About Insurance Claims Dimension Tables

Insurance Claims Dimension table names and their description are given here.

 

Logical Dimension Table Name

Dimension Table Description

Dimension Claim Refusal Reason

This table stores the list of all the reasons for which a claim can be refused by the entity.

Dimension Claim Status

This table stores the list of all status codes and descriptions, which are applicable for a claim transaction.

Claim Dimension

This table stores the list of all claims.

Claim Referral Reason Dimension

This table stores different referral reasons for a claim.

Claim Feature Dimension

This tables stores feature details that describes an aspect of a claim for injuries to a person.

Claim Feature Status Dimension

This table stores the status of a claim feature, based on which various calculations changes.

Claim Reopening Reason Type Dimension

This table stores the reopening reason type.

Sample values: R1 – Mathematical or computational mistake, R2 – Inaccurate data entry, D0 – Changes in service date, E0 – Change in patient status, etc.

 

The mapping details for the Insurance Claims Dimension tables are given here.

 

Map Reference Number

Source Table Name

Logical Stage Table Name

Dimension Table Name

Logical Dimension Table Name

233

STG_CLAIM_REFUSAL_REAS_MASTER

Stage Claim Refusal Reason Master

DIM_CLAIM_REFUSAL_REASON

Dimension Claim Refusal Reason

234

STG_CLAIM_STATUS_MASTER

Stage Claim Status Master

DIM_CLAIM_STATUS

Dimension Claim Status

239

STG_CLAIM_DETAILS

Stage Claim Details

DIM_CLAIM

Claim Dimension

242

STG_CLAIM_REFERRAL_REAS_MASTER

Stage Claim Referral Reason

DIM_CLAIM_REFERRAL_REASON

Claim Referral Reason Dimension

599

STG_CLAIM_FEATURE_MASTER

Stage Claim Feature Master

DIM_CLAIM_FEATURE

Claim Feature Dimension

605

STG_CLAIM_FEATURE_STTS_MASTER

Stage Claim Feature Status Master

DIM_CLAIM_FEATURE_STATUS

Claim Feature Status Dimension

648

STG_CLM_REOPEN_RSN_TYPE_MASTER

Stage Claim Reopening Reason Type Master

DIM_CLM_REOPEN_RSN_TYPE

Claim Reopening Reason Type Dimension