Domain
Member
Enrollment, eligibility, demographics and plan attribution
2,781 member terms
A standardized document required by the ACA that provides a clear and consistent summary of health insurance plan benefits and coverage. SBCs enable consumers to compare health plans across carriers using a standard format. Required for all individual and group health insurance plans sold in the marketplace.
A nine-digit number assigned by the IRS to identify business entities for tax purposes. Used in healthcare for provider and employer identification in claims processing, enrollment, and remittance transactions. Required on W-9 forms for provider credentialing and 1099 reporting for healthcare payments.
The shared cost value for a condition severity level. Used to capture financial data associated with acuity transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for acuity management and reporting.
The membership state for a condition severity level. Used to track the current state or condition of the acuity. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for acuity management and reporting.
The treatment strategy text for a condition severity level. 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 acuity management and reporting.
The coverage policy identifier for a condition severity level. Used as a unique reference to identify and track the acuity across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for acuity management and reporting.
The membership state for a physical location identifier. Used to track the current state or condition of the address. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for address management and reporting.
The membership state for a financial modification. Used to track the current state or condition of the adjustment. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for adjustment management and reporting.
The shared cost value for a end-of-life care wishes. Used to capture financial data associated with advance directive transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for advance directive management and reporting.
The membership state for a end-of-life care wishes. Used to track the current state or condition of the advance directive. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for advance directive management and reporting.
The treatment strategy text for a end-of-life care wishes. 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 advance directive management and reporting.
The coverage policy identifier for a end-of-life care wishes. Used as a unique reference to identify and track the advance directive across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for advance directive management and reporting.
The shared cost value for a anesthesia specialist. Used to capture financial data associated with anesthesiologist transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for anesthesiologist management and reporting.
The membership state for a anesthesia specialist. Used to track the current state or condition of the anesthesiologist. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for anesthesiologist management and reporting.
The treatment strategy text for a anesthesia specialist. 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 anesthesiologist management and reporting.
The coverage policy identifier for a anesthesia specialist. Used as a unique reference to identify and track the anesthesiologist across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for anesthesiologist management and reporting.
The shared cost value for a scheduled care visit. Used to capture financial data associated with appointment transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for appointment management and reporting.
The membership state for a scheduled care visit. Used to track the current state or condition of the appointment. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for appointment management and reporting.
The treatment strategy text for a scheduled care visit. 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 appointment management and reporting.
The coverage policy identifier for a scheduled care visit. Used as a unique reference to identify and track the appointment across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for appointment management and reporting.