CoverageBenefit

Name	Label	Type	Description
Id	Coverage Benefit ID	ID
OwnerId	Owner ID	LOOKUP
IsDeleted	Deleted	CHECKBOX
Name	Name	TEXT(255)
CreatedDate	Created Date	DATETIME
CreatedById	Created By ID	LOOKUP
LastModifiedDate	Last Modified Date	DATETIME
LastModifiedById	Last Modified By ID	LOOKUP
SystemModstamp	System Modstamp	DATETIME
LastViewedDate	Last Viewed Date	DATETIME
LastReferencedDate	Last Referenced Date	DATETIME
MemberPlanId	Member Plan ID	MASTER-DETAIL
MemberId	Account ID	LOOKUP
PrimaryCareCopay	Primary Care Copay	CURRENCY(16,2)
SpecialistCopay	Specialist Copay	CURRENCY(16,2)
EmergencyDepartmentCopay	Emergency Department Copay	CURRENCY(16,2)
UrgentCareCopay	Urgent Care Copay	CURRENCY(16,2)
CopayNotes	Copay Notes	TEXT AREA (LONG)(32000)
IndividualInNetworkDeductibleApplied	Individual In-Network Deductible Applied	CURRENCY(16,2)
IndividualInNetworkDeductibleLimit	Individual In-Network Deductible Limit	CURRENCY(16,2)
IndividualInNetworkDeductibleRemaining	Individual In-Network Deductible Remaining	CURRENCY(16,2)
IndividualOutofNetworkDeductibleApplied	Individual Out-of-Network Deductible Applied	CURRENCY(16,2)
IndividualOutofNetworkDeductibleLimit	Individual Out-of-Network Deductible Limit	CURRENCY(16,2)
IndividualOutofNetworkDeductibleRemain	Individual Out-of-Network Deductible Remaining	CURRENCY(16,2)
FamilyInNetworkDeductibleApplied	Family In-Network Deductible Applied	CURRENCY(16,2)
FamilyInNetworkDeductibleLimit	Family In-Network Deductible Limit	CURRENCY(16,2)
FamilyInNetworkDeductibleRemaining	Family In-Network Deductible Remaining	CURRENCY(16,2)
FamilyOutofNetworkDeductibleApplied	Family Out-of-Network Deductible Applied	CURRENCY(16,2)
FamilyOutofNetworkDeductibleLimit	Family Out-of-Network Deductible Limit	CURRENCY(16,2)
FamilyOutofNetworkDeductibleRemaining	Family Out-of-Network Deductible Remaining	CURRENCY(16,2)
DeductibleNotes	Deductible Notes	TEXT AREA (LONG)(32000)
InNetworkCoinsurancePercentage	In-Network Coinsurance (Percentage)	PERCENT(3,0)
OutofNetworkCoinsurancePercentage	Out-of-Network Coinsurance (Percentage)	PERCENT(3,0)
InNetworkCoinsuranceAmount	In-Network Coinsurance (Amount)	CURRENCY(16,2)
OutofNetworkCoinsuranceAmount	Out-of-Network Coinsurance (Amount)	CURRENCY(16,2)
CoinsuranceNotes	Coinsurance Notes	TEXT AREA (LONG)(32000)
IndividualInNetworkOutofPocketApplied	Individual In-Network Out-of-Pocket Applied	CURRENCY(16,2)
IndividualInNetworkOutofPocketLimit	Individual In-Network Out-of-Pocket Limit	CURRENCY(16,2)
IndividualInNetworkOutofPocketRemaining	Individual In-Network Out-of-Pocket Remaining	CURRENCY(16,2)
IndividualOutofNetworkOutofPocketApplied	Individual Out-of-Network Out-of-Pocket Applied	CURRENCY(16,2)
IndividualOutofNetworkOutofPocketLimit	Individual Out-of-Network Out-of-Pocket Limit	CURRENCY(16,2)
IndividualOutofNetworkOutofPocketRemain	Individual Out-of-Network Out-of-Pocket Remaining	CURRENCY(16,2)
FamilyInNetworkOutofPocketApplied	Family In-Network Out-of-Pocket Applied	CURRENCY(16,2)
FamilyInNetworkOutofPocketLimit	Family In-Network Out-of-Pocket Limit	CURRENCY(16,2)
FamilyInNetworkOutofPocketRemaining	Family In-Network Out-of-Pocket Remaining	CURRENCY(16,2)
FamilyOutofNetworkOutofPocketApplied	Family Out-of-Network Out-of-Pocket Applied	CURRENCY(16,2)
FamilyOutofNetworkOutofPocketLimit	Family Out-of-Network Out-of-Pocket Limit	CURRENCY(16,2)
FamilyOutofNetworkOutofPocketRemaining	Family Out-of-Network Out-of-Pocket Remaining	CURRENCY(16,2)
OutofPocketNotes	Out-of-Pocket Notes	TEXT AREA (LONG)(32000)
InNetworkLifetimeMaximum	In-Network Lifetime Maximum	CURRENCY(16,2)
OutofNetworkLifetimeMaximum	Out-of-Network Lifetime Maximum	CURRENCY(16,2)
LifetimeMaximumNotes	Lifetime Maximum Notes	TEXT AREA (LONG)(32000)
BenefitNotes	Benefit Notes	TEXT AREA (LONG)(32000)
SourceSystemIdentifier	Source System Identifier	TEXT(255)
SourceSystem	Source System	TEXT(64)
SourceSystemModified	Source System Modified	DATETIME
Disclaimer	Disclaimers	TEXT(255)
IsActive	Active	CHECKBOX
CoverageType	Coverage Type	PICKLIST
VerificationDate	Verification Date	DATETIME
BenefitPeriodStartDate	Benefit Period Start Date	DATE
BenefitPeriodEndDate	Benefit Period End Date	DATE
StatusCodeId	Code Set ID	LOOKUP
CareBenefitVerifyRequestId	Care Benefit Verify Request ID	LOOKUP
OutcomeStatusCodeId	Code Set ID	LOOKUP
FinalCoverageStatusCodeId	Code Set ID	LOOKUP

