Stores the risk adjustment factor for patients and members based on the set
of interacting conditions they are diagnosed with and the status of their benefits
eligibility. This object is available in API version 61.0 and later.
Supported Calls
create(), delete(), describeLayout(), describeSObjects(), getDeleted(), getUpdated(), query(), retrieve(), search(), undelete(), update(), upsert()
Fields
CmnyFullBnftDualDisabled
- Type: double
- Properties: Create, Filter, Nillable, Sort, Update
- Description: Specifies the risk adjustment factor for a patient who lives at home, has full benefits from both Medicare and Medicaid, and is enrolled in Medicare because of a disability.
CmnyPartialBenefitDualAged
- Type: double
- Properties: Create, Filter, Nillable, Sort, Update
- Description: Specifies the risk adjustment factor for a patient who lives at home, has partial benefits from both Medicare and Medicaid, and is enrolled in Medicare because of their age.
CmnyPartialBnftDualDsbl
- Type: double
- Properties: Create, Filter, Nillable, Sort, Update
- Description: Specifies the risk adjustment factor for a patient who lives at home, has partial benefits from both Medicare and Medicaid, and is enrolled in Medicare because of a disability.
Community
- Type: double
- Properties: Create, Filter, Nillable, Sort, Update
- Description: Specifies the risk adjustment factor for a patient who lives at home.
CommunityFullBnftDualAged
- Type: double
- Properties: Create, Filter, Nillable, Sort, Update
- Description: Specifies the risk adjustment factor for a patient who lives at home, has full benefits from both Medicare and Medicaid, and is enrolled in Medicare because of their age.
CommunityNonDualAged
- Type: double
- Properties: Create, Filter, Nillable, Sort, Update
- Description: Specifies the risk adjustment factor for a patient who lives at home, is covered only by Medicare, and is enrolled in Medicare because of their age.
CommunityNonDualDisabled
- Type: double
- Properties: Create, Filter, Nillable, Sort, Update
- Description: Specifies the risk adjustment factor for a patient who lives at home, is covered only by Medicare, and is enrolled in Medicare because of a disability.
ConditionCodeList
- Type: string
- Properties: Create, Filter, Group, Nillable, Sort, Update
- Description: Specifies the first set of condition codes for the condition interactions that the risk adjustment factors are defined for.
Institutional
- Type: double
- Properties: Create, Filter, Nillable, Sort, Update
- Description: Specifies the risk adjustment factor for a patient who lives at a healthcare facility.
InteractingCondCodeList
- Type: string
- Properties: Create, Filter, Group, Nillable, Sort, Update
- Description: Specifies the codes of the interacting conditions for the condition interactions that the risk adjustment factors are defined for.
IsActive
- Type: boolean
- Properties: Create, Defaulted on create, Filter, Group, Sort, Update
- Description: Indicates whether the specified condition interactions and risk adjustment factor combinations are currently active.
- Default value: false
IsDisabled
- Type: boolean
- Properties: Create, Defaulted on create, Filter, Group, Sort, Update
- Description: Indicates whether the interaction is with a condition or a disability.
- Default value: false
LastReferencedDate
- Type: dateTime
- Properties: Filter, Nillable, Sort
- Description: The date and time when the record was last referenced.
LastViewedDate
- Type: dateTime
- Properties: Filter, Nillable, Sort
- Description: The date and time when the record was last viewed.
Name
- Type: string
- Properties: Autonumber, Defaulted on create, Filter, idLookup, Sort
- Description: The system-generated name of the record.
OwnerId
- Type: reference
- Properties: Create, Defaulted on create, Filter, Group, Sort, Update
-
Description: The owner of the record in the system.
This field is a polymorphic relationship field.
- Relationship Name: Owner
- Relationship Type: Lookup
- Refers To: Group, User
PublishedYear
- Type: int
- Properties: Create, Filter, Group, Nillable, Sort, Update
- Description: The year when the risk adjust factors were published.