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payer class

pyr_cls
member
Updated 5/16/2026

Definition

The classification tier for a insurance company entity. 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 payer management and reporting.

Standard Abbreviation

pyr_cls

Category

member

Database Usage

-- Example column naming
CREATE TABLE claims (
  clm_id VARCHAR(50),
  pyr_cls VARCHAR(20),  -- payer class (max 20 chars)
  ...
);

-- Example in SELECT
SELECT
  clm_id,
  pyr_cls as payer_class
FROM claims;

Common uses in healthcare data

  • Member eligibility verification and enrollment tracking
  • Medicare Advantage and Medicaid managed care reporting
  • COBRA, CHIP, and dual-eligible member management
  • Enrollment reconciliation and CMS submissions
  • Member 360 data model and longitudinal analysis

Example database column name

ISO-11179 snake_case standard

-- Recommended column name
pyr_cls

-- Example DDL
CREATE TABLE healthcare_data (
  record_id   VARCHAR(50)   NOT NULL,
  pyr_cls      VARCHAR(20),  -- payer class (max 20 chars)
  created_dt  TIMESTAMP     NOT NULL DEFAULT NOW()
);

Column names follow the ISO-11179 naming convention: lowercase, underscore-separated, using the standard abbreviation as a prefix where applicable.

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