Coverage Benefit DMO

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

• FinalCoverageStatusCodeId has a FOREIGNKEY relationship with the Code Set DMO Id field.
• OutcomeStatusCodeId has a FOREIGNKEY relationship with the Code Set DMO Id field.
• MemberPlanId has a FOREIGNKEY relationship with the Member Plan DMO Id field.
• StatusCodeId has a FOREIGNKEY relationship with the Code Set DMO Id field.
• MemberId has a FOREIGNKEY relationship with the Account DMO Id field.

• BenefitInformationText
• BenefitNotes
• BenefitPeriodEndDate
• BenefitPeriodStartDate
• cdp_sys_record_currency
• CoinsuranceNoteText
• CopayNoteText
• CoverageType
• DataSourceId
• DataSourceObjectId
• DeductibleNoteText
• DisclaimerText
• EmergencyTreatmentCopayAmount
• FinalCoverageStatusCodeId
• Id
• InNetworkCoinsuranceAmount
• InNetworkCoinsurancePercent
• InNetworkFamilyDeductibleAmount
• InNetworkFamilyOopremainingAmount
• InNetworkFamilyOutofPocketAmount
• InNetworkIndividualDeductibleAmount
• InNetworkIndividualOutofPocketAmt
• InNetworkIndividualOutofPocketLimitAmt
• InnindividualDeductibleRemainingAmt
• InNtwkFamilyDeductibleLimitAmt
• InNtwkFamilyDeductibleRemainingAmt
• InNtwkFamilyOutofPocketLimitAmt
• InNtwkIndividualDeductibleLimitAmt
• InNtwkIndividualOutofPocketRemainingAmt
• InNtwkLifetimeCoverageMaximumAmt
• InternalOrganizationId
• IsActive
• LifetimeMaximumPaymentNoteText
• MemberId
• MemberPlanId
• NameInterfaceField
• OutcomeStatusCodeId
• OutofNetworkCoinsuranceAmount
• OutofNetworkCoinsurancePercent
• OutofNetworkFamilyDeductibleAmount
• OutofNetworkFamilyOutofPocketAmount
• OutofNtwkFamilyDeductibleLimitAmt
• OutofNtwkFamilyDeductibleRemainingAmt
• OutofNtwkFamilyOutofPocketLmtAmt
• OutofNtwkFamilyOutofPocketRemainingAmt
• OutofNtwkIndividualDedRemainingAmt
• OutofNtwkIndividualDeductibleAmt
• OutofNtwkIndividualDeductibleLimitAmt
• OutofNtwkIndividualOutofPocketAmt
• OutofNtwkIndvOutofPocketLmtAmt
• OutofNtwkIndvOutofPocketRemainAmt
• OutofNtwkLifetimeCoverageMaximumAmt
• OutofPocketPaymentNoteText
• PrimaryCareCopayAmount
• SourceSystemModifiedDate
• SourceSystemName
• SpecialistConsultationCopayAmount
• StatusCodeId
• UrgentCareCopayAmount
• VerificationDate

• Field API Name: std__BenefitInformationText__c
• Data Type: TEXT
• Description: The text content for the benefit information of the coverage benefit. Maximum size is 255 characters.

• Field API Name: std__BenefitNotes__c
• Data Type: TEXT
• Description: Additional information about the benefits available to the member under this plan's coverage.

• Field API Name: std__BenefitPeriodEndDate__c
• Data Type: DATEONLY
• Description: Last day of the coverage benefit period.

• Field API Name: std__BenefitPeriodStartDate__c
• Data Type: DATEONLY
• Description: First day of the coverage benefit period.

• 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__CoinsuranceNoteText__c
• Data Type: TEXT
• Description: Additional information about the contribution the member makes towards treatment.

• Field API Name: std__CopayNoteText__c
• Data Type: TEXT
• Description: Additional information on the copayment amounts members contributes.

• Field API Name: std__CoverageType__c
• Data Type: TEXT
• Description: General category of service covered.

• 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__DeductibleNoteText__c
• Data Type: TEXT
• Description: Additional information about the member's deductibles under this plan.

• Field API Name: std__DisclaimerText__c
• Data Type: TEXT
• Description: Overall plan benefit disclaimers.

• Field API Name: std__EmergencyTreatmentCopayAmount__c
• Data Type: DOUBLE
• Description: The amount the member contributes towards emergency treatment.

• Field API Name: std__FinalCoverageStatusCodeId__c
• Data Type: TEXT
• Description: The code that's determined after considering the restrictions and other status types that apply to the coverage benefit.

• Field API Name: std__Id__c
• Data Type: TEXT
• Description: Required. A unique, system-generated identifier for this CoverageBenefit record. Maximum size is 36 characters.

