Operations

The physical street address linked to a treatment duration record, identifying the care site, clinic, or facility where a course of treatment spanning a defined time period is administered, as recorded in clinical or authorization management systems.

Indicates whether a prescribed treatment duration has been reviewed and authorized by a payer, utilization management team, or clinical authority. Tracks the current authorization state, such as pending, approved, or denied, within prior authorization or care management workflows.

The billed charge amount associated with a defined course of treatment or service duration. Captures the total dollar value a provider submits for a time-bound treatment period, used in claims adjudication, revenue cycle management, and cost analysis reporting.

The date on which a prescribed treatment duration or authorized care period officially begins. Used in utilization management, prior authorization, and care plan records to establish the start boundary of a time-limited clinical or coverage interval.

The insurance group identifier associated with a treatment duration record, linking the time-bound care episode to the member's health plan group. Used in claims processing and eligibility verification to ensure coverage applies during the authorized treatment period.

The unique patient medical record number tied to a specific treatment duration record. Used to associate a time-bound course of care with the correct patient across clinical, billing, and utilization management systems for accurate longitudinal tracking.

The calendar date on which a time-bound treatment, procedure, or care episode is planned to begin or occur. Captured in scheduling and care management systems to coordinate resource allocation and track adherence to planned treatment timelines.

The specific clock time at which a treatment duration event or care episode is planned to begin. Used in clinical scheduling systems alongside the scheduled date to coordinate staff, facility resources, and patient preparation for time-defined treatment activities.

The physical street address recorded in association with a treatment duration, typically identifying the facility or care site where a time-bound course of treatment is delivered. Used in care management and utilization review systems to locate the site of service.

The unit of measure defining the length of a treatment period, such as days, weeks, or months. Used in prior authorization, care management, and clinical documentation to specify the approved or prescribed timeframe over which a course of treatment extends.

A binary flag indicating whether a coverage effective date record is currently active and valid. Used in member enrollment and eligibility systems to distinguish active coverage periods from historical or inactive records when determining a member's current insurance status.

Describes the current activity state of a coverage effective record, indicating whether the associated eligibility or benefit period is active, inactive, terminated, or suspended. Used in member enrollment systems to manage and validate coverage continuity across plan periods.

The physical mailing or residential address on record as of a coverage effective date, typically capturing the member's address at the time enrollment begins. Used in member eligibility systems to verify coverage applicability and support correspondence at the time of enrollment.

The calculated age of a member or patient as of the coverage effective date, derived from date of birth and the effective start date of the insurance or benefit period. Used in member enrollment and actuarial systems for risk stratification, eligibility determination, and premium rating.

The maximum reimbursable dollar amount applicable as of the coverage effective date for a specific service or benefit. Used in claims adjudication to apply the correct contracted or plan-defined payment limits based on the benefit period in effect at the time of service.

The monetary value associated with a coverage effective record, representing a premium, benefit cap, or financial threshold that becomes applicable as of the coverage start date. Used in member enrollment, billing, and benefit configuration systems to apply correct financial terms per plan period.

Indicates the authorization state of a coverage effective date record, reflecting whether the enrollment or benefit activation has been reviewed and approved by the payer or plan administrator. Used in member enrollment workflows to manage and audit coverage activation decisions.

Identifies the individual, role, or system that authorized the activation of a coverage effective date record. Used in member enrollment and plan administration systems to maintain an audit trail of who approved the commencement of a benefit period or coverage change.

The exact time a patient physically arrived at a care facility, captured as part of the encounter record. Used in emergency department throughput analysis, wait time reporting, and care coordination workflows to measure time-to-triage and door-to-provider intervals.

The calendar date on which a patient arrived at a healthcare facility for a scheduled or unscheduled encounter. Used in claims processing, utilization management, and length-of-stay calculations to establish the start boundary of an inpatient or outpatient episode of care.