CAP_PAY_EL_DETAILS

Description: |
This table stores additional details involving the selection of rate elements used in a capitation or commission transaction.

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
TX_ID | 1 |
LINE | 2 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | TX_ID | NUMERIC | No |
The unique identifier (.1 item) for the transaction record.
2 | LINE | INTEGER | No |
The line number for the information associated with this record. Multiple pieces of information can be associated with this record.
3 | DETAIL_KEY_GROUP_LINE | VARCHAR | No |
This key corresponds with the rate element's group line in related-multi item DTX 3515 (column GROUP_LINE from table CAP_PAY_EL_IDENT).
4 | DETAIL_KEY_VALUE_LINE | VARCHAR | No |
This key corresponds with the rate element's value line in related-multi item DTX 3515 (column VALUE_LINE from table CAP_PAY_EL_IDENT).
5 | REFINEMENT_LOOKUP_TABLE_ID | VARCHAR | No |
Stores the refinement table used to compute the rate element.
6 | REFINEMENT_LOOKUP_TABLE_ID_RATE_TABLE_NAME | VARCHAR | No |
Name of the capitation rate table.
7 | MATCHED_CVG_ATTR_C_NAME | VARCHAR | No |
Stores the matched coverage attribute used to select the value for the rate element.
May contain organization-specific values: Yes
8 | MATCHED_RIDER_PLAN_ID_BENEFIT_PLAN_NAME | VARCHAR | No |
The name of the benefit plan record.
9 | MATCHED_RULE_ID | VARCHAR | No |
Stores the matched rule used to select the value for the rate element.
10 | MATCHED_RULE_ID_RULE_NAME | VARCHAR | No |
The name of the rule.
11 | SELECTED_VALUE | NUMERIC | No |
Stores the value selected for the rate element from a matched rate group in the lookup table.
12 | RATE_EL_TIER_MAX | INTEGER | No |
The tier maximum for the rate element.