Utilization Management Data Model

Data model diagram for Utilization Management

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Customizable Lucidchart template

Entities and relationships involved in evaluating medical care services and in administering, interpreting, and communicating a health plan's clinical policies

Account, Care Diagnosis, Care Processing Error, Care Request, Care Request Drug, Care Request Extension, Care Request Item, Care Request Reviewer, Case, Clinical Service Request, Codeset/Codeset Bundle, Context Document, Context Document Link, Healthcare Facility, Healthcare Provider, Identifier, Member Plan, Task, Tracked Communication, Tracked Communication Detail, User

See Salesforce Data Model Notation.