HC EntSubjArea

CWTI

Health Care Enterprise Data Model

Entity by Subject Area

Subject Area	Entity
Accounting_General_Ledger	Account Payable Ledger
	Account Receivable Ledger
	Accounting Period
	Bank Account
	Company
	Facility
	Fiscal Accounting Period
	Fiscal Year
	Fixed Asset Ledger
	Fund
	General Ledger Account
	General Ledger Account Type
	General Ledger Balance
	General Ledger Chart of Account
	General Ledger Transaction
	GL Commission Account
	GL Department Account Sufix
	GL Distribution Account
	GL Distribution Code
	GL Payment Account
	GL Receivable Account
	GL Withholding Account
	Internal Organization
	Material Management Ledger
	Payroll Ledger
	Premium Account
	Project
Addresses_and_Phones	Address Type
	Address Usage Type
	Allowable Address Usage Type
	Ext Organization Contact Address
	Ext Organization Contact Phone
	External Contact Type
	External Organization Contact
	Organization & Person Address
	Organization & Person Demographic
	Organization & Person Phone
	Phone Type
AR_Abbot_Labs	Abott Labs
	Abott Labs Detail
	Home IV Therapy
	Unit
Authorization	Authorization
	Authorization Status Type
	Authorization Type
	Authorized Diagnosis
	Authorized Procedure
	Authorized Visit
	Code Category
	Diagnosis Code
	Employee
	Facility Authorization
	Group Master
	Member
	Member Authorization History
	Place Of Service
	Procedure Code
	Provider Person
	Provider Plan Type
	Service Reason
	Service Type
	Specific Procedure Code
	Utilization Nurse
Benefits_Adjudication	Adjudication Rule Adj Reason
	Adjustment Reason
	Age Level Group
	Ben Cat Age Level Group
	Ben Cat Diagnosis Type
	Ben Cat Member Status
	Ben Cat Place Of Service
	Ben Cat Plan Code
	Ben Cat Procedure Type
	Ben Cat Prov Contract Status
	Ben Cat Prov Sub Type
	Ben Cat Rider
	Ben Cat Type Of Service
	Benefit Adjudication Rule
	Benefit Category
	Benefit Class
	Copay Reason
	Deductible Reason
	Diagnosis Code
	Diagnosis Type
	Diagnosis Type Diag Code
	Group Adjudication Rule
	Group Master
	Independent Physician Assoc
	Insurance Plan Code
	IPA Benefit Category
	Member
	Member Status
	Participating Status
	Pending Status
	Place Of Service
	Plan Code Adjudication Rule
	Plan Type
	Plan Type Benefit Category
	Proc Code Modifier Ben Cat
	Procedure Modifier
	Procedure Type
	Provider Contract Status
	Provider Organization Type
	Provider Specialty
	Provider Specialty Ben Category
	Provider Type Ben Category
	Rider Adjudication Rule
	Rider Master
Broker	Agency
	Broker
	Broker Address
	Broker Phone
	Carrier Product Plan Type
	Commission Batch Group
	Commission Payment History
	Commission Structure
	Commission Structure Tier
	Commission Structure Type
	Group Broker
	Group Master
	Vendor
Case_Management	Case Management Outcome
	Case Management Outcome Type
	Case Manager
	Mem Case Mgmt Incident History
	Member
	Member Authorization History
	Member Case Management Incident
	Member Case Note
	Member Case Note Type
	Preauthorization
Claim_Total	Accident Type Code
	Account Bill Condition
	ADA Procedure Code
	Adjudication Status
	Adjustment Reason
	Authorization
	Benefit Option
	Claim
	Claim Detail
	Claim Detail Adj Reason
	Claim Detail Change History
	Claim Detail Copay Reason
	Claim Detail Deduc Reason
	Claim Detail Not Covered Reason
	Claim Diagnosis Code
	Claim Pay Status
	Claim Pay Status History
	Claim Payment Type
	Company
	Copay Reason
