--- schema_version: "1" id: 01da7942dab741fcbba7e11318014fedba36b33feda3eac55bb0d30b25445ea8 title: Plan Benefit DMO collection: developer version: current locale: en-us portal_url: https://docs.salesforce.com/developer/current/en-us/data-cloud/data-cloud-dmo-mapping/guides/std_dmos/c360dm-si-planbenefitdmo-dmo.md canonical_url: https://developer.salesforce.com/docs/data/data-cloud-dmo-mapping/guide/c360dm-si-planbenefitdmo-dmo.html source_site: developer.salesforce.com content_type: documentation content_hash: ba38bb57d0c6a386e98efbe14154f53cf8319b9f17e785c36dd2f3d06dffc632 products: - Data 360 DMO and Mapping Guide - Data 360 Developer Documentation --- # 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 - **PurchaserPlanId** has a FOREIGNKEY relationship with the [Purchaser Plan DMO](https://developer.salesforce.com/docs/data/data-cloud-dmo-mapping/guide/c360dm-si-purchaserplandmo-dmo.md) `Id` field. ## Fields - [BenefitInformationText](#benefitinformationtext) - [BenefitNoteText](#benefitnotetext) - [cdp_sys_record_currency](#cdp_sys_record_currency) - [CoinsuranceNoteText](#coinsurancenotetext) - [CommunicationEffectiveDate](#communicationeffectivedate) - [CopayNoteText](#copaynotetext) - [DataSourceId](#datasourceid) - [DataSourceObjectId](#datasourceobjectid) - [DeductibleNoteText](#deductiblenotetext) - [DocumentLocation](#documentlocation) - [DocumentUrl](#documenturl) - [EffectiveFromDate](#effectivefromdate) - [EffectiveToDate](#effectivetodate) - [EmergencyDepartmentCopayAmount](#emergencydepartmentcopayamount) - [Id](#id) - [InNetworkCoinsuranceAmount](#innetworkcoinsuranceamount) - [InNetworkCoinsurancePercent](#innetworkcoinsurancepercent) - [InNetworkFamilyDeductibleAmount](#innetworkfamilydeductibleamount) - [InNetworkFamilyOutofPocketAmount](#innetworkfamilyoutofpocketamount) - [InNetworkIndividualDeductibleAmount](#innetworkindividualdeductibleamount) - [InNetworkLifetimeMembershipMaxAmt](#innetworklifetimemembershipmaxamt) - [InNtwkIndividualOutofPocketAmt](#inntwkindividualoutofpocketamt) - [InternalOrganizationId](#internalorganizationid) - [KQ_Id](#kq_id) - [KQ_PurchaserPlanId](#kq_purchaserplanid) - [MaximumLifetimeMembershipNoteText](#maximumlifetimemembershipnotetext) - [Name](#name) - [OutofNetworkCoinsuranceAmount](#outofnetworkcoinsuranceamount) - [OutofNetworkCoinsurancePercent](#outofnetworkcoinsurancepercent) - [OutofNetworkFamilyDeductibleAmount](#outofnetworkfamilydeductibleamount) - [OutofNetworkFamilyOutofPocketAmount](#outofnetworkfamilyoutofpocketamount) - [OutofNtwkIndividualDeductibleAmt](#outofntwkindividualdeductibleamt) - [OutofNtwkIndividualOutofPocketAmt](#outofntwkindividualoutofpocketamt) - [OutofNtwkMaxLifetimeMembershipAmt](#outofntwkmaxlifetimemembershipamt) - [OutofPocketNoteText](#outofpocketnotetext) - [PlanBenefitStatus](#planbenefitstatus) - [PrimaryCareCopayAmount](#primarycarecopayamount) - [PurchaserPlanId](#purchaserplanid) - [SourceSystemModified](#sourcesystemmodified) - [SourceSystemName](#sourcesystemname) - [SpecialistCopayAmount](#specialistcopayamount) - [UrgentCareCopayAmount](#urgentcarecopayamount) ### 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.