Table Detail Report
PERSON_PLAN_PROFILE_HIST
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | Person Plan Profile History |
Definition: | Used for tracking history of changes to the person_plan_profile rows. |
Table Type: | ACTIVITY |
Column Detail - PERSON_PLAN_PROFILE_HIST
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVE_IND | DOUBLE | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
ACTIVE_STATUS_CD | DOUBLE | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
ACTIVE_STATUS_DT_TM | DATETIME | Y | The date and time that the active_status_cd was set. |
ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
CHANGE_BIT | DOUBLE | N | Identifies which columns have had a change. |
PERSON_PLAN_PROFILE_HIST_ID | DOUBLE | N | Uniquely identifies a history record for the person_plan_profile table. |
PERSON_PLAN_PROFILE_ID | DOUBLE | N | Uniquely identifies the row to which this history is related. |
PM_HIST_TRACKING_ID | DOUBLE | N | This is the value of the unique primary identifier of the pm_hist_tracking table. It is an internal system assigned number. |
PROFILE_TYPE_CD | DOUBLE | N | Indicates the type of health insurance profile for the person plan profile row (i.e., professional, institutional, workmen's comp). |
TRACKING_BIT | DOUBLE | N | Identifies which columns are being tracked for history. |
TRANSACTION_DT_TM | DATETIME | Y | ** OBSOLETE **. Use column updt_dt_tm for any filtering/ordering query. If transaction date time is needed, it should be retrieved from pm_hist_tracking table. Note that its date may be in the past, as in before the update date time. |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
Relationship Detail - PERSON_PLAN_PROFILE_HIST
Child Column in PERSON_PLAN_PROFILE_HIST(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | PERSON_PLAN_PROFILE_ID | PERSON_PLAN_PROFILE | PERSON_PLAN_PROFILE_ID |
PM_HIST_TRACKING_ID | PM_HIST_TRACKING | PM_HIST_TRACKING_ID |
PERSON_PLAN_PROFILE_RELTN
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | Person Plan Profile Relationship |
Definition: | The person health plan-profile relationship table defines the set of person health plans that are a part of a particular insurance profile and their priority within the profile. |
Table Type: | ACTIVITY |
Column Detail - PERSON_PLAN_PROFILE_RELTN
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVE_IND | DOUBLE | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
ACTIVE_STATUS_CD | DOUBLE | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
ACTIVE_STATUS_DT_TM | DATETIME | Y | The date and time that the active_status_cd was set. |
ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
PERSON_PLAN_PROFILE_ID | DOUBLE | N | Uniquely identifies the related row on the person health plan profile table. |
PERSON_PLAN_PROFILE_RELTN_ID | DOUBLE | N | A person health plan-profile relationship defines the set of person health plans that are a part of a particular insurance profile and their priority within the profile. |
PERSON_PLAN_RELTN_ID | DOUBLE | N | Uniquely identifies the related row on the person_plan_reltn table. |
PRIORITY_SEQ | DOUBLE | N | This is a numeric number used to represent the order in which to consider this health plan for reimbursement for this insurance profile, if the person is a member of more than one health plan. The priority_seq is 1-based. |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - PERSON_PLAN_PROFILE_RELTN
Child Column in PERSON_PLAN_PROFILE_RELTN(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | PERSON_PLAN_PROFILE_ID | PERSON_PLAN_PROFILE | PERSON_PLAN_PROFILE_ID |
PERSON_PLAN_RELTN_ID | PERSON_PLAN_RELTN | PERSON_PLAN_RELTN_ID |
Parent Column in PERSON_PLAN_PROFILE_RELTN (PK) | Child Table Name | Child Column Name | |
---|---|---|---|
Children: | PERSON_PLAN_PROFILE_RELTN_ID | PERSON_PLAN_PROFILE_R_HIST | PERSON_PLAN_PROFILE_RELTN_ID |
PERSON_PLAN_PROFILE_R_HIST
