---
schema_version: "1"
id: 0e45f7bfed8c4c563d8607b5ebec013c3e4287c71cc76493df8517766cbf7ee6
title: Claims Data Model
collection: developer
version: current
locale: en-us
portal_url: https://docs.salesforce.com/developer/current/en-us/diagrams/guides/data-models/health-cloud/health-cloud-claims.md
canonical_url: https://developer.salesforce.com/docs/platform/data-models/guide/health-cloud-claims.html
source_site: developer.salesforce.com
content_type: documentation
content_hash: db68a12cab0f379ddfd73bf670b55e60fcb7758ac411f217a95fc963236668c7
products:
  - Data Model Gallery
  - Salesforce Diagrams
---
# Claims Data Model

Entities and relationships involved in managing healthcare claims processing, including claim submission, adjudication, and payment workflows.

<!-- Health Claims data model for healthcare claims processing -->

![Data model diagram for Claims](https://developer.salesforce.com/media/health-cloud-claims-042826.png)

_To view a higher-resolution version of this diagram, right-click (or Control-click on Mac) and select "Open Image in New Tab."_

[Customizable Lucidchart Template](https://lucid.app/lucidchart/editNewOrRegister/57ea7127-2bf3-4d89-aa5e-f2f0b20756ac)

## Entities/Objects Included

Business Account (Payer), Business Account (Purchaser), Business Account (Purchaser Group), Care PreAuth, Care PreAuth Item, Claim Diagnosis, Claim Diagnosis Procedure, Claim Header, Claim Line, Claim Provider, Coverage Benefit, Coverage Benefit Item, Healthcare Provider, Member Plan (Member Coverage), Person Account (Member), Plan Benefit, Plan Benefit Item, Purchaser Plan

## More Info

- [Claims Management](https://help.salesforce.com/s/articleView?id=ind.landing_claims_management.htm&type=5)

## How Do I Read These Diagrams?

See [Salesforce Data Model Notation](/docs/platform/data-models/guide/salesforce-data-model-notation.md).