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Coverage Benefit Item DMO

Object Properties

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

Relationships

  • ServiceTypeCodeSetId has a FOREIGNKEY relationship with the Code Set DMO Id field.
  • MemberId has a FOREIGNKEY relationship with the Account DMO Id field.
  • CoverageBenefitId has a FOREIGNKEY relationship with the Coverage Benefit DMO Id field.

Fields

AdditionalInformationNoteText

  • Field API Name: ssot__AdditionalInformationNoteText__c
  • Data Type: TEXT
  • Description: Additional information about this coverage benefit item.

BenefitCategoryText

  • Field API Name: ssot__BenefitCategoryText__c
  • Data Type: TEXT
  • Description: Name of the category this benefit is in.

cdp_sys_record_currency

  • Field API Name: ssot__cdp_sys_record_currency__c
  • Data Type: TEXT
  • Description: System-generated metadata field that stores a 3-letter ISO currency code.

CoverageBenefitId

  • Field API Name: ssot__CoverageBenefitId__c
  • Data Type: TEXT
  • Description: The benefits provided to a covered member by a purchaser's plan.

CoverageLevelText

  • Field API Name: ssot__CoverageLevelText__c
  • Data Type: TEXT
  • Description: Description of the level of coverage provided by this item.

DataSourceId

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

DataSourceObjectId

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

DoesDeductibleApply

  • Field API Name: ssot__DoesDeductibleApply__c
  • Data Type: BOOLEAN
  • Description: Specifies whether the benefit item requires a prior expenditure by the patient.

Id

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

InNetworkCoverageDescription

  • Field API Name: ssot__InNetworkCoverageDescription__c
  • Data Type: TEXT
  • Description: Description of the in network coverage provided by this item.

InternalOrganizationId

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

IsActive

  • Field API Name: ssot__IsActive__c
  • Data Type: BOOLEAN
  • Description: Specifies whether the benefit item is currently available.

IsInPlanNetwork

  • Field API Name: ssot__IsInPlanNetwork__c
  • Data Type: BOOLEAN
  • Description: Whether the benefit is only available in the plan network.

IsPreauthorizationRequired

  • Field API Name: ssot__IsPreauthorizationRequired__c
  • Data Type: BOOLEAN
  • Description: Specifies whether the service must be approved before use.

KQ_CoverageBenefitId

  • Field API Name: KQ_CoverageBenefitId__c
  • Data Type: TEXT
  • Description: Key Qualifier system field for CoverageBenefitId

KQ_Id

  • Field API Name: KQ_Id__c
  • Data Type: TEXT
  • Description: Key Qualifier system field for Id

KQ_MemberId

  • Field API Name: KQ_MemberId__c
  • Data Type: TEXT
  • Description: Key Qualifier system field for MemberId

KQ_ServiceTypeCodeSetId

  • Field API Name: KQ_ServiceTypeCodeSetId__c
  • Data Type: TEXT
  • Description: Key Qualifier system field for ServiceTypeCodeSetId

MemberId

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

Name

  • Field API Name: ssot__Name__c
  • Data Type: TEXT
  • Description: Name of this coverage benefit item.

OutofNetworkCoverageDescription

  • Field API Name: ssot__OutofNetworkCoverageDescription__c
  • Data Type: TEXT
  • Description: Description of the coverage for non-preferred providers.

ServiceTypeCode

  • Field API Name: ssot__ServiceTypeCode__c
  • Data Type: TEXT
  • Description: The code for the type of service this plan benefit item provides.

ServiceTypeCodeSetId

  • Field API Name: ssot__ServiceTypeCodeSetId__c
  • Data Type: TEXT
  • Description: The Code Set Service Type in the Code Set object.

ServiceTypeText

  • Field API Name: ssot__ServiceTypeText__c
  • Data Type: TEXT
  • Description: The type of service this plan benefit item provides.

SourceSystemModified

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

SourceSystemName

  • Field API Name: ssot__SourceSystemName__c
  • Data Type: TEXT
  • Description: The name of the system this coverage benefits item record came from.

TimePeriodDescription

  • Field API Name: ssot__TimePeriodDescription__c
  • Data Type: TEXT
  • Description: A description of the period this plan benefit item covers.