Coverage Benefit Item DMO

Object API Name: ssot__CoverageBenefitItem__dlm
Category: Unassigned
Availability: Available in 254 and later versions
Primary Key Field: Id

• ServiceTypeCodeSetId has a FOREIGNKEY relationship with the Code Set DMO Id field.
• MemberId has a FOREIGNKEY relationship with the Account DMO Id field.
• CoverageBenefitId has a FOREIGNKEY relationship with the Coverage Benefit DMO Id field.

• AdditionalInformationNoteText
• BenefitCategoryText
• cdp_sys_record_currency
• CoverageBenefitId
• CoverageLevelText
• DataSourceId
• DataSourceObjectId
• DoesDeductibleApply
• Id
• InNetworkCoverageDescription
• InternalOrganizationId
• IsActive
• IsInPlanNetwork
• IsPreauthorizationRequired
• KQ_CoverageBenefitId
• KQ_Id
• KQ_MemberId
• KQ_ServiceTypeCodeSetId
• MemberId
• Name
• OutofNetworkCoverageDescription
• ServiceTypeCode
• ServiceTypeCodeSetId
• ServiceTypeText
• SourceSystemModified
• SourceSystemName
• TimePeriodDescription

• Field API Name: ssot__AdditionalInformationNoteText__c
• Data Type: TEXT
• Description: Additional information about this coverage benefit item.

• Field API Name: ssot__BenefitCategoryText__c
• Data Type: TEXT
• Description: Name of the category this benefit is in.

• 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.

• Field API Name: ssot__CoverageBenefitId__c
• Data Type: TEXT
• Description: The benefits provided to a covered member by a purchaser’s plan.

• Field API Name: ssot__CoverageLevelText__c
• Data Type: TEXT
• Description: Description of the level of coverage provided by this item.

• Field API Name: ssot__DataSourceId__c
• Data Type: TEXT
• Description: A unique, system-generated identifier for this record.

• Field API Name: ssot__DataSourceObjectId__c
• Data Type: TEXT
• Description: A unique, system-generated identifier for this record.

• Field API Name: ssot__DoesDeductibleApply__c
• Data Type: BOOLEAN
• Description: Specifies whether the benefit item requires a prior expenditure by the patient.

• Field API Name: ssot__Id__c
• Data Type: TEXT
• Description: Required. A unique, system-generated identifier for this CoverageBenefitItem record. Maximum size is 36 characters.

• Field API Name: ssot__InNetworkCoverageDescription__c
• Data Type: TEXT
• Description: Description of the in network coverage provided by this item.

• Field API Name: ssot__InternalOrganizationId__c
• Data Type: TEXT
• Description: A unique, system-generated identifier for this record.

• Field API Name: ssot__IsActive__c
• Data Type: BOOLEAN
• Description: Specifies whether the benefit item is currently available.

• Field API Name: ssot__IsInPlanNetwork__c
• Data Type: BOOLEAN
• Description: Whether the benefit is only available in the plan network.

• Field API Name: ssot__IsPreauthorizationRequired__c
• Data Type: BOOLEAN
• Description: Specifies whether the service must be approved before use.

• Field API Name: KQ_CoverageBenefitId__c
• Data Type: TEXT
• Description: Key Qualifier system field for CoverageBenefitId

• Field API Name: KQ_Id__c
• Data Type: TEXT
• Description: Key Qualifier system field for Id

• Field API Name: KQ_MemberId__c
• Data Type: TEXT
• Description: Key Qualifier system field for MemberId

• Field API Name: KQ_ServiceTypeCodeSetId__c
• Data Type: TEXT
• Description: Key Qualifier system field for ServiceTypeCodeSetId

• Field API Name: ssot__MemberId__c
• Data Type: TEXT
• Description: The Account of the member receiving this benefit item.

• Field API Name: ssot__Name__c
• Data Type: TEXT
• Description: Name of this coverage benefit item.

• Field API Name: ssot__OutofNetworkCoverageDescription__c
• Data Type: TEXT
• Description: Description of the coverage for non-preferred providers.

• Field API Name: ssot__ServiceTypeCode__c
• Data Type: TEXT
• Description: The code for the type of service this plan benefit item provides.

• Field API Name: ssot__ServiceTypeCodeSetId__c
• Data Type: TEXT
• Description: The Code Set Service Type in the Code Set object.

• Field API Name: ssot__ServiceTypeText__c
• Data Type: TEXT
• Description: The type of service this plan benefit item provides.

• Field API Name: ssot__SourceSystemModified__c
• Data Type: DATETIME
• Description: The date on which these benefits were last changed on their source system.

• Field API Name: ssot__SourceSystemName__c
• Data Type: TEXT
• Description: The name of the system this coverage benefits item record came from.

• Field API Name: ssot__TimePeriodDescription__c
• Data Type: TEXT
• Description: A description of the period this plan benefit item covers.