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | Person Plan Profile Relationship History |
Definition: | Used for tracking history of chages to the person_plan_profile_reltn rows. |
Table Type: | ACTIVITY |
Column Detail - PERSON_PLAN_PROFILE_R_HIST
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVE_IND | DOUBLE | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
ACTIVE_STATUS_CD | DOUBLE | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
ACTIVE_STATUS_DT_TM | DATETIME | Y | The date and time that the active_status_cd was set. |
ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
CHANGE_BIT | DOUBLE | N | Identifies which columns have had a change. |
PERSON_PLAN_PROFILE_ID | DOUBLE | N | Uniquely identifies the related person plan profile to which this history is related. |
PERSON_PLAN_PROFILE_RELTN_ID | DOUBLE | N | Uniquely identifies the related person_plan_profile_reltn record for this history record. |
PERSON_PLAN_PROFILE_R_HIST_ID | DOUBLE | N | Uniquely tracks a history record of a change to the person_plan_profile_reltn table. |
PERSON_PLAN_RELTN_ID | DOUBLE | N | Uniquely identifies the row on the person_plan_reltn table related to this history record. |
PM_HIST_TRACKING_ID | DOUBLE | N | This is the value of the unique primary identifier of the pm_hist_tracking table. It is an internal system assigned number. |
PRIORITY_SEQ | DOUBLE | N | Identifies a sequencing priority to be used when a duplicate relationship of the same type is created |
TRACKING_BIT | DOUBLE | N | Identifies which columns are being tracked for history. |
TRANSACTION_DT_TM | DATETIME | Y | ** OBSOLETE **. Use column updt_dt_tm for any filtering/ordering query. If transaction date time is needed, it should be retrieved from pm_hist_tracking table. Note that its date may be in the past, as in before the update date time. |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
Relationship Detail - PERSON_PLAN_PROFILE_R_HIST
Child Column in PERSON_PLAN_PROFILE_R_HIST(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | PERSON_PLAN_PROFILE_ID | PERSON_PLAN_PROFILE | PERSON_PLAN_PROFILE_ID |
PERSON_PLAN_PROFILE_RELTN_ID | PERSON_PLAN_PROFILE_RELTN | PERSON_PLAN_PROFILE_RELTN_ID | |
PERSON_PLAN_RELTN_ID | PERSON_PLAN_RELTN | PERSON_PLAN_RELTN_ID | |
PM_HIST_TRACKING_ID | PM_HIST_TRACKING | PM_HIST_TRACKING_ID |
PERSON_PLAN_RELTN
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | Person Health Plan Relationship |
Definition: | The person-health plan relation table contains pointers to health plan(s) which represent the current health plans for a person. This table along with the person table can be preloaded with member and plan data or populated as this information is |
Table Type: | ACTIVITY |
Column Detail - PERSON_PLAN_RELTN
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVE_IND | DOUBLE | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
ACTIVE_STATUS_CD | DOUBLE | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
ACTIVE_STATUS_DT_TM | DATETIME | Y | The date and time that the active_status_cd was set. |
ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
ALT_MEMBER_NBR | VARCHAR(100) | Y | The alternate payer plan member number for the person. |
ARCHIVE_DT_TM | DATETIME | Y | The date and time at which the patient health plan relationship (coverage) was archived. Once the coverage is archived, it should not be allocated to future encounters. |
ARCHIVE_PRSNL_ID | DOUBLE | Y | The id of the personnel who archived the patient health plan relationship (coverage) |
BALANCE_TYPE_CD | DOUBLE | N | The type of balance. |
BEG_EFFECTIVE_DT_TM | DATETIME | N | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
BEG_EFFECTIVE_TZ | DOUBLE | Y | The time zone associated with the beg_effective_dt_tm column. |
CARD_CATEGORY_CD | DOUBLE | N | A categorization of the coverages and/or benefits available to the recipient. For some insurances this may be clearly identifiable based on characteristics of the beneficiary's coverage card. |