Name	Id
Label	Coverage Benefit ID
Type	ID
Required	Yes

Name	OwnerId
Label	Owner ID
Type	LOOKUP
Foreign key	Yes
Required	Yes

Name	IsDeleted
Label	Deleted
Type	CHECKBOX
Required	Yes
Default value	false

Name	Name
Label	Name
Type	TEXT(255)
Required	Yes

Name	CreatedDate
Label	Created Date
Type	DATETIME
Required	Yes

Name	CreatedById
Label	Created By ID
Type	LOOKUP
Foreign key	Yes
Required	Yes

Name	LastModifiedDate
Label	Last Modified Date
Type	DATETIME
Required	Yes

Name	LastModifiedById
Label	Last Modified By ID
Type	LOOKUP
Foreign key	Yes
Required	Yes

Name	SystemModstamp
Label	System Modstamp
Type	DATETIME
Required	Yes

Name	LastViewedDate
Label	Last Viewed Date
Type	DATETIME

Name	LastReferencedDate
Label	Last Referenced Date
Type	DATETIME

Name	MemberPlanId
Label	Member Plan ID
Type	MASTER-DETAIL
Foreign key	Yes
Required	Yes

Name	MemberId
Label	Account ID
Type	LOOKUP
Foreign key	Yes

Name	PrimaryCareCopay
Label	Primary Care Copay
Type	CURRENCY(16,2)

Name	SpecialistCopay
Label	Specialist Copay
Type	CURRENCY(16,2)

Name	EmergencyDepartmentCopay
Label	Emergency Department Copay
Type	CURRENCY(16,2)

Name	UrgentCareCopay
Label	Urgent Care Copay
Type	CURRENCY(16,2)

Name	CopayNotes
Label	Copay Notes
Type	TEXT AREA (LONG)(32000)

Name	IndividualInNetworkDeductibleApplied
Label	Individual In-Network Deductible Applied
Type	CURRENCY(16,2)

Name	IndividualInNetworkDeductibleLimit
Label	Individual In-Network Deductible Limit
Type	CURRENCY(16,2)

