Predefined Datasets

The system provides the following logical datasets for data extraction:

  • Group Invoice – This dataset is specifically designed to cater the needs of the fully insured group business. It enables you to extract the required information of the following:

    • Policy Holder

    • Billing Group

    • Group Membership

    • Membership Person

    • Account

    • Bills

    • Bill Segment

    • Financial Transaction

  • ASO Invoice - This dataset is specifically designed to cater the needs of the self-funded group business. It enables you to extract the required information of the following:

    • Customer

    • Account

    • Transaction Details

    • SSL Details

    • ASL Details

    • Bills

    • Bill Segment

    • Financial Transaction

  • Individual Invoice - This dataset is specifically designed to cater the needs of the fully insured individual business. It enables you to extract the required information of the following:

    • Customer

    • Account

    • Individual Membership

    • Bills

    • Bill Segment

    • Financial Transaction

  • Statements - This dataset is specifically designed to cater the needs of the fully insured group and individual lines of business. It enables you to extract the required information of the following:

    • Customer

    • Account

    • Bills

    • Bill Segment

    • Transaction Details

    • Financial Transaction

    • Statement Customers

    • Statement Accounts

    • Statement Adjustments

    • Statement Services

  • Adjustment - This dataset can be used by all the lines of health insurance business. It enables you to extract the required information of the following:

    • Customer

    • Account

    • Adjustment

    • Bills

    • Financial Transaction

  • Delinquency - This dataset is specifically designed to cater the needs of the fully insured group and individual lines of business. It enables you to extract the required information of the following:

    • Customer

    • Account

    • Bills

    • Delinquency Process

  • Financial Transaction - This dataset can be used by all the lines of health insurance business. It enables you to extract the required information of the following:

    • Customer

    • Account

    • Adjustment

    • Bills

    • Bill Segment

    • Financial Transaction

    • Payment

  • Payment - This dataset can be used by all the lines of health insurance business. It enables to you extract the required information of the following:

    • Customer

    • Account

    • Bills

    • Payment

    • Financial Transaction