Healthcare Data Glossary — 100,000+ Terms

The dollar amount applied toward a member's annual deductible for a specific claim or service. Represents the portion of healthcare expenses the member must pay out-of-pocket before the health plan begins covering costs, tracked across claims to monitor benefit year accumulation.

Date after which a patient's record, authorization, or benefit coverage is no longer valid in EHR, payer, or PBM systems. Used in eligibility verification workflows, prior authorization management, claims adjudication edits, and member disenrollment tracking across healthcare data pipelines.

A binary flag indicating whether a licensed therapy professional, such as a physical, occupational, or speech therapist, currently holds an active status within the credentialing or workforce management system, determining eligibility to provide and bill for patient services.

The clock time at which a scheduled appointment or clinical activity is expected to conclude. Used in patient scheduling systems alongside start time to calculate appointment duration, manage sequential bookings, and prevent conflicts in provider or facility resource allocation.

The date a claim was submitted to a payer for an outstanding patient or account balance, typically following primary adjudication or coordination of benefits. Used in revenue cycle management to track billing timeliness, support collections workflows, and measure days in accounts receivable for unpaid balances.

The calendar date on which a healthcare workflow item, such as a grievance, authorization request, or clinical issue, was formally closed or resolved. Used to measure turnaround compliance, track regulatory timeframes, and report on case closure rates in utilization management and member services workflows.

The kidney function marker for a correctness confirmation. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for verification management and reporting.

Captures the specific time a surgically placed medical device physically arrived at the facility or surgical suite. Critical for tracking implant supply chain logistics, ensuring device availability before scheduled procedures, and documenting chain of custody for regulatory compliance.

A data quality artifact resulting from applying a person-level contact attribute to a drug entity. This field does not carry valid meaning in a pharmaceutical data context and should be flagged for removal or reassignment during drug reference data model reviews to prevent data integrity issues.

The calendar date associated with a reference range definition in clinical laboratory or diagnostic systems. Captures when a specific normal value interval was recorded or applied, supporting time-based tracking of range validity across clinical data workflows.