CARD_ISSUE_NBR | DOUBLE | N | The card issue number is used to track the number of cards dispensed. The original card is typically issue number 00, with subsequent cards incremented. |
CONTRACT_CODE | VARCHAR(100) | Y | Identifies a contract between a facility and a person's related health plan. |
CONTRIBUTOR_SYSTEM_CD | DOUBLE | N | Contributor system identifies the source feed of data from which a row was populated. This is mainly used to determine how to update a set of data that may have originated from more than one source feed. |
COVERAGE_COMMENTS_LONG_TEXT_ID | DOUBLE | N | An identifier that points to a row in the LONG_TEXT table where comments about the plan coverage are stored. |
COVERAGE_TYPE_CD | DOUBLE | N | The code value for the type of coverage of the plan. |
DEDUCT_AMT | DOUBLE | Y | The amount of the deductable for the plan. |
DEDUCT_MET_AMT | DOUBLE | Y | How much of the deductable has been met. |
DEDUCT_MET_DT_TM | DATETIME | Y | The date and time the deductable was met. |
DENIAL_REASON_CD | DOUBLE | N | The code value for the reason the claim was denied. |
END_EFFECTIVE_DT_TM | DATETIME | N | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
END_EFFECTIVE_TZ | DOUBLE | Y | The time zone associated with the end_effective_dt_tm column. |
EXT_PAYER_IDENT | VARCHAR(100) | Y | The primary identifier of the organization (that does not exist in the Millennium build) providing the insurance plan (carrier). |
EXT_PAYER_NAME | VARCHAR(100) | Y | The name of the organization (that does not exist in the Millennium build) providing the insurance plan (carrier). |
FAM_DEDUCT_MET_AMT | DOUBLE | Y | The amount of the family deductable that has been met. |
FAM_DEDUCT_MET_DT_TM | DATETIME | Y | The date and time the family deductable was met. |
GENERIC_HEALTH_PLAN_NAME | VARCHAR(100) | Y | The name of the health plan when the health plan category is GENERIC. |
GROUP_NAME | VARCHAR(200) | Y | The group name of the plan. |
GROUP_NBR | VARCHAR(100) | Y | The group number of the plan. |
HEALTH_PLAN_ID | DOUBLE | N | This is the value of the unique primary identifier of the health plan table. It is an internal system assigned number. |
INSURED_CARD_NAME | VARCHAR(100) | Y | Person's Name as seen on the insurance card. |
INSURED_CARD_NAME_FIRST | VARCHAR(100) | Y | Person's first name as seen on the insurance card. |
INSURED_CARD_NAME_LAST | VARCHAR(100) | Y | Person's last name as seen on the insurance card. |
INSURED_CARD_NAME_MIDDLE | VARCHAR(100) | Y | Person's middle name as seen on the insurance card. |
INSURED_CARD_NAME_SUFFIX | VARCHAR(100) | Y | Person's name suffix as seen on the insurance card. |
INS_OFFICE_ORG_ID | DOUBLE | N | Identifier from the organization table of the health plan's insurance office. |
LIFE_RSV_DAILY_DED_AMT | DOUBLE | N | The daily deductible amount that is applicable when reserve days are used for coverage. |
LIFE_RSV_DAILY_DED_QUAL_CD | DOUBLE | N | The qualifier describing the amount entered in the Lifetime reserve daily deductible. |
LIFE_RSV_DAYS | DOUBLE | N | The predetermined number of coverage days held "in reserve" for use if needed. The reserve days can be used when all the days under a given service have been used, but continued coverage/care is needed. This number is static for the lifetime of the subscriber. |
LIFE_RSV_REMAIN_DAYS | DOUBLE | N | A static, manual-entry field obtained from taking the Lifetime reserve days and subtracting any days used from that reserve for coverage. |
MAX_OUT_PCKT_AMT | DOUBLE | Y | The maximum out of pocket amount the person is responsible for. |
MAX_OUT_PCKT_DT_TM | DATETIME | Y | The date and time the person met the out of pocket amount. |
MEMBER_NBR | VARCHAR(100) | Y | The plan member number for the person. |
