benefit_eligibility


If there is patient data for this table the file for this export will be found in the extracted zip folder location under the filename of benefit_eligibility.csv

If there are non-patient data column elements that are not part of the designated record set they will be marked in the Comment's column for that data element

Description

Holds the eligible patient benefits for a specific insurance as received from an eligibility verification

Columns

Column Type Size Nulls Auto Default Children Parents Comments
response_id BIGINT 19 null

Surrogate ID of the benefit eligibility record used as the primary incrementing key

verification_id BIGINT 19 null
eligibility_verification.verification_id Defined in XML R

The eligibility verification record that these benefits are retrieved from

type VARCHAR 4 null

Type of benefit

benefit_type VARCHAR 255 null

Type of the benefit, if applicable

start_date DATE 10 null

Start date for the benefit coverage

end_date DATE 10 null

End date for the benefit coverage

coverage_level VARCHAR 255 null

Coverage level, if specified

coverage_type VARCHAR 512 null

Type of coverage

plan_type VARCHAR 255 null

Type of insurance plan

plan_description VARCHAR 255 null

Description of the insurance plan

coverage_period VARCHAR 255 null

Period of coverage

amount DECIMAL 5,2 null

Benefit amount, if applicable

percent DECIMAL 3,2 null

Benefit percentage, if applicable

network_ind VARCHAR 2 null

Network indicator

message VARCHAR 512 null

Additional message or information

response_status enum('A', 'D') 1 A

Status of the response (Active ‘A’ or Denied ‘D’)

response_create_date DATE 10 null

Date when the benefit response was created

response_modify_date DATE 10 null

Date when the benefit response was last modified

Relationships