Domain
Member
Enrollment, eligibility, demographics and plan attribution
2,833 member terms
The calendar date on which a coinsurance cost-sharing record was first entered into the benefits administration or member enrollment system. Used for audit and data governance purposes to establish the timeline of benefit plan configurations and track historical changes to cost-sharing terms.
The timestamp indicating when a coinsurance cost-sharing record was first entered into the benefits administration or member enrollment system. Combined with the created date, this field supports precise audit trail tracking and sequencing of benefit plan configuration events.
A laboratory value representing the creatinine level associated with a clinical encounter subject to coinsurance cost-sharing. Used in clinical data systems to link kidney function test results to the corresponding cost-sharing obligations applied during claims adjudication or care management.
The business date associated with a coinsurance transaction or cost-share event within utilization management and claims processing workflows, stored as coins_dt. Used to sequence benefit accumulator updates, coordinate deductible tracking, and support temporal analytics in healthcare data warehouse and reporting environments.
The combined date and time value representing a key event or transaction associated with a coinsurance cost-sharing record. Used in benefits administration and claims processing systems to precisely timestamp coinsurance-related activities for audit, sequencing, and historical tracking purposes.
The Drug Enforcement Administration registration number associated with a coinsurance transaction involving a controlled substance prescription. Used in pharmacy claims processing to link DEA-regulated prescribing activity to the applicable member cost-sharing percentage under the benefit plan.
The date of a member's death as it relates to the termination of coinsurance cost-sharing obligations within the health plan. Used in member enrollment and benefits administration to close active cost-sharing arrangements and adjust claims liability upon confirmation of a member's passing.
The date on which a coinsurance cost-sharing record was logically removed from the active benefits administration or member enrollment system. Used for audit trail and data governance purposes to track when and how cost-sharing configurations were retracted or superseded.
A flag indicating whether a coinsurance cost-sharing record has been logically deleted from the benefits administration or member enrollment system. Used to filter inactive or retracted cost-sharing configurations from active benefit processing while preserving historical data for audit purposes.
Free-text description for coinsurance within Provider processes in Healthcare implementations. Used for reporting, integrations, and downstream analytics.
Granular information describing the specific terms and conditions of a member's coinsurance cost-sharing arrangement within a benefit plan. Used in benefits administration and claims adjudication to capture nuanced cost-sharing rules such as service-specific percentages, tier-based variations, or plan exceptions.
The date by which a member's coinsurance payment obligation must be satisfied following claims adjudication. Used in healthcare billing and member accounts receivable systems to track outstanding cost-sharing balances, generate payment reminders, and manage collections for unpaid coinsurance amounts.
The length of time a specific coinsurance cost-sharing percentage is applicable under a member's benefit plan. Used in benefits administration to define the active window for a given cost-sharing arrangement, supporting accurate claims adjudication and plan configuration management across coverage periods.
The electronic mail address associated with a member or contact responsible for coinsurance cost-sharing communications. Used in member enrollment and billing systems to route cost-sharing notices, explanation of benefits statements, and payment reminders to the appropriate recipient.
The date on which a member's coinsurance cost-sharing arrangement expires or is no longer applicable under their benefit plan. Used in member enrollment and claims adjudication systems to determine the validity window of a cost-sharing percentage and prevent application of expired benefit terms.
The precise time at which a coinsurance cost-sharing arrangement concludes within a benefit plan configuration. Used alongside the end date in benefits administration systems to accurately close cost-sharing records and ensure claims processed after termination are adjudicated under updated or replacement benefit terms.
The current enrollment state of a member as it relates to their active coinsurance cost-sharing obligations within a health plan. Used in member enrollment systems to determine whether cost-sharing percentages should be applied during claims adjudication based on the member's active, terminated, or suspended coverage status.
Identifies the user or system that recorded the coinsurance cost-sharing percentage into the benefits or claims system. Used in audit trails to track data entry accountability for member cost-sharing configurations within health plan benefit structures.
Records the ethnicity of the member or enrollee associated with a coinsurance cost-sharing record. Used in health equity reporting and population analytics to identify disparities in cost-sharing burdens across demographic groups within insurance benefit plans.
The date on which a member's coinsurance cost-sharing percentage or benefit tier rule becomes invalid. Used in health plan administration to manage benefit period transitions, ensuring correct cost-sharing rates are applied to claims within valid coverage windows.