Domain

Member

Enrollment, eligibility, plan attribution, and member demographics.

520 member terms

EMPI - organization-wide MPI spanning all facilities and systems. Provides unified patient view across enterprise.

MPI - enterprise-wide index linking patient identifiers across systems. Ensures single patient view despite multiple IDs.

Membermbr

Member First Namembr_fname

First (given) name for the member.

Member IdentificationMember_ID

Member Identification NumberMember ID

Member Namembr_name

Full legal name of the health plan member

Patient Account Numberpat_acct_num

The account reference number for a individual receiving medical care. Used as a unique reference to identify and track the patient across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for patient management and reporting.

Patient Controlled AnalgesiaPCA

Patient CounselingCounseling

The pharmacist's provision of information and advice to patients about their medications.

Patient Paid Amountpat_paid_amt

The payment received value for a individual receiving medical care. Used to capture financial data associated with patient transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for patient management and reporting.

Patient Relation Codepat_rel_cd

Code identifying the patient's relationship to the subscriber (e.g., 18=Self, 01=Spouse).

Patient Responsibility Amountpat_resp_amt

The portion of the claim the patient must pay (Deductible, Copay, Coinsurance).

Per Member Per MonthPMPM

Per Member Per YearPMPY

Subscriber IDsubscr_id

The unique identification number assigned to the primary insured (Loop 2010BA).

member account numbermbr_acct_nbr

The account reference number for a insurance plan enrollee. Used as a unique reference to identify and track the member across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for member management and reporting.

member active indicatormbr_actv_ind

The current status flag for a insurance plan enrollee. Used to track the current state or condition of the member. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for member management and reporting.

member active statusmbr_actv_sts

The current activity state for a insurance plan enrollee. Used to track the current state or condition of the member. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for member management and reporting.

member addressmbr_addr

The physical location text for a insurance plan enrollee. Used to identify member address in healthcare data systems.

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