PgmBasedHlthRskAdjFctr

Stores the risk adjustment factor for patients and members based on their eligibility for certain benefits programs. For instance, Medicaid in the US. This object is available in API version 61.0 and later.

Supported Calls

create(), delete(), describeLayout(), describeSObjects(), getDeleted(), getUpdated(), query(), retrieve(), search(), undelete(), update(), upsert()

Fields

CmnyFullBnftDualDisabled

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home, has full benefits from both Medicare and Medicaid, and is enrolled in Medicare because of a disability.

CmnyPartialBenefitDualAged

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home, has partial benefits from both Medicare and Medicaid, and is enrolled in Medicare because of their age.

CmnyPartialBnftDualDsbl

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home, has partial benefits from both Medicare and Medicaid, and is enrolled in Medicare because of a disability.

Community

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home.

CommunityFullBnftDualAged

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home, has full benefits from both Medicare and Medicaid, and is enrolled in Medicare because of their age.

CommunityNonDualAged

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home, is covered only by Medicare, and is enrolled in Medicare because of their age.

CommunityNonDualDisabled

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home, is covered only by Medicare, and is enrolled in Medicare because of a disability.

Gender

Type: picklist
Properties: Create, Filter, Group, Nillable, Sort, Update
Description: Specifies the gender of the patient.

Institutional

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at a healthcare facility.

IsActive

Type: boolean
Properties: Create, Defaulted on create, Filter, Group, Sort, Update
Description: Indicates that the risk adjustment factors defined in the record are active.
Default value: false

IsDisabled

Type: boolean
Properties: Create, Defaulted on create, Filter, Group, Sort, Update
Description: Indicates that the patient has a disability.
Default value: false

IsOriginallyDisabled

Type: boolean
Properties: Create, Defaulted on create, Filter, Group, Sort, Update
Description: Indicates that patient was originally disabled.
Default value: false

LastReferencedDate

Type: dateTime
Properties: Filter, Nillable, Sort
Description: The date and time when the record was last referenced.

LastViewedDate

Type: dateTime
Properties: Filter, Nillable, Sort
Description: The date and time when the record was last viewed.

Name

Type: string
Properties: Autonumber, Defaulted on create, Filter, idLookup, Sort
Description: The system-generated name of the record.

OwnerId

Type: reference
Properties: Create, Defaulted on create, Filter, Group, Sort, Update
Description: The owner of the record in the system.

This field is a polymorphic relationship field.
Relationship Name: Owner
Relationship Type: Lookup
Refers To: Group, User

ProgramType

Type: picklist
Properties: Create, Filter, Group, Nillable, Sort, Update
Description: Specifies the type of program that the risk adjustment factors are defined for.

PublishedYear

Type: int
Properties: Create, Filter, Group, Nillable, Sort, Update
Description: The year when the risk adjustment factors were published.