• Field API Name: std__InNetworkCoinsuranceAmount__c
• Data Type: DOUBLE
• Description: The amount the member contributes towards treatment undertaken by the health plan's preferred providers.

• Field API Name: std__InNetworkCoinsurancePercent__c
• Data Type: DOUBLE
• Description: The percentage of treatment cost the member pays for treatment undertaken by the health plan's preferred providers.

• Field API Name: std__InNetworkFamilyDeductibleAmount__c
• Data Type: DOUBLE
• Description: The amount the member has paid for health care provided by the health plan's preferred providers for all family members.

• Field API Name: std__InNetworkFamilyOopremainingAmount__c
• Data Type: DOUBLE
• Description: Numeric value representing the in network family oopremaining amount. Do not include currency symbols or commas.

• Field API Name: std__InNetworkFamilyOutofPocketAmount__c
• Data Type: DOUBLE
• Description: The amount of the member has paid in this coverage year for health care provided by the health plan's preferred providers for all family members. It includes deductibles, copayments, and coinsurance, but excludes premiums.

• Field API Name: std__InNetworkIndividualDeductibleAmount__c
• Data Type: DOUBLE
• Description: The amount the member has paid for health care provided by the health plan's preferred providers to the most costly family member.

• Field API Name: std__InNetworkIndividualOutofPocketAmt__c
• Data Type: DOUBLE
• Description: The amount of the member has paid in this coverage year for health care provided by the plan's preferred providers to any one family member. It includes deductibles, copayments, and coinsurance, but excludes premiums.

• Field API Name: std__InNetworkIndividualOutofPocketLimitAmt__c
• Data Type: DOUBLE
• Description: The most the member pays during the coverage year for health care provided by the health plan's preferred providers for any family member. It includes deductibles, copayments, and coinsurance, but excludes premiums.

• Field API Name: std__InnindividualDeductibleRemainingAmt__c
• Data Type: DOUBLE
• Description: Numeric value representing the innindividual deductible remaining amt. Do not include currency symbols or commas.

• Field API Name: std__InNtwkFamilyDeductibleLimitAmt__c
• Data Type: DOUBLE
• Description: The amount the member has to pay for health care provided by the health plan's preferred providers for all family members. When this amount is reached, the plan starts to contribute towards treatment.

• Field API Name: std__InNtwkFamilyDeductibleRemainingAmt__c
• Data Type: DOUBLE
• Description: The amount the member still has to pay for health care provided by the health plan's preferred providers for all family members. When this amount is reached, the plan starts to contribute towards treatment.

• Field API Name: std__InNtwkFamilyOutofPocketLimitAmt__c
• Data Type: DOUBLE
• Description: The most the member pays during the coverage year for health care provided by the health plan's preferred providers for all family members. It includes deductibles, copayments, and coinsurance, but excludes premiums.

• Field API Name: std__InNtwkIndividualDeductibleLimitAmt__c
• Data Type: DOUBLE
• Description: The amount the member has to pay for health care provided by the plan's preferred providers for any family member. When this amount is reached, the plan starts to contribute towards treatment.

• Field API Name: std__InNtwkIndividualOutofPocketRemainingAmt__c
• Data Type: DOUBLE
• Description: The amount remaining for the member to pay during the coverage year for care provided by the plan's preferred providers for any family member. It includes deductibles, copayments, and coinsurance, but excludes premiums.

• Field API Name: std__InNtwkLifetimeCoverageMaximumAmt__c
• Data Type: DOUBLE
• Description: The amount the member has to pay during lifetime coverage under this plan after which the payer covers all costs for treatment provided by its preferred providers. It includes deductibles, copayments, and coinsurance, but excludes premiums.

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

• Field API Name: std__IsActive__c
• Data Type: BOOLEAN
• Description: Specifies whether the coverage benefit is currently in force.

• Field API Name: std__LifetimeMaximumPaymentNoteText__c
• Data Type: TEXT
• Description: Maximum amount to pay for the service.

• Field API Name: std__MemberId__c
• Data Type: TEXT
• Description: The Account of the member receiving this benefit item.

• Field API Name: std__MemberPlanId__c
• Data Type: TEXT
• Description: Represents details about the insurance coverage for a member or subscriber.

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

• Field API Name: std__OutcomeStatusCodeId__c
• Data Type: TEXT
• Description: The outcome code set associated with the coverage benefit.

• Field API Name: std__OutofNetworkCoinsuranceAmount__c
• Data Type: DOUBLE
• Description: The amount the member contributes towards treatment undertaken by non-preferred providers.

