effective claim status

Architectural Definition

The claim adjudication state for a coverage start validity. Used to track the current state or condition of the effective. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for effective management and reporting.

Schema Preview

● application/json

{
  "entity": "effective-claim-status",
  "domain": "healthcare",
  "metadata": {
    "displayName": "effective claim status",
    "status": "STANDARDIZED",
    "version": "1.0.4",
    "isStandardized": true
  }
}

Standard

ISO-8601

Data Type

String/Obj

Steward

Arch Council

Verified

Feb 2026

mdatool.

Architectural Definition

Schema Preview