Name	IndividualInNetworkDeductibleRemaining
Label	Individual In-Network Deductible Remaining
Type	CURRENCY(16,2)

Name	IndividualOutofNetworkDeductibleApplied
Label	Individual Out-of-Network Deductible Applied
Type	CURRENCY(16,2)

Name	IndividualOutofNetworkDeductibleLimit
Label	Individual Out-of-Network Deductible Limit
Type	CURRENCY(16,2)

Name	IndividualOutofNetworkDeductibleRemain
Label	Individual Out-of-Network Deductible Remaining
Type	CURRENCY(16,2)

Name	FamilyInNetworkDeductibleApplied
Label	Family In-Network Deductible Applied
Type	CURRENCY(16,2)

Name	FamilyInNetworkDeductibleLimit
Label	Family In-Network Deductible Limit
Type	CURRENCY(16,2)

Name	FamilyInNetworkDeductibleRemaining
Label	Family In-Network Deductible Remaining
Type	CURRENCY(16,2)

Name	FamilyOutofNetworkDeductibleApplied
Label	Family Out-of-Network Deductible Applied
Type	CURRENCY(16,2)

Name	FamilyOutofNetworkDeductibleLimit
Label	Family Out-of-Network Deductible Limit
Type	CURRENCY(16,2)

Name	FamilyOutofNetworkDeductibleRemaining
Label	Family Out-of-Network Deductible Remaining
Type	CURRENCY(16,2)

Name	DeductibleNotes
Label	Deductible Notes
Type	TEXT AREA (LONG)(32000)

Name	InNetworkCoinsurancePercentage
Label	In-Network Coinsurance (Percentage)
Type	PERCENT(3,0)

Name	OutofNetworkCoinsurancePercentage
Label	Out-of-Network Coinsurance (Percentage)
Type	PERCENT(3,0)

Name	InNetworkCoinsuranceAmount
Label	In-Network Coinsurance (Amount)
Type	CURRENCY(16,2)

Name	OutofNetworkCoinsuranceAmount
Label	Out-of-Network Coinsurance (Amount)
Type	CURRENCY(16,2)

Name	CoinsuranceNotes
Label	Coinsurance Notes
Type	TEXT AREA (LONG)(32000)

Name	IndividualInNetworkOutofPocketApplied
Label	Individual In-Network Out-of-Pocket Applied
Type	CURRENCY(16,2)

Name	IndividualInNetworkOutofPocketLimit
Label	Individual In-Network Out-of-Pocket Limit
Type	CURRENCY(16,2)

Name	IndividualInNetworkOutofPocketRemaining
Label	Individual In-Network Out-of-Pocket Remaining
Type	CURRENCY(16,2)

Name	IndividualOutofNetworkOutofPocketApplied
Label	Individual Out-of-Network Out-of-Pocket Applied
Type	CURRENCY(16,2)

Name	IndividualOutofNetworkOutofPocketLimit
Label	Individual Out-of-Network Out-of-Pocket Limit
Type	CURRENCY(16,2)

Name	IndividualOutofNetworkOutofPocketRemain
Label	Individual Out-of-Network Out-of-Pocket Remaining
Type	CURRENCY(16,2)

Name	FamilyInNetworkOutofPocketApplied
Label	Family In-Network Out-of-Pocket Applied
Type	CURRENCY(16,2)

Name	FamilyInNetworkOutofPocketLimit
Label	Family In-Network Out-of-Pocket Limit
Type	CURRENCY(16,2)

Name	FamilyInNetworkOutofPocketRemaining
Label	Family In-Network Out-of-Pocket Remaining
Type	CURRENCY(16,2)

Name	FamilyOutofNetworkOutofPocketApplied
Label	Family Out-of-Network Out-of-Pocket Applied
Type	CURRENCY(16,2)

Name	FamilyOutofNetworkOutofPocketLimit
Label	Family Out-of-Network Out-of-Pocket Limit
Type	CURRENCY(16,2)

Name	FamilyOutofNetworkOutofPocketRemaining
Label	Family Out-of-Network Out-of-Pocket Remaining
Type	CURRENCY(16,2)

Name	OutofPocketNotes
Label	Out-of-Pocket Notes
Type	TEXT AREA (LONG)(32000)

