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PgmBasedHlthRskAdjFctr

Stores the risk adjustment factor for patients and members based on their eligibility for certain benefits programs. For instance, Medicaid in the US. 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.

Gender

  • Type: picklist
  • Properties: Create, Filter, Group, Nillable, Sort, Update
  • Description: Specifies the gender of the patient.

Institutional

  • Type: double
  • Properties: Create, Filter, Nillable, Sort, Update
  • Description: Specifies the risk adjustment factor for a patient who lives at a healthcare facility.

IsActive

  • Type: boolean
  • Properties: Create, Defaulted on create, Filter, Group, Sort, Update
  • Description: Indicates that the risk adjustment factors defined in the record are active.
  • Default value: false

IsDisabled

  • Type: boolean
  • Properties: Create, Defaulted on create, Filter, Group, Sort, Update
  • Description: Indicates that the patient has a disability.
  • Default value: false

IsOriginallyDisabled

  • Type: boolean
  • Properties: Create, Defaulted on create, Filter, Group, Sort, Update
  • Description: Indicates that patient was originally disabled.
  • 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

ProgramType

  • Type: picklist
  • Properties: Create, Filter, Group, Nillable, Sort, Update
  • Description: Specifies the type of program that the risk adjustment factors are defined for.

PublishedYear

  • Type: int
  • Properties: Create, Filter, Group, Nillable, Sort, Update
  • Description: The year when the risk adjustment factors were published.