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Plan Benefit DMO

Object Properties

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

Relationships

Fields

BenefitInformationText

  • Field API Name: ssot__BenefitInformationText__c
  • Data Type: TEXT
  • Description: Additional descriptive information about a Plan Benefit.

BenefitNoteText

  • Field API Name: ssot__BenefitNoteText__c
  • Data Type: TEXT
  • Description: Additional information about the benefits available to members under this plan's coverage.

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.

CoinsuranceNoteText

  • Field API Name: ssot__CoinsuranceNoteText__c
  • Data Type: TEXT
  • Description: Information about the contribution a member makes towards treatment.

CommunicationEffectiveDate

  • Field API Name: ssot__CommunicationEffectiveDate__c
  • Data Type: DATEONLY
  • Description: The date on which these benefits are communicated to plan members.

CopayNoteText

  • Field API Name: ssot__CopayNoteText__c
  • Data Type: TEXT
  • Description: Additional information on the copayment amounts that members contribute.

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.

DeductibleNoteText

  • Field API Name: ssot__DeductibleNoteText__c
  • Data Type: TEXT
  • Description: Additional information about a member's deductibles.

DocumentLocation

  • Field API Name: ssot__DocumentLocation__c
  • Data Type: TEXT
  • Description: Hyperlink to internal or external resources.

DocumentUrl

  • Field API Name: ssot__DocumentUrl__c
  • Data Type: TEXT
  • Description: Hyperlink to internal or external resources.

EffectiveFromDate

  • Field API Name: ssot__EffectiveFromDate__c
  • Data Type: DATEONLY
  • Description: The date on which these benefits become effective.

EffectiveToDate

  • Field API Name: ssot__EffectiveToDate__c
  • Data Type: DATEONLY
  • Description: The date on which these benefits ceased to be effective.

EmergencyDepartmentCopayAmount

  • Field API Name: ssot__EmergencyDepartmentCopayAmount__c
  • Data Type: DOUBLE
  • Description: Patient's portion of payment for using emergency department services.

Id

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

InNetworkCoinsuranceAmount

  • Field API Name: ssot__InNetworkCoinsuranceAmount__c
  • Data Type: DOUBLE
  • Description: The amount a member contributes towards each treatment undertaken by the health plan's preferred providers.

InNetworkCoinsurancePercent

  • Field API Name: ssot__InNetworkCoinsurancePercent__c
  • Data Type: DOUBLE
  • Description: The percentage of treatment cost the member pays for each treatment undertaken by the health plan's preferred providers.

InNetworkFamilyDeductibleAmount

  • Field API Name: ssot__InNetworkFamilyDeductibleAmount__c
  • Data Type: DOUBLE
  • Description: The amount a member pays for health care provided by the health plan's preferred providers for all family members. When this amount is reached, the plan starts to contribute towards treatment.

InNetworkFamilyOutofPocketAmount

  • Field API Name: ssot__InNetworkFamilyOutofPocketAmount__c
  • Data Type: DOUBLE
  • Description: The most a member pays during a coverage year for health care provided by the health plan's preferred providers for all family members. It includes deductibles, copayments, and coinsurance, but is in addition to premiums.

InNetworkIndividualDeductibleAmount

  • Field API Name: ssot__InNetworkIndividualDeductibleAmount__c
  • Data Type: DOUBLE
  • Description: The amount a member pays for health care provided by the health plan's preferred providers to any one family member. When this amount is reached, the plan starts to contribute towards treatment.

InNetworkLifetimeMembershipMaxAmt

  • Field API Name: ssot__InNetworkLifetimeMembershipMaxAmt__c
  • Data Type: DOUBLE
  • Description: The most a member pays during the lifetime membership on this plan for health care provided by the health plan's preferred providers. It includes deductibles, copayments, and coinsurance, but excludes premiums.

InNtwkIndividualOutofPocketAmt

  • Field API Name: ssot__InNtwkIndividualOutofPocketAmt__c
  • Data Type: DOUBLE
  • Description: The most a member pays during a coverage year for health care provided by the health plan's preferred providers for any one family member. It includes deductibles, copayments, and coinsurance, but excludes premiums.

