this claim item.

• Field API Name: std__PriceAdjustmentValueNumber__c
• Data Type: DOUBLE
• Description: The multiplier used to allow for a discount or surcharge an item price.

• Field API Name: std__Quantity__c
• Data Type: DOUBLE
• Description: The quantity supplied/performed of the item.

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

• Field API Name: std__ServicedEndDateTime__c
• Data Type: DATETIME
• Description: The end date on which the claim item is supplied/peformed.

• Field API Name: std__ServicedStartDateTime__c
• Data Type: DATETIME
• Description: The start date on which the claim item is supplied/peformed.

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

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

• Field API Name: std__TotalAmount__c
• Data Type: DOUBLE
• Description: The total amount of an item, by multiplying quantity to unit price and price adjustment if any.

• Field API Name: std__UnitPriceAmount__c
• Data Type: DOUBLE
• Description: The fee/price/charges of the item per unit.