	CPT Procedure Code
	Deductible Reason
	Dental Claim
	Diagnosis Code
	Diagnosis Procedure Code
	DRG
	Drug
	Encounter Diagnosis Code
	Episode of Illness
	Episode of Illness Reason
	General Claim
	GL Distribution Code
	GL Payment Account
	HCPC Code
	Institution Claim
	Insurance Carrier
	Medical Condition Code
	Member
	Not Covered Reason
	Patient Encounter
	Patient Source of Admission
	Patient Status
	Pharmacy
	Pharmacy Claim
	Pharmacy Claim Status
	Place Of Service
	Prescription Reason
	Provider Organization
	Provider Person
	Service Reason
	Surgical Procedure Code
	UB92 Bill Type
	Vendor
Customer_Relation_Appeals	Appeal
	Appeal Account Representative
	Appeal Allegation
	Appeal Comment
	Appeal Decision Type
	Appeal Delete Occurrence
	Appeal Member
	Appeal Problem Category
	Appeal Problem Type
	Appeal Provider
	Appeal Review
	Appeal Review Type
	Appeal Reviewer
	Appeal Source Type
	Appeal Type
	Appeal Update Occurrence
	Member
	Provider Person
Dental_Claim	Claim
	Claim Detail
	Dental Claim
	Episode of Illness
	Member
	Patient Encounter
	Provider Person
Doctor	Admitting Doctor Privilege
	Contract Doctor
	Encounter Service Charge
	Encounter Surgeon Procedure
	Independent Physician Assoc
	Language
	Patient Encounter
	Provider Encounter Role
	Provider Person
Employee_Applicant	Application Disposition Code
	Application Letter Type
	Employee
	Employee Applicant
	Employee Applicant Skill
	Employment Application
	Ethnic Group
	Gender Code
	Handicap Class
	Internal Organization
	Job Code
	Job Group
	Marital Status
	Organization & Person Address
	Organization & Person Demographic
	Organization & Person Phone
	Skill Type
	Veteran Status
Facility	Address Type
	Department Type
	External Contact
	External Contact Address
	External Contact Phone
	External Contact Type
	Facility
	Facility Accreditation Status
	Facility Authorization
	Facility Category
	Facility Location
	Facility Specialty
	Hospital
	Hospital Contract Status
	Internal Organization
	Organization & Person Address
	Organization & Person Demographic
	Organization & Person Phone
	Outpatient Facility
	Phone Type
	Provider Organization
	Provider Organization Type
Facility_Management	Department Type
	Employee
	Facility
	Facility Access Point
	Facility Category
	Facility Category Location
	Facility Location
	Facility Utility Consumption
	Facility Utility Meter
	Facility Utility Meter Coverage
	Facility Utility Type
	Fixed Asset Ledger
	General Ledger Account
	General Ledger Chart of Account
	General Ledger Transaction
	GL Department Account Sufix
	Hospital
	Internal Organization
	Organization & Person Demographic
	Outpatient Facility
	Person Facility Access
	Person Facility Access Usage
	Project
Formulary	AHFS Thereputic Catagory
	Drug Category Code
	Drug Class Code
	Formulary
	Pricing Category
Geographic_Location	Business Area Geog Note
	Business Func Geog Area
	Business Func Geog Phone Nbr
	Business Function
	City
	County
	Geographic Area
	Geographic Area Type
	Geographic Area Zip Code
	State
	Zip Code Master
Group_Contract	Broker
	Contract Exception Master
	Employee
	Employer Contrib Class
	Funding Arrangement
	Funding Arrangement Definition
	Funding Arrangement Rate Type
	Funding Arrangement Tier Level
	Funding Definition Master
	Funding Method
	Funding Method Rate Type
	Group Broker
	Group Broker Package
	Group Carrier Contrib Value
