behavioral health grievance category code
bh_grvnc_cat_cdDefinition
ISO-11179 Definition
A code classifying the subject matter of a formal member grievance related to behavioral health services, such as access delays, denial of services, or quality of care concerns, used in regulatory grievance reporting and complaint trend analysis.
Standard Abbreviation
bh_grvnc_cat_cd
Category
Production DDL — FACT_BH_ENCOUNTER
CREATE OR REPLACE TABLE FACT_BH_ENCOUNTER (
bh_enctr_key INTEGER NOT NULL -- surrogate key,
enctr_id VARCHAR(50) NOT NULL -- encounter identifier,
mbr_id VARCHAR(20) NOT NULL -- member identifier,
prvdr_npi VARCHAR(10) -- rendering provider NPI,
enctr_dt DATE NOT NULL -- encounter date,
svc_type_cd VARCHAR(20) -- service type code,
diag_cd VARCHAR(7) -- primary diagnosis code,
diag_cd_2 VARCHAR(7) -- secondary diagnosis code,
bh_cond_cd VARCHAR(20) -- behavioral health condition,
lvl_of_care_cd VARCHAR(20) -- level of care code,
session_cnt INTEGER -- session count,
auth_nbr VARCHAR(30) -- authorization number,
fac_type_cd VARCHAR(20) -- facility type code,
paid_amt DECIMAL(12,2) -- paid amount,
rec_creat_dt TIMESTAMP NOT NULL -- record created date
);
Standard Snowflake DDL for the canonical behavioral table. Convert to BigQuery or Databricks →
Why This Term Matters
Healthcare data terminology is foundational for any data engineer working in this industry. Precise understanding of standard terms enables accurate schema design, reduces downstream data quality issues, and ensures pipelines meet the regulatory and interoperability requirements imposed by HIPAA, HL7 FHIR, and CMS reporting frameworks. Without this foundation, even technically well-built pipelines produce data that fails validation when it reaches payers or regulators.
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