Columns
| Column | Type | Size | Nulls | Auto | Default | Children | Parents | Comments | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
| patientInsID | int identity | 4 | √ | null |
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Primary key - Unique identifier for the patient insurance record |
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| InsurCariID | int | 4 | √ | null |
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Insurance carrier foreign key - Links to the insurance carrier/company providing coverage |
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| patientID | int | 4 | √ | null |
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Patient foreign key - Links to the patient who has this insurance coverage |
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| PolicyType | int | 4 | √ | null |
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Policy type - Type of insurance policy (Primary, Secondary, Tertiary, etc.) |
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| IdentityNumber | nvarchar | 100 | √ | null |
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Policy number - Insurance policy or member identification number |
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| InsuredFirstName | varchar | 50 | √ | null |
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Insured first name - First name of the person who holds the insurance policy |
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| InsuredLastName | varchar | 50 | √ | null |
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Insured last name - Last name of the person who holds the insurance policy |
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| InsuredDOB | datetime | 16,3 | √ | null |
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Insured date of birth - Birth date of the policy holder for verification |
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| InsuredGender | varchar | 20 | √ | null |
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Insured gender - Gender of the policy holder |
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| Address | varchar | 50 | √ | null |
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Insured address - Primary address of the policy holder |
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| City | varchar | 50 | √ | null |
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Insured city - City where the policy holder resides |
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| State | varchar | 50 | √ | null |
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Insured state - State where the policy holder resides |
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| Zip | varchar | 10 | √ | null |
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Insured ZIP code - Postal code for the policy holder’s address |
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| Telephone | varchar | 30 | √ | null |
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Insured phone - Phone number of the policy holder |
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| GroupPolicyName | varchar | 50 | √ | null |
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Group policy name - Name of the group policy (employer, association, etc.) |
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| GroupPolicyNum | varchar | 30 | √ | null |
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Group policy number - Group policy identification number |
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| Copay | money | 21,4 | √ | null |
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Copayment amount - Fixed copayment amount required for services |
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| ManageCare | int | 4 | √ | null |
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Managed care flag - Indicates if this is a managed care plan requiring authorizations |
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| PatientToInsured | varchar | 30 | √ | null |
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Patient relationship - Relationship of patient to policy holder (Self, Child, Spouse, etc.) |
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| PolicyFrom | datetime | 16,3 | √ | null |
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Policy effective date - Date when insurance coverage begins |
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| PolicyTo | datetime | 16,3 | √ | null |
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Policy expiration date - Date when insurance coverage ends |
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| PercentCovered | numeric | 20 | √ | null |
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Coverage percentage - Percentage of costs covered by this insurance plan |
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| AssignOfBenefit | varchar | 1 | √ | null |
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Assignment of benefits - Flag indicating if benefits are assigned to provider |
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| AnnualDeductible | money | 21,4 | √ | null |
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Annual deductible - Annual deductible amount for this insurance plan |
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| AnotherPlan | varchar | 1 | √ | null |
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Other coverage flag - Indicates if patient has other insurance coverage |
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| SignatureOnFile | varchar | 1 | √ | null |
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Signature on file - Flag indicating if patient signature is on file for billing |
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| DateSign | datetime | 16,3 | √ | null |
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Signature date - Date when patient signature was obtained |
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| Address2 | varchar | 50 | √ | null |
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Insured address line 2 - Secondary address line for policy holder |
Indexes
| Constraint Name | Type | Sort | Column(s) |
|---|---|---|---|
| PK__PatientInsurance__42F7C8EE | Primary key | Asc | patientInsID |
| IX_PatientID | Performance | Asc | patientID |