MEMBER_PERSON_CODE | VARCHAR(100) | Y | An additional attribute that the payer can use to uniquely identify the subscriber and their dependents within the context of a particular policy. The policy number in conjunction with the member person code typically comprise the member number.; |
MILITARY_SERVICE_CD | DOUBLE | Y | The branch of military service through which the health plan coverage is being offered to the subscriber due to their current or past service. Examples may include, Army, Navy, Air Force, etc. |
ON_FILE_ADMIN_SEX_CD | DOUBLE | N | The person's gender code as it appears on file with the carrier. |
ON_FILE_BIRTH_DT_ISO | VARCHAR(10) | Y | The patient's date of birth as it appears on the file with the carrier. Stored in standard ISO format. |
ORGANIZATION_ID | DOUBLE | N | The ID of the organization providing the insurance plan. |
PERSON_ID | DOUBLE | N | This is the value of the unique primary identifier of the person table. It is an internal system assigned number. |
PERSON_ORG_RELTN_ID | DOUBLE | N | This is the value of the unique primary identifier of the person organization relationship table. It is an internal system assigned number. |
PERSON_PLAN_RELTN_ID | DOUBLE | N | This is the value of the unique primary identifier of the person health plan relationship table. It is an internal system assigned number. |
PERSON_PLAN_R_CD | DOUBLE | N | Code value for the type of relationship between the insurance plan and the person. Examples are member and subscriber. |
PLAN_CLASS_CD | DOUBLE | N | Code value that indicates if the health plan is in the reference list of health plans or not. FREETEXT indicates it is not in the list, HEALTHPLAN indicates it is. |
PLAN_TYPE_CD | DOUBLE | N | Code value that indicates the type of health plan. Examples are Medicaid, self pay, commercial, etc. |
POLICY_NBR | VARCHAR(100) | Y | The policy number of the subscriber's health plan at the time of the visit. The policy number in conjunction with the member person code typically comprise the member number. Sometimes the individual's member number is referred to as their policy number so care should be taken in order to make sure that the correct field is being used given a particular use case.; |
PRIORITY_SEQ | DOUBLE | Y | This is a numeric number used to represent the order in which to considered this health plan for reimbursement, if the person is a member of more than one health plan. |
PROGRAM_STATUS_CD | DOUBLE | N | Represents the set of coverages and/or benefits available to the recipient based on the recipient's reason for eligibility. |
SIGNATURE_ON_FILE_CD | DOUBLE | N | Coed value that indicates what level a person is allowing the release of medical information. Some examples are , No, Informed Consent, Limited, etc. |
SPONSOR_PERSON_ORG_RELTN_ID | DOUBLE | N | ID of sponsor's relationship to the employer. |
SUBSCRIBER_PERSON_ID | DOUBLE | N | The person ID of the plan subscriber. |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
VERIFY_DT_TM | DATETIME | Y | The date and time the verification took place. |
VERIFY_PRSNL_ID | DOUBLE | N | The ID of the person that did the verification |
VERIFY_SOURCE_CD | DOUBLE | N | The source by which the row was verified. |
VERIFY_STATUS_CD | DOUBLE | N | The status of the verification. |
Relationship Detail - PERSON_PLAN_RELTN
Child Column in PERSON_PLAN_RELTN(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | HEALTH_PLAN_ID | HEALTH_PLAN | HEALTH_PLAN_ID |
COVERAGE_COMMENTS_LONG_TEXT_ID | LONG_TEXT | LONG_TEXT_ID | |
INS_OFFICE_ORG_ID | ORGANIZATION | ORGANIZATION_ID | |
ORGANIZATION_ID | ORGANIZATION | ORGANIZATION_ID | |
PERSON_ID | PERSON | PERSON_ID | |
PERSON_ORG_RELTN_ID | PERSON_ORG_RELTN | PERSON_ORG_RELTN_ID | |
SPONSOR_PERSON_ORG_RELTN_ID | PERSON_ORG_RELTN | PERSON_ORG_RELTN_ID | |
ARCHIVE_PRSNL_ID | PRSNL | PERSON_ID | |
VERIFY_PRSNL_ID | PRSNL | PERSON_ID |
Parent Column in PERSON_PLAN_RELTN (PK) | Child Table Name | Child Column Name | |
---|---|---|---|
Children: | PERSON_PLAN_RELTN_ID | ENCNTR_PLAN_RELTN | PERSON_PLAN_RELTN_ID |
