Medical Claim
The medical_claim table contains information on healthcare services and supplies
provided to patients, billed by providers, and paid for by health insurers.
It includes information on the provider who rendered the service, the amount
paid for the service by the health insurer, and the underlying reason for the
service (i.e. diagnosis).
The medical_claim table in core has been enhanced with concepts like service category and encounter that are useful for analytics.
Primary Keys:
- claim_id
- claim_line_number
Foreign Keys:
- patient_id
- member_id
- encounter_id
| Column | Data Type | Description | Terminology |
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