Class steward is Patient Administration
A defined level of healthcare insurance coverage.
Rationale: Consistency with other Healthcare_benefit classes.
A code serving as an additional refinement of an insurance plan. (e.g., standard, unified, maternity, . . .).
Rationale: This attribute is more appropriately related to a healthcare coverage benefit.
|IN1^31^00456^Type of Agreement Code|
The annual limit amount for the Healthcare coverage benefit.
An indication of the existence of baby coverage under the insurance plan.
Rationale: This attribute is more appropriately related to a healthcare coverage benefit.
|IN2^19^00490^Baby Coverage|
A textual description of the benefit.
The name of the benefit product.
The deductible amount for blood.
Rationale: This attribute is more approprriately related to a healthcare coverage benefit.
|IN2^21^00492^Blood Deductible|
An indication as to whether the patient has reached the copay limit.
Rationale: This attribute is more appropriately related to a healthcare coverage benefit.
|IN2^67^00807^Copay Limit Flag|
The amount of the daily deductible for this insurance plan.
Rationale: This attribute is more appropriately related to a healthcare coverage benefit.
|IN2^30^00501^Daily Deductible|
An indication as to whether the benefit includes dependent coverage.
The limit on the dependent coverage amount.
The date and time the benefit becomes effective.
The lifetime limit amount for the Healthcare coverage benefit.
A code depicting the reason why a service is not covered.
Rationale: This attribute is more appropriately related to a healthcare coverage benefit.
|IN2^24^00495^Non-Covered Insurance Code|
The code classifying the amount (e.g. AT-Amount, PC-Percentage, LM-Limit)
Rationale: IN2-29. This attribute is more appropriately related to a healthcare coverage benefit.
OpenIssue:
|IN2^29^00500^Policy Type/Amount|
The benefit limit amount or percentage.
Rationale: IN2-29. This attribute is more appropriately related to a healthcare coverage benefit.
OpenIssue:
|IN2^29^00500^Policy Type/Amount|
The policy category code (e.g., ANC-ancillary, MMD-major medical)
Rationale: IN2-29. This attribute is more appropriately related to a healthcare coverage benefit.
OpenIssue:
|IN2^29^00500^Policy Type/Amount|
The deductible amount specified by the insurance plan.
Rationale: This attribute is more appropriately related to a healthcare coverage benefit.
|IN1^37^00462^Policy Deductible|
The maximum number of days that the insurance policy will cover.
Rationale: This attribute is more appropriately related to a healthcare coverage benefit.
|IN1^39^00464^Policy Limit - Days|
A code depicting the extent of the coverage for a participating member (e.g., single, family, . . .).
Rationale: This attribute is more appropriately related to a healthcare coverage benefit.
|IN2^59^00799^Policy Scope |
A rate for a given room type.
Rationale: This attribute is more appropriately related to a healthcare coverage benefit.
|IN2^28^00499^Room Coverage Type/Amount|
The date the benefit is no longer in effect.