	Group Carrier Emplr Contrib
	Group Carrier History
	Group Carrier Rate Type
	Group Carrier Rate Value
	Group Carrier Tier Level
	Group Master
	Group Package Purpose
	Group Subgroup
	Group SubGroup Package
	Internal Contact Type
	Organization & Person Demographic
	Package Acceptance Reason
	Package Benefit Request
	Package Business Function
	Package Change History
	Package Comment
	Package Comment Type
	Package Contract Exception
	Package Decline Reason
	Package Decline Reason Master
	Package Eligibility
	Package Eligibility Plan
	Package Employee Approval
	Package Employer Contrib Class
	Package Employer Contrib Value
	Package Exception Plan Type
	Package ID Card Instruction
	Package Internal Contact
	Package Option
	Package Option Fundng Definition
	Package Option Tier Level
	Package Plan
	Package Plan Rate Type
	Package Plan Rate Value
	Package Product Plan Type
	Package Rate Request
	Package Ref Manual Instruction
	Product
	Product Type
	Tier Level Master
Group_Demographics	Address Type
	Contracted Group
	External Contact
	External Contact Note
	External Contact Phone
	Group Address
	Group Association Type
	Group Carrier History
	Group COBRA Employee
	Group Comment Type
	Group Employee Summary
	Group Employee Summary Type
	Group Employee Summary Value
	Group External Contact
	Group Health Risk Evaluation
	Group Industry
	Group Master
	Group Master Comment
	Group Name History
	Industry
	Organization & Person Demographic
	Phone Type
Group_Product_Offering	Benefit Adjudication Rule
	Benefit Category
	Benefit Class
	Benefit Class Detail
	Benefit Class Master
	Benefit Detail
	Benefit Detail Line
	Benefit Detail Master
	Benefit Footnote Master
	Benefit Level
	Benefit Note Type
	Benefit Rider
	Benefit Rider Detail
	Benefit Rider Detail Option
	Benefit Rider Detail Value
	Carrier Product
	Carrier Product Plan Type
	Group Master
	Insurance Carrier
	MPS Benefit Level
	MPS Class
	MPS Detail
	MPS Detail Footnote
	MPS Detail Proposal Class
	MPS Detail Proposal Footnote
	MPS Detail Value
	MPS Document
	MPS Footnote List
	MPS Note
	Organization & Person Demographic
	Package Benefit Request
	Package MPS Proposal Footnote
	Package Option
	Package Plan
	Package Plan Rate Type
	Package Proposal Class
	Package Proposal Line
	Package Rate Request
	Plan Code
	Product
	Proposal Class
	Proposal Footnote Master
	Proposal Line
	Rider Master
Health_Plan_Accounts_Payable	Account Payable Ledger
	Bank
	Bank Account
	Broker
	Capitation Withholding
	Claim Detail
	Claim Pay Status
	Claim Pay Status History
	Claim Payment Type
	Commission Batch Group
	Commission Payment History
	Commission Structure
	Commission Structure Tier
	Company
	FFS Payment History
	General Ledger Chart of Account
	GL Commission Account
	GL Distribution Code
	GL Payment Account
	GL Withholding Account
	Hold Payment Reason
	Internal Organization
	Member Capitation History
	Vendor
	Vendor Address
	Vendor Address Change Reason
	Vendor Payment Category
	Vendor Payment History
	Vendor Termination Reason
	Vendor Type
Health_Plans_Accounts_Receivable	Bank
	Bank Account
	Billing Cycle
	Company
	Fee Type
	General Ledger Chart of Account
	GL Receivable Account
	Group Billing History
	Group Billing Type
	Group Master
	Group Plan Premium
	Group Plan Type
	Group Subgroup
	Premium Account
	Proration Method
	Receivable Transaction Type
	Sub Group Billing History
