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coverage_group_or_plan

Pulls together all the information available to map a set of members into one or more groups and one or more plans

Primary Key:Checks:
  • coverage_group_or_plan_coverage_description_check - (coverage_description = upper(coverage_description))
  • coverage_group_or_plan_department_check - (department = upper(department))
  • coverage_group_or_plan_group_or_policy_number_check - (group_or_policy_number = upper(group_or_policy_number))
  • coverage_group_or_plan_location_check - (location = upper(location))
  • coverage_group_or_plan_medical_plan_identification_check - (medical_plan_identification = upper(medical_plan_identification))
  • coverage_group_or_plan_other_identifier_check - (other_identifier = upper(other_identifier))
  • coverage_group_or_plan_plan_sponsor_identification_check - (plan_sponsor_identification = upper(plan_sponsor_identification))
  • coverage_group_or_plan_rx_plan_identification_check - (rx_plan_identification = upper(rx_plan_identification))
Indexes:
ColumnData TypeNullableIndexedDescription
coverage_group_or_plan_idbigintNoYes-
insurance_lineinsurance_line_typeNoYesIdentifies the type of insurance (From HD03. Cannot be overridden)
coverage_descriptiontextNoYesDescribes the type of plan or coverage (From HD04. Cannot be overridden)
plan_sponsor_identificationtextNoYesIdentifies the plan sponsor (Blank by default)
group_or_policy_numbertextNoYesIdentifies the group or policy number (From REF 38 or REF 1L at most specific level possible. Cannot be overridden)
medical_plan_identificationtextNoYesIdentifies the plan (Blank by default)
rx_plan_identificationtextNoYesIdentifies the plan (Blank by default)
departmenttextNoYesSome other user-defined identifier (Blank by default)
locationtextNoYesSome other user-defined identifier (Blank by default)
other_identifiertextNoYesSome other user-defined identifier (Blank by default)