flagclaims


Description

Claim flagging system linking healthcare service claims to flag reasons for quality assurance, review processes, and exception handling. This junction table enables claims to be marked with specific flags for manual review, billing exceptions, compliance issues, or quality assurance workflows, supporting systematic claim management and ensuring appropriate review of claims requiring special attention.

Columns

Column Type Size Nulls Auto Default Children Parents Comments
flagID int 4 √ null

Flag reason reference - Links to flagreason table for the specific reason this claim is flagged (foreign key to flagreason.FlagID)
claimid int 4 √ null

Claim reference - Links to Claim table for the healthcare service claim being flagged (foreign key to Claim.ClaimID)
pkFlagClaimID int identity 4 √ null

Primary key - Unique identifier for each claim flagging record

Indexes

Constraint Name Type Sort Column(s)
PK_flagclaims Primary key Asc pkFlagClaimID

Relationships

Close relationships within degrees of separation