	Subscriber
	Subscriber Billing History
Health_Service_Account_Payable	Account Payable Ledger
	Bank Account
	Check Register
	Check Status
	Check Type
	Company
	Fiscal Accounting Period
	Fiscal Year
	General Ledger Chart of Account
	GL Department Account Sufix
	GL Distribution Account
	GL Distribution Code
	GL Payment Account
	Internal Organization
	Invoice Type
	Packing List
	Packing List Detail
	Purchase Order
	Purchase Order Detail
	Unit of Measure
	Unit of Measure Conversion
	Vendor
	Vendor Invoice
	Vendor Invoice Detail
	Voucher
Health_Service_Account_Receivable	Account Bill Condition
	Account Insurance Information
	Account Receivable Ledger
	AR Charge
	AR Payment
	Batch Header
	Bill Condition Code
	Direct To Bank Payment
	Encounter Billing Occurence Spa
	Encounter Service Charge
	Facility
	Facility Service Charge
	General Ledger Chart of Account
	Hospital
	Institutional Charge
	Insurance Carrier
	Insurance Plan Code
	Insurance Type
	Internal Organization
	Maternity Child
	Outpatient Facility
	Patient Account
	Patient Account Billing Detail
	Patient Account Status
	Patient Billing Sub Type
	Patient Billing Type
	Patient Encounter
	Person Insurance
	Proration Plan
	Provider Organization
	Service Charge Group
	UB92 Occurrence Span Code
Human_Resources	Account Coordinator
	Account Executive
	Case Manager
	Contract Doctor
	Employee
	Employee Benefit
	Employee Benefit Type
	Employee Phone
	Employee Skill
	Ethnic Group
	Exempt Code
	Facility
	Gender Code
	Handicap Class
	Internal Organization
	Job Code
	Job Group
	Job Type
	Marital Status
	Organization & Person Address
	Organization & Person Demographic
	Organization & Person Phone
	Relationship Type
	Relative
	Skill
	Skill Type
	Team
	Team Member
	Team Member Responsibility
	Team Pend Code
	Team Responsibility
	Termination Reason
	Veteran Status
Institutional_Claim	Adjudication Status
	Authorization
	Benefit Option
	Claim
	Claim Detail
	Claim Detail Adj Reason
	Claim Detail Change History
	Claim Detail Copay Reason
	Claim Detail Deduc Reason
	Claim Detail Not Covered Reason
	Claim Diagnosis Code
	Claim Pay Status
	Company
	Diagnosis Code
	DRG
	Episode of Illness
	Formulary
	GL Distribution Code
	GL Payment Account
	Institution Claim
	Member
	Patient Encounter
	Patient Source of Admission
	Place Of Service
	Procedure Code
	Provider Organization
	Provider Person
	Service Reason
	UB92 Bill Type
	Vendor
Insurance_Carrier	Address Type
	Carrier Contact Address
	Carrier Org Unit Address
	Carrier Org Unit Contact
	Carrier Org Unit Contact Address
	Carrier Org Unit Contact Phone
	Carrier Org Unit Phone
	Carrier Organization Unit Type
	Insurance Carrier
	Insurance Carrier Address
	Insurance Carrier Contact
	Insurance Carrier Contact Phone
	Insurance Carrier Org Unit
	Insurance Carrier Phone
	Member
	Member Insurance Carrier History
	Organization & Person Demographic
	Phone Type
Insurance_Carrier_with_Attribute	Address Type
	Carrier Contact Address
	Carrier Org Unit Address
	Carrier Org Unit Contact
	Carrier Org Unit Contact Address
	Carrier Org Unit Contact Phone
	Carrier Organization Unit Type
	Insurance Carrier
	Insurance Carrier Address
	Insurance Carrier Contact
	Insurance Carrier Contact Phone
	Insurance Carrier Org Unit
	Member
	Member Coverage Level Type
	Member Insurance Carrier History
	Org Unit Contact Person Master
