Domain
Inventory, equipment, devices and procurement
800 supply terms
A unique identifier assigned to a specific service, drug, supply, or billable unit within healthcare EHR, claims, or pharmacy systems. May correspond to NDC, HCPCS, CPT, or proprietary codes used for adjudication, formulary lookup, and reimbursement processing.
The total number of individual items, units, or records associated with a transaction, claim batch, or billing cycle in healthcare data systems. Used in pharmacy dispensing reconciliation, claims volume reporting, and inventory management across PBM and provider platforms.
Indicates the most recent or active state of an item record in healthcare EHR, claims, or PBM systems. Used to distinguish current values from historical or superseded entries during data reconciliation, member eligibility validation, and claims adjudication processes.
The date associated with a specific item or transaction record in healthcare billing, pharmacy, or claims systems. May represent service date, dispensing date, or posting date used for adjudication timelines, eligibility verification, and financial period alignment in EHR platforms.
A human-readable text label describing a specific service, drug, supply, or billable unit within healthcare EHR, claims, or pharmacy data systems. Used to support reporting, audit documentation, member explanation of benefits, and provider billing reference records.
The date on which a pharmaceutical, medical supply, or formulary item is no longer valid for dispensing or clinical use, as recorded in pharmacy management systems, PBM platforms, and hospital supply chain databases. Used to enforce expiration-based business rules in dispensing workflows and claims adjudication.
A coded indicator applied to a pharmacy, claims, or supply chain item record to denote a special condition such as formulary exception, recall status, controlled substance designation, or billing alert within EHR, PBM, and claims processing systems. Drives downstream workflow routing and adjudication logic.
A unique alphanumeric key assigned to a specific drug, supply, or service item within pharmacy, PBM, claims, and supply chain data systems. Serves as the primary reference key for linking item records across NDC codes, formulary tables, claims line items, and inventory management platforms.
The upper threshold value for a line item in pharmacy, claims, or benefit configuration records. Used in PBM systems to enforce quantity limits, price caps, or benefit maximums per item within adjudication and plan design tables.
The lower threshold value for a line item in pharmacy, claims, or benefit configuration records. Applied in PBM and EHR systems to enforce minimum dispensing quantities, copay floors, or required benefit thresholds during claims adjudication.
The descriptive label assigned to a specific line item within pharmacy, claims, formulary, or benefit configuration records. Used across EHR, PBM, and claims systems to identify drug names, service descriptions, or benefit components in data pipelines.
A unique numeric or alphanumeric identifier assigned to a line item in pharmacy dispense records, claims, or formulary tables. Used in PBM, EHR, and EDI systems to reference specific products, services, or benefit components during processing and reconciliation.
A percentage value applied to a specific line item in claims, remittance, or pharmacy benefit records. Used in PBM and claims systems to calculate coinsurance rates, plan liability splits, or discount allocations at the individual item level during adjudication.
The prior value of a specific line item before an update or adjustment in claims, pharmacy, or benefit records. Used in EHR and PBM audit trails and change history tables to track modifications to adjudicated amounts, quantities, or benefit configurations over time.
The count or volume associated with a specific line item in pharmacy dispense, claims, or inventory records. Used in PBM and EHR systems to capture units dispensed, days supply, or service units billed, driving adjudication logic and utilization reporting.
A cross-reference identifier linking a line item to an external code set, formulary entry, or source system record in claims, pharmacy, or EHR data. Used in PBM and interoperability pipelines to trace item origin, support auditing, and enable cross-system data joins.
An ordered numeric position assigned to a line item within a claim, pharmacy transaction, or benefit record. Used in EDI 837, NCPDP, and EHR systems to maintain processing order, support multi-line claim parsing, and ensure accurate data mapping during ingestion.
The current processing or lifecycle state of a line item in claims, pharmacy, or benefit records, such as active, reversed, pending, or denied. Used in PBM and EHR systems to drive workflow routing, reporting filters, and adjudication outcome tracking across data pipelines.
The date and time a specific line item was created, modified, or processed within claims, pharmacy, or EHR transaction records. Used in PBM, EDI, and EHR systems for audit logging, sequencing adjudication events, and resolving data conflicts in integration pipelines.
The aggregated monetary or quantity value for a specific line item in claims, pharmacy dispense, or remittance records. Used in PBM and claims systems to summarize allowed amounts, billed charges, or dispensed units at the item level for financial reconciliation and reporting.