• Field API Name: std__OutofNetworkCoinsurancePercent__c
• Data Type: DOUBLE
• Description: The percentage of treatment cost the member pays for treatment undertaken by non-preferred providers.

• Field API Name: std__OutofNetworkFamilyDeductibleAmount__c
• Data Type: DOUBLE
• Description: The amount of the member has paid in this coverage year for health care provided by the health plan's non-preferred providers for all family members. It includes deductibles, copayments, and coinsurance, but excludes premiums.

• Field API Name: std__OutofNetworkFamilyOutofPocketAmount__c
• Data Type: DOUBLE
• Description: The amount the member has paid for health care provided by non-preferred providers for all family members.

• Field API Name: std__OutofNtwkFamilyDeductibleLimitAmt__c
• Data Type: DOUBLE
• Description: The most the member pays during the coverage year for health care provided by the health plan's non-preferred providers for all family members. It includes deductibles, copayments, and coinsurance, but excludes premiums.

• Field API Name: std__OutofNtwkFamilyDeductibleRemainingAmt__c
• Data Type: DOUBLE
• Description: The remaining amount for the member to pay during this coverage year for care provided by the plan's non-preferred providers for all family members.

• Field API Name: std__OutofNtwkFamilyOutofPocketLmtAmt__c
• Data Type: DOUBLE
• Description: The total amount the member has to pay for health care provided by non-preferred providers for all family members. When this amount is reached, the plan starts to contribute towards treatment.

• Field API Name: std__OutofNtwkFamilyOutofPocketRemainingAmt__c
• Data Type: DOUBLE
• Description: The amount the member still has to pay for health care provided by non-preferred providers for all family members. When this amount is reached, the plan starts to contribute towards treatment.

• Field API Name: std__OutofNtwkIndividualDedRemainingAmt__c
• Data Type: DOUBLE
• Description: The remaining amount the member has to pay for health care during the coverage year provided by non-preferred providers to any family member. When this amount is reached, the plan starts to contribute towards treatment.

• Field API Name: std__OutofNtwkIndividualDeductibleAmt__c
• Data Type: DOUBLE
• Description: The amount the member has paid for health care provided by non-preferred providers to the most costly family member.

• Field API Name: std__OutofNtwkIndividualDeductibleLimitAmt__c
• Data Type: DOUBLE
• Description: The amount the member has to pay for health care provided by non-preferred providers to any one family member. When this amount is reached, the plan starts to contribute towards treatment.

• Field API Name: std__OutofNtwkIndividualOutofPocketAmt__c
• Data Type: DOUBLE
• Description: The amount of the member has paid in this coverage period for health care provided by non-preferred providers to any family members. It includes deductibles, copayments, and coinsurance, but excludes premiums.

• Field API Name: std__OutofNtwkIndvOutofPocketLmtAmt__c
• Data Type: DOUBLE
• Description: The most the member pays during the coverage year for health care provided by non-preferred providers to any family member. It includes deductibles, copayments, and coinsurance, but excludes premiums.

• Field API Name: std__OutofNtwkIndvOutofPocketRemainAmt__c
• Data Type: DOUBLE
• Description: The amount remaining for the member to pay during the coverage year for health care provided by non-preferred providers to any family member. It includes deductibles, copayments, and coinsurance, but excludes premiums.

• Field API Name: std__OutofNtwkLifetimeCoverageMaximumAmt__c
• Data Type: DOUBLE
• Description: The amount the member has to pay during lifetime coverage under this plan after which the payer covers all costs for treatment provided by its non-preferred providers. It includes deductibles, copayments, and coinsurance, but excludes premiums.

• Field API Name: std__OutofPocketPaymentNoteText__c
• Data Type: TEXT
• Description: Additional information about the out-of-pocket payment the member makes.

• Field API Name: std__PrimaryCareCopayAmount__c
• Data Type: DOUBLE
• Description: The amount the member contributes towards primary care treatment.

• Field API Name: std__SourceSystemModifiedDate__c
• Data Type: DATEONLY
• Description: The date on which these benefits were last changed on their source system.

• Field API Name: std__SourceSystemName__c
• Data Type: TEXT
• Description: The name of the system this benefits record was obtained from.

• Field API Name: std__SpecialistConsultationCopayAmount__c
• Data Type: DOUBLE
• Description: The amount the member contributes towards specialist consultations.

• Field API Name: std__StatusCodeId__c
• Data Type: TEXT
• Description: The status code set associated with the coverage benefit.

• Field API Name: std__UrgentCareCopayAmount__c
• Data Type: DOUBLE
• Description: The amount the member contributes towards urgent care.

• Field API Name: std__VerificationDate__c
• Data Type: DATETIME
• Description: Date on which the benefit was verified.