	Organization & Person Demographic
	Phone Type
Internal_Organization	Employee
	Facility
	Hospital
	Internal Organization
	Outpatient Facility
Lab	Encounter Service Charge
	Lab Test
	Observation
	Specimen
	Specimen Description
Logical_MEM_Organization	Bank
	Certification Board
	College
	Competitor
	Credential Committee
	Facility
	Group Master
	Hospital
	Independent Physician Assoc
	Insurance Agency
	Insurance Carrier
	Organization & Person Address
	Organization & Person Demographic
	Organization & Person Phone
	Organization Name
	Outpatient Facility
	Pharmacy
	Professional Society
	Provider Organization
	Vendor
Logical_MEM_Person	Bank
	Broker
	Certification Board
	College
	Competitor
	Contractor
	Credential Committee
	Employee
	Group Master
	Guarantor
	Insurance Agency
	Insurance Carrier
	Member
	Organization & Person Address
	Organization & Person Demographic
	Organization & Person Phone
	Patient Representative
	Professional Society
	Provider Organization
	Provider Person
	Vendor
Material_Management	Department Type
	Facility
	Facility Category
	Facility Category Location
	Facility Location
	General Ledger Chart of Account
	GL Department Account Sufix
	GL Distribution Account
	GL Distribution Code
	Hospital
	Internal Organization
	Invoice Type
	Location Type
	Material Inventory
	Material Item
	Material Management Ledger
	Material Pharmacy Group
	Material Product Type
	Outpatient Facility
	Packing List
	Packing List Detail
	Patient Account Billing Detail
	Payment Term
	Provider Person
	Purchase Order
	Purchase Order Detail
	Purchase Requisition Detail
	Purchase Requisitition
	Unit of Measure
	Unit of Measure Conversion
	Vendor
	Vendor Catalog Item
	Vendor Invoice
	Vendor Invoice Detail
	Vendor Type
	Voucher
MEM/PAT_Allergies	Allergen
	Allergy
	Allergy Type
	Patient
	Patient Allergic Reaction
	Reaction
MEM/PAT_Clinical_Diagnosis_Codes	Diagnosis Procedure Code
	Diagnosis Type
	Diagnosis Type Diag Code
	DRG
	DRG Base Rate History
	DRG Outlier History
	DRG Pay Code
	DRG Weight History
	Procedure
MEM/PAT_Clinical_Observation	Hospital Occurrence
	Observation
	Observation Record
	Observation Type
	Patient
	Patient Encounter
	Patient Site
	Provider Person
	Vital Signs Measurement
MEM/PAT_Encounter_Detail	Accident
	Account Discharge Diagnosis
	Claim
	DRG
	Encounter Diagnosis Code
	Episode of Illness
	Facility
	Facility Category
	Facility Category Location
	Facility Location
	Hospital Occurrence
	Maternity Child
	Patient Billing Sub Type
	Patient Encounter
	Patient Problem
	Preauthorization
	Provider Encounter Role
	Provider Person
MEM/PAT_Encounter_Financial	Account Bill Condition
	Account Insurance Information
	Account Receivable Ledger
	AR Charge
	AR Credit
	AR Payment
	Bill Condition Code
	Encounter Service Charge
	Facility Service Charge
	General Ledger Chart of Account
	Patient Account
	Patient Account Billing Detail
	Patient Account Daily Census
	Patient Account Status
	Patient Account Status Parameter
	Patient Encounter
	Service Charge Group
	UB92 Value Code
MEM/PAT_Medication	Administration Instruction
	Drug
	Drug Coded Comment
	Drug Comment
	Encounter Service Charge
	Ingredient
	Patient Encounter
	Patient Order
	Pharmacy Treatment Order
	Physician Instruction
	Prescription Comment
	Prescription Route
MEM/PAT_Member_Demographics	Case Manager
	Dependent
	Group Master
	Group Subgroup