InternalOrganizationId

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

KQ_Id

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

KQ_PurchaserPlanId

  • Field API Name: KQ_PurchaserPlanId__c
  • Data Type: TEXT
  • Description: Key Qualifier system field for PurchaserPlanId

MaximumLifetimeMembershipNoteText

  • Field API Name: ssot__MaximumLifetimeMembershipNoteText__c
  • Data Type: TEXT
  • Description: Additional information about a member's maximum lifetime payments.

Name

  • Field API Name: ssot__Name__c
  • Data Type: TEXT
  • Description: Name of these plan coverage benefits.

OutofNetworkCoinsuranceAmount

  • Field API Name: ssot__OutofNetworkCoinsuranceAmount__c
  • Data Type: DOUBLE
  • Description: The amount a member contributes towards treatment undertaken by non-preferred providers.

OutofNetworkCoinsurancePercent

  • Field API Name: ssot__OutofNetworkCoinsurancePercent__c
  • Data Type: DOUBLE
  • Description: The percentage of treatment cost the member pays for treatment undertaken by non-preferred providers.

OutofNetworkFamilyDeductibleAmount

  • Field API Name: ssot__OutofNetworkFamilyDeductibleAmount__c
  • Data Type: DOUBLE
  • Description: The amount a member pay for health care provided by non-preferred providers for all family members before this plan starts to contribute towards treatment.

OutofNetworkFamilyOutofPocketAmount

  • Field API Name: ssot__OutofNetworkFamilyOutofPocketAmount__c
  • Data Type: DOUBLE
  • Description: The most a member pays during a coverage year for health care provided by non-preferred providers for all family members. It includes deductibles, copayments, and coinsurance, but is in addition to premiums.

OutofNtwkIndividualDeductibleAmt

  • Field API Name: ssot__OutofNtwkIndividualDeductibleAmt__c
  • Data Type: DOUBLE
  • Description: The amount a member pays for health care provided by non-preferred providers to any one family member before this plan starts to contribute towards treatment.

OutofNtwkIndividualOutofPocketAmt

  • Field API Name: ssot__OutofNtwkIndividualOutofPocketAmt__c
  • Data Type: DOUBLE
  • Description: The most a member pays during a coverage year for health care provided by non-preferred providers for any one family member. It includes deductibles, copayments, and coinsurance, but excludes premiums.

OutofNtwkMaxLifetimeMembershipAmt

  • Field API Name: ssot__OutofNtwkMaxLifetimeMembershipAmt__c
  • Data Type: DOUBLE
  • Description: The most a member pays during the lifetime membership on this plan for health care provided by non-preferred providers. It includes deductibles, copayments, and coinsurance, but excludes premiums.

OutofPocketNoteText

  • Field API Name: ssot__OutofPocketNoteText__c
  • Data Type: TEXT
  • Description: Additional information about the out-of-pocket payment a member makes.

PlanBenefitStatus

  • Field API Name: ssot__PlanBenefitStatus__c
  • Data Type: TEXT
  • Description: Represents whether the purchase plan is active or not. For example, Active, Inactive.

PrimaryCareCopayAmount

  • Field API Name: ssot__PrimaryCareCopayAmount__c
  • Data Type: DOUBLE
  • Description: The amount a member contributes towards primary care treatment.

PurchaserPlanId

  • Field API Name: ssot__PurchaserPlanId__c
  • Data Type: TEXT
  • Description: The payer plan that a purchaser makes available to its members and members' dependents.

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 benefits record came from.

SpecialistCopayAmount

  • Field API Name: ssot__SpecialistCopayAmount__c
  • Data Type: DOUBLE
  • Description: The amount a member contributes towards specialist consultations.

UrgentCareCopayAmount

  • Field API Name: ssot__UrgentCareCopayAmount__c
  • Data Type: DOUBLE
  • Description: The amount a member contributes towards urgent care.