Name	InNetworkLifetimeMaximum
Label	In-Network Lifetime Maximum
Type	CURRENCY(16,2)

Name	OutofNetworkLifetimeMaximum
Label	Out-of-Network Lifetime Maximum
Type	CURRENCY(16,2)

Name	LifetimeMaximumNotes
Label	Lifetime Maximum Notes
Type	TEXT AREA (LONG)(32000)

Name	BenefitNotes
Label	Benefit Notes
Type	TEXT AREA (LONG)(32000)

Name	SourceSystemIdentifier
Label	Source System Identifier
Type	TEXT(255)

Name	SourceSystem
Label	Source System
Type	TEXT(64)

Name	SourceSystemModified
Label	Source System Modified
Type	DATETIME

Name	Disclaimer
Label	Disclaimers
Type	TEXT(255)

Name	IsActive
Label	Active
Type	CHECKBOX
Required	Yes
Default value	false

Name	CoverageType
Label	Coverage Type
Type	PICKLIST
Picklist values	Medical Dental Vision Home Health

Name	VerificationDate
Label	Verification Date
Type	DATETIME

Name	BenefitPeriodStartDate
Label	Benefit Period Start Date
Type	DATE

Name	BenefitPeriodEndDate
Label	Benefit Period End Date
Type	DATE

Name	StatusCodeId
Label	Code Set ID
Type	LOOKUP
Foreign key	Yes

Name	CareBenefitVerifyRequestId
Label	Care Benefit Verify Request ID
Type	LOOKUP
Foreign key	Yes

Name	OutcomeStatusCodeId
Label	Code Set ID
Type	LOOKUP
Foreign key	Yes

Name	FinalCoverageStatusCodeId
Label	Code Set ID
Type	LOOKUP
Foreign key	Yes

Name
Pharmacy Benefits Verification

Name	Parent object	Child object	Parent object field	Child object field
ForecastContext	CoverageBenefit	AdvAcctForecastSetUse	Id	ForecastContextId
ContentContext	CoverageBenefit	AssessmentTaskContentDocument	Id	ContentContextId
CoverageBenefit	CoverageBenefit	CareBenefitVerifyRequest	Id	CoverageBenefitId
DetailRecord	CoverageBenefit	CareTaskDetail	Id	DetailRecordId
FirstPublishLocation	CoverageBenefit	ContentVersion	Id	FirstPublishLocationId
CoverageBenefit	CoverageBenefit	CoverageBenefitItem	Id	CoverageBenefitId
ReferenceObject	CoverageBenefit	DocumentEnvelope	Id	ReferenceObjectId
RelatedTo	CoverageBenefit	EmailMessage	Id	RelatedToId
What	CoverageBenefit	Event	Id	WhatId
RelatedRecord	CoverageBenefit	FlowOrchestrationWorkItem	Id	RelatedRecordId
ReferenceObject	CoverageBenefit	GeneratedDocument	Id	ReferenceObjectId
Context	CoverageBenefit	GenericVisitTaskContext	Id	ContextId
What	CoverageBenefit	Task	Id	WhatId
Relation	CoverageBenefit	TaskRelation	Id	RelationId

Name	Parent object	Child object	Parent object field	Child object field
Owner	User	CoverageBenefit	Id	OwnerId
CreatedBy	User	CoverageBenefit	Id	CreatedById
LastModifiedBy	User	CoverageBenefit	Id	LastModifiedById
MemberPlan	MemberPlan	CoverageBenefit	Id	MemberPlanId
Member	Account	CoverageBenefit	Id	MemberId
StatusCode	CodeSet	CoverageBenefit	Id	StatusCodeId
CareBenefitVerifyRequest	CareBenefitVerifyRequest	CoverageBenefit	Id	CareBenefitVerifyRequestId
OutcomeStatusCode	CodeSet	CoverageBenefit	Id	OutcomeStatusCodeId
FinalCoverageStatusCode	CodeSet	CoverageBenefit	Id	FinalCoverageStatusCodeId

Title
Verify Insurance Coverage for Pharmacy Benefits

Label	Value