PERSON_BENEFIT_R | PERSON_PLAN_RELTN_ID | ||
PERSON_PLAN_AUTH_R | PERSON_PLAN_RELTN_ID | ||
PERSON_PLAN_AUTH_R_HIST | PERSON_PLAN_RELTN_ID | ||
PERSON_PLAN_PROFILE_RELTN | PERSON_PLAN_RELTN_ID | ||
PERSON_PLAN_PROFILE_R_HIST | PERSON_PLAN_RELTN_ID | ||
PREEXIST_CONDITION | PERSON_PLAN_RELTN_ID | ||
REFERRAL_P_PLAN_RELTN | PERSON_PLAN_RELTN_ID | ||
TRANSACTION_ELIGIBILITY | PERSON_PLAN_RELTN_ID |
PERSON_PLAN_RELTN_HIST
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | Person Plan Relationship History |
Definition: | History table for the Person Plan Relation table |
Table Type: | ACTIVITY |
Column Detail - PERSON_PLAN_RELTN_HIST
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVE_IND | DOUBLE | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
ACTIVE_STATUS_CD | DOUBLE | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
ACTIVE_STATUS_DT_TM | DATETIME | Y | The date and time that the active_status_cd was set. |
ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
ALT_MEMBER_NBR | VARCHAR(100) | Y | The alternate payer plan member number for the person. |
ARCHIVE_DT_TM | DATETIME | Y | The date and time at which the patient health plan relationship (coverage) was archived. Once the coverage is archived, it should not be allocated to future encounters. |
ARCHIVE_PRSNL_ID | DOUBLE | Y | The id of the personnel who archived the patient health plan relationship (coverage) |
BEG_EFFECTIVE_DT_TM | DATETIME | N | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
BEG_EFFECTIVE_TZ | DOUBLE | Y | The time zone associated with the beg_effective_dt_tm column. |
CARD_CATEGORY_CD | DOUBLE | N | A categorization of the coverages and/or benefits available to the recipient. For some insurances this may be clearly identifiable based on characteristics of the beneficiary's coverage card. |
CHANGE_BIT | DOUBLE | N | Identifies which columns have had a change. |
CONTRIBUTOR_SYSTEM_CD | DOUBLE | N | Contributor system identifies the source feed of data from which a row was populated. This is mainly used to determine how to update a set of data that may have originated from more than one source feed. |
END_EFFECTIVE_DT_TM | DATETIME | N | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
END_EFFECTIVE_TZ | DOUBLE | Y | The time zone associated with the end_effective_dt_tm column. |
EXT_PAYER_IDENT | VARCHAR(100) | Y | The primary identifier of the organization (that does not exist in the Millennium build) providing the insurance plan (carrier). |
EXT_PAYER_NAME | VARCHAR(100) | Y | The name of the organization (that does not exist in the Millennium build) providing the insurance plan (carrier). |
GENERIC_HEALTH_PLAN_NAME | VARCHAR(100) | Y | The name of the health plan when the health plan category is generic. |
GROUP_NAME | VARCHAR(200) | Y | The group name of the plan. |
GROUP_NBR | VARCHAR(100) | Y | The group number of the plan. |
HEALTH_PLAN_ID | DOUBLE | N | This is the value of the unique primary identifier of the health plan table. It is an internal system assigned number. |
INSURED_CARD_NAME | VARCHAR(100) | Y | Subscriber's/Patient's name as printed on the insurance card. |
INSURED_CARD_NAME_FIRST | VARCHAR(100) | Y | Person's first name as seen on the insurance card. |
INSURED_CARD_NAME_LAST | VARCHAR(100) | Y | Person's last name as seen on the insurance card. |
INSURED_CARD_NAME_MIDDLE | VARCHAR(100) | Y | Person's middle name as seen on the insurance card. |
INSURED_CARD_NAME_SUFFIX | VARCHAR(100) | Y | Person's name suffix as seen on the insurance card. |
INS_OFFICE_ORG_ID | DOUBLE | N | Identifier from the organization table of the health plan's insurance office. |
MEMBER_NBR | VARCHAR(100) | Y | The plan member number for the person. |
MEMBER_PERSON_CODE | VARCHAR(100) | Y | An additional attribute that the payer can use to uniquely identify the subscriber and their dependents within the context of a particular policy. The policy number in conjunction with the member person code typically comprise the member number. |