	Insurance Carrier
	Member
	Member Capitation History
	Member Communication History
	Member Communication Type
	Member Eligibility History
	Member Grievance History
	Member Grievance Type
	Member Insurance Carrier History
	Member Note
	Member PCP Provider History
	Member PEC
	Member Termination Reason
	Organization & Person Demographic
	Provider Person
	Subscriber
MEM/PAT_MPS_Data_Model	Benefit Class
	Benefit Class Master
	Benefit Detail
	Benefit Detail Line
	Benefit Detail Master
	Benefit Footnote Master
	Benefit Level
	Benefit Note Type
	Benefit Option
	Benefit Option Component
	Benefit Option Valid Value
	Benefit Rider
	Benefit Rider Detail
	Benefit Rider Detail Option
	Benefit Rider Detail Value
	Carrier Product
	Carrier Product Plan Bitmap
	Carrier Product Plan Type
	Contracted Group Phy
	Document Section
	Insurance Carrier
	Insurance Carrier Product
	Insurance Plan Code
	MPS Benefit Level
	MPS Class
	MPS Detail
	MPS Detail Footnote
	MPS Detail Value
	MPS Document
	MPS Document Validation
	MPS Footnote List
	MPS Note
	MPS Validation
	Plan Code Value Matrix
	Presentation Section Font
	Presentation Style
	Product
	Product Display Option
	Product Group
	Rider Master
	Template Benefit Level
	Template Class
	Template Detail
	Template Detail Footnote
	Template Detail Link
	Template Footnote List
	Template Master
	Template Note
	Wizard Rider Detail Result
	Wizard Rider Result
MEM/PAT_Order	ADT Order
	Complex Order Sequence
	Dietary Order
	Encounter Service Charge
	Frequency
	Observation Order
	Order Comment
	Patient Order
	Pharmacy Treatment Order
	Referral
	Report To Clinician
	Therapy Order
	Time To Do
	Timing Quantity
MEM/PAT_Patient_Health_History	Alcohol Drinking Option
	Allergy
	Allergy Type
	Drug
	Education Level
	Environmental/Work Hazard
	Exam
	Exercise Frequency
	Exercise Type
	General Health Statement Option
	Health Compare Prior Year Option
	Hospitilization/Serious Illness
	Illness
	Immunization
	Language
	Lay Medical Condition
	Lay Medical Condition Catetory
	Patient Health History
	Person Allergy
	Person Drug Statement
	Person Illness
	Person Immunization
	Person Language
	Person Medical Condition Stmnt
	Person Surgery Statement
	Person Test
	Person Tobacco
	Recent Exposure
	Recreational Drug
	Recreational Drug Use
	Relationship Type
	Relative Illness
	Special Diet
	Surgical Procedure Lay Term
	Tobacco Type
MEM/PAT_Patient_Registration	Account Insurance Information
	Employer
	Facility
	Guarantor
	Insurance Carrier
	Organization & Person Demographic
	Patient
	Patient Account
	Patient Account Status
	Patient Alert
	Patient Billing Sub Type
	Patient Encounter
	Patient Health History
	Patient Visit
MEM/PAT_Patient_Registration_Dtl	Accident
	Accident Type Code
	Account Bill Condition
	Account Insurance Information
	Address Direction Note
	Admission Type
	Admitting Diagnosis Code
	Bill Condition Code
	Claim
	Diagnosis Code
	Diagnosis Procedure Code
	Discharge Code
	DRG
	DRG Category HCFA Code
	Emergency Contact
	Employer
	Employer Demographic Override
	Encounter Billing Occurence Spa
	Encounter Billing Occurrence
	Encounter Invoice
	Encounter Special Attention
	Facility
	Guarantor
	Insurance Carrier
	Insurance Carrier Override
	Organization & Person Address
	Organization & Person Demographic
	Patient
	Patient Account
	Patient Account Status
	Patient Billing Sub Type
	Patient Billing Type
