CAP_PAYMENT_RATE_ELEMENTS
Description:
This table stores rate element information used in a capitation 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 FRM_TBL_GRP_TYPE_C_NAME VARCHAR No
The group type of the rate elements.
May contain organization-specific values: No
Category Entries:
Constant
Coverage Risk Factor
Benefit Plan Rate Factor
Lookup
Part A
Part B
Part D
Employer Group Rate Factor
Premium Rate Element
Tiered
Employer Group Rate Element
4 LOOKUP_TABLE_ID VARCHAR No
The lookup table which was used to retrieve the rate element's values.
5 LOOKUP_TABLE_ID_RATE_TABLE_NAME VARCHAR No
Name of the capitation rate table.
6 MATCHED_CVG_ATTR_C_NAME VARCHAR No
This column will be deprecated. To continue accessing this data, use the MATCHED_CVG_ATTR_C column from the CAP_PAY_EL_DETAILS table.
May contain organization-specific values: Yes
7 PREMIUM_BUCKET_ID NUMERIC No
The capitation bucket which was the source of capitation RR subcomponent amounts used in the formula.
8 MATCHED_RIDER_PLAN_ID_BENEFIT_PLAN_NAME VARCHAR No
The name of the benefit plan record.
9 MATCHED_RULE_ID VARCHAR No
This column will be deprecated. To continue accessing this data, use the MATCHED_RULE_ID column from the CAP_PAY_EL_DETAILS table. The rule that passed when selecting the rate group for the lookup table.
10 MATCHED_RULE_ID_RULE_NAME VARCHAR No
The name of the rule.
11 REFINEMENT_LOOKUP_TABLE_ID VARCHAR No
This column will be deprecated. To continue accessing this data, use the REFINEMENT_LOOKUP_TABLE_ID column from the CAP_PAY_EL_DETAILS table. The additional refinement rate table used to look up a member's rate.
12 REFINEMENT_LOOKUP_TABLE_ID_RATE_TABLE_NAME VARCHAR No
Name of the capitation rate table.
13 MEM_LIST_ROW_KEY INTEGER No
The row number of the member in the member list (TML) to which each row in related group 3510 corresponds for a specialty capitation transaction. Will be NULL for DTXs that do not have an associated TML member list record.