CAP_PAY_EL_RR_SUBCOMP

Description: |
This table contains the capitation received subcomponents used to calculate the rate.

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
TX_ID | 1 |
GROUP_LINE | 2 |
VALUE_LINE | 3 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | TX_ID | NUMERIC | No |
The unique identifier (.1 item) for the transaction record.
2 | GROUP_LINE | INTEGER | No |
The line number for the information associated with this record.
3 | VALUE_LINE | INTEGER | No |
The line number of one of the multiple values associated with a specific group of data within this record.
4 | CAP_SUBCOMP_TYP_C_NAME | VARCHAR | No |
The capitation received subcomponent identifier.
May contain organization-specific values: No
Category Entries:
Risk Adjustment Factor A
Risk Adjustment Factor B
Monthly Risk Adjusted Amount Part A
Monthly Risk Adjusted Amount Part B
Low-Income Premium Subsidy
Medication Therapy Management Add On
Part C Basic Premium - Part A Amount
Part C Basic Premium - Part B Amount
Rebate for Part A Cost Sharing Reduction
Rebate for Part B Cost Sharing Reduction
Rebate for Other Part A Mandatory Supplemental Benefits
Rebate for Other Part B Mandatory Supplemental Benefits
Rebate for Part B Premium Reduction - Part A Amount
Rebate for Part B Premium Reduction - Part B Amount
Rebate for Part D Supplemental Benefits - Part A Amount
Rebate for Part D Supplemental Benefits - Part B Amount
Total MA Payment or Adjustment Part A
Total MA Payment or Adjustment Part B
Risk Adjustment Factor D
Rebate for Part D Basic Premium Reduction
Part D Basic Premium Amount
Part D Direct Subsidy Amount
Reinsurance Subsidy Amount
Low-Income Subsidy Cost Sharing Amount
PACE Premium Add On
PACE Cost Sharing Add On
Part C Frailty Factor
MSP Reduction Factor
MSP Reduction Amount Part A
MSP Reduction Amount Part B
Part D Coverage Gap Discount Amount
Part A Monthly Rate for Payment or Adjustment
Part B Monthly Rate for Payment or Adjustment
Part D Monthly Rate for Payment or Adjustment
Total MA Part C Payment or Adjustment
Total Part D Payment or Adjustment