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HealthcarePayerNetwork

Represents an insurance network group. For example, an insurance company’s exclusive provider organization (EPO) plans.

Supported Calls

create(), delete(), describeLayout(), describeSObjects(), getDeleted(), getUpdated(), query(), retrieve(), search(), undelete(), update(), upsert()

Fields

Code

  • Type: string
  • Properties: Create, Filter, Group, idLookup, Nillable, Sort, Update
  • Description: Code representing the payer network.

Description

  • Type: textarea
  • Properties: Create, Nillable, Update
  • Description: Description of the payer network.

EffectiveFrom

  • Type: date
  • Properties: Create, Filter, Group, Nillable, Sort, Update
  • Description: The date from which this payer network is effective.

EffectiveTo

  • Type: date
  • Properties: Create, Filter, Group, Nillable, Sort, Update
  • Description: The date on which this payer network is no longer effective.

IsActive

  • Type: boolean
  • Properties: Create, Defaulted on create, Filter, Group, Sort, Update
  • Description: Indicates whether the record is active.

LastReferencedDate

  • Type: dateTime
  • Properties: Filter, Nillable, Sort
  • Description: The timestamp for when the current user last viewed a record related to this record.

LastViewedDate

  • Type: dateTime
  • Properties: Filter, Nillable, Sort
  • Description: The timestamp for when the current user last viewed this record. If this value is null, it’s possible that this record was referenced (LastReferencedDate) and not viewed.

LineofBusiness

  • Type: picklist
  • Properties: Create, Filter, Group, Nillable, Restricted picklist, Sort, Update
  • Description: Specifies the line of business supported by this payer network.
  • Possible values:
    • Commercial for Groups
    • Commercial for Individuals
    • Exchange
    • Medicaid
    • Medicare

Name

  • Type: string
  • Properties: Create, Filter, Group, idLookup, Sort, Update
  • Description: Name of the payer network.

NetworkType

  • Type: picklist
  • Properties: Create, Filter, Group, Nillable, Sort, Update
  • Description: Type of network, such as HMO, PPO, or EPO.

OwnerId

  • Type: reference
  • Properties: Create, Defaulted on create, Filter, Group, Sort, Update
  • Description: The ID of the user who owns this record.

    This is a polymorphic relationship field.

  • Relationship Name: Owner
  • Relationship Type: Lookup
  • Refers To: Group, User

ParentPayerNetworkId

  • Type: reference
  • Properties: Create, Filter, Group, Nillable, Sort, Update
  • Description: The parent healthcare payer network associated with this payer network.

    This is a relationship field.

  • Relationship Type: Lookup
  • Refers To: HealthcarePayerNetwork

PayerId

  • Type: reference
  • Properties: Create, Filter, Group, Nillable, Sort, Update
  • Description: The account associated with the payer network.

    This is a relationship field.

  • Relationship Name: Payer
  • Relationship Type: Lookup
  • Refers To: Account

SourceSystem

  • Type: string
  • Properties: Create, Filter, Group, Nillable, Sort, Update
  • Description: System from which the record was sourced.

SourceSystemIdentifier

  • Type: string
  • Properties: Create, Filter, Group, idLookup, Nillable, Sort, Update
  • Description: ID of an external record on its source system.

Associated Objects

This object has the following associated objects. Unless noted, they are available in the same API version as this object.

HealthcarePayerNetworkChangeEvent (API version 60.0)
Change events are available for the object.
HealthcarePayerNetworkFeed
Feed tracking is available for the object.
HealthcarePayerNetworkHistory
History is available for tracked fields of the object.
HealthcarePayerNetworkOwnerSharingRule
Sharing rules are available for the object.
HealthcarePayerNetworkShare
Sharing is available for the object.