Claims (Managed Package Feature)

A claim is information submitted to an individual’s health insurance company by an entity providing a service, medication or device.

Required Editions
Available in: Lightning Experience Available in: Enterprise and Unlimited Editions with Health Cloud

The Claims data model depends on an unmanaged package, which itself has a dependency on the Health Cloud mamaged package, which is no longer available. All development in Health Cloud now takes place in the Salesforce Platform.

Note

Claims data model in the membership entity-relationship diagram

ClaimHeader__x

Contains summary information about the claim, such as the payment amount, specified medications, and billing data.
ClaimDiagnosisProcedure__x

Represents a clinical procedure for which a provider is submitting a claim.
ClaimProvider__x

Represents information about a provider of a service, equipment or medication.
ClaimLine__x

Represents a line item in a claim record.
ClaimDiagnosis__x

Represents the clinical diagnosis for which the service, equipment, or medication was provided.

See Also