MILITARY_SERVICE_CD | DOUBLE | Y | The branch of military service through which the health plan coverage is being offered to the subscriber due to their current or past service. Examples may include, Army, Navy, Air Force, etc. |
ON_FILE_ADMIN_SEX_CD | DOUBLE | N | The person's gender code as it appears on file with the carrier. |
ON_FILE_BIRTH_DT_ISO | VARCHAR(10) | Y | The patient's date of birth as it appears on the file with the carrier. Stored in standard ISO format. |
ORGANIZATION_ID | DOUBLE | N | The ID of the organization providing the insurance plan. |
PERSON_ORG_RELTN_ID | DOUBLE | N | This is the value of the unique primary identifier of the person organization relationship table. It is an internal system assigned number. |
PERSON_PLAN_RELTN_HIST_ID | DOUBLE | N | Uniquely identifies history for a given person plan relationship. |
PERSON_PLAN_RELTN_ID | DOUBLE | N | This is the ID from the PERSON_PLAN_RELTN row relating the PERSON and the HEALTH_PLAN to this ENCNTR_PLAN_RELTN row. For an encounter, a corresponding row can be maintained at the person level with the same information. |
PERSON_PLAN_R_CD | DOUBLE | N | Code value for the type of relationship between the insurance plan and the person. Examples are member and subscriber. |
PLAN_CLASS_CD | DOUBLE | N | Code value that indicates if the health plan is in the reference list of health plans or not. FREETEXT indicates it is not in the list, HEALTHPLAN indicates it is. |
PLAN_TYPE_CD | DOUBLE | N | Code value that indicates the type of health plan. Examples are Medicaid, self pay, commercial, etc. |
PM_HIST_TRACKING_ID | DOUBLE | N | This is the value of the unique primary identifier of the pm_hist_tracking table. It is an internal system assigned number. |
POLICY_NBR | VARCHAR(100) | Y | The policy number of the subscriber's health plan at the time of the visit. The policy number in conjunction with the member person code typically comprise the member number. Sometimes the individual's member number is referred to as their policy number so care should be taken in order to make sure that the correct field is being used given a particular use case. |
PRIORITY_SEQ | DOUBLE | Y | this is a numeric number used to represent the order in which to considered this health plan for reimbursement, if the person is a member of more than one health plan. |
PROGRAM_STATUS_CD | DOUBLE | N | Represents the set of coverages and/or benefits available to the recipient based on the recipient's reason for eligibility. |
SIGNATURE_ON_FILE_CD | DOUBLE | N | Coed value that indicates what level a person is allowing the release of medical information. Some examples are , No, Informed Consent, Limited, etc. |
SPONSOR_PERSON_ORG_RELTN_ID | DOUBLE | N | ID of sponsor's relationship to the employer. |
SUBSCRIBER_PERSON_ID | DOUBLE | N | The person ID of the plan subscriber. |
TRACKING_BIT | DOUBLE | N | Identifies which columns are being tracked for history. |
TRANSACTION_DT_TM | DATETIME | Y | ** OBSOLETE **. Use column updt_dt_tm for any filtering/ordering query. If transaction date time is needed, it should be retrieved from pm_hist_tracking table. Note that its date may be in the past, as in before the update date time. |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
VERIFY_DT_TM | DATETIME | Y | The date and time the verification took place. |
VERIFY_PRSNL_ID | DOUBLE | N | The ID of the person that did the verification |
VERIFY_SOURCE_CD | DOUBLE | N | The source by which the row was verified. |
VERIFY_STATUS_CD | DOUBLE | N | The status of the verification. |
Relationship Detail - PERSON_PLAN_RELTN_HIST
Child Column in PERSON_PLAN_RELTN_HIST(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | INS_OFFICE_ORG_ID | ORGANIZATION | ORGANIZATION_ID |
PM_HIST_TRACKING_ID | PM_HIST_TRACKING | PM_HIST_TRACKING_ID |