	Patient Encounter
	Patient Health History
	Patient Site
	Patient Source of Admission
	Planned Surgery
	Provider Encounter Role
	Provider Person
	Provider Role Type
	Relationship Type
	Relative
	Relative Demographic Override
	Service Code
	Special Attention Code
	Surgical Procedure Code
	UB92 Occurrence Code
	UB92 Occurrence Span Code
	UB92 Value Code
MEM/PAT_Patient_Registration_Mtg	Account Insurance Information
	Admitting Diagnosis Code
	Contract Doctor
	Facility
	Guarantor
	Insurance Carrier
	Organization & Person Demographic
	Patient
	Patient Account
	Patient Account Status
	Patient Billing Sub Type
	Patient Encounter
	Patient Health History
	Patient Source of Admission
	Planned Surgery
	Provider Encounter Role
	Provider Role Type
	Surgical Procedure Code
MEM/PAT_Problem_List	Adverse Reaction
	Clinical State Item
	Facility Location
	Patient
	Patient Alert
	Patient Condition
	Patient Health History
MEM/PAT_Procedures	Account Discharge Diagnosis
	ADA Procedure Code
	Admitting Diagnosis Code
	Authorized Procedure
	Ben Cat Procedure Type
	Benefit Category
	CPT Procedure Code
	Diagnosis Procedure Code
	DRG
	DRG Base Rate History
	DRG Outlier History
	DRG Pay Code
	DRG Weight History
	Encounter Service Charge
	Encounter Surgeon Procedure
	HCPC Code
	Institution Claim
	Medical Information
	Patient Encounter
	Proc Code Modifier Ben Cat
	Procedure Modifier
	Procedure Code
	Procedure Followup Exclusions
	Procedure Followup Type
	Procedure Modifier Code
	Procedure Pct Of Charges
	Procedure Pricing
	Procedure Pricing History
	Procedure Type
	Provider Procedure Withhold
	Service Type
	Specific Procedure Code
	Surgical Procedure Code
MEM/PAT_Relationship	Dependent
	Guarantor
	Member
	Organization & Person Demographic
	Patient
	Relationship Type
	Relative
	Subscriber
MEM/PAT_Surgeries	Patient
	Patient Surgery
	Specific Procedure Code
	Surgery Sub Type
	Surgery Type
	Surgical Procedure Code
Member_Product_Offering	Benefit Level
	Benefit Package
	Benefit Rider
	Benefit Rider Detail
	Benefit Rider Detail Option
	Benefit Rider Detail Value
	Carrier Product
	Carrier Product Plan Type
	Contingent Funding
	Contracted Group
	Dependent
	Group Master
	Group SubGroup Package
	Insurance Carrier
	Insurance Carrier Product
	Member
	Member Benefit Package Plan
	MPS Benefit Level
	MPS Document
	Package Option
	Package Plan
	Package Product Plan Type
	Plan Code
	Product
	Rider Master
	Subscriber
New_Business_Development	Acceptance Reason
	Address Type
	Benefit Class
	Benefit Class Detail
	Benefit Class Master
	Benefit Detail
	Benefit Detail Line
	Benefit Detail Master
	Benefit Footnote Master
	Benefit Level
	Benefit Note Type
	Benefit Option
	Benefit Option Component
	Benefit Option Valid Value
	Benefit Package
	Benefit Rider
	Benefit Rider Detail
	Benefit Rider Detail Option
	Benefit Rider Detail Value
	Broker
	Broker Address
	Broker Phone
	Broker Role Type
	Carrier Product
	Carrier Product Plan Bitmap
	Carrier Product Plan Type
	Contract Document Item
	Contract Document Version
	Contract Exception Master
	Contracted Group
	Decline Reason Master
	Document Item
	Document Item Rule
	Document Section
	Eligibility Rule Detail
	Eligibility Rule Section Master
	Eligibility Rule SectionTemplate
	Employee
	Employee Internal Contact
	Employee Phone
	Employer Contrib Class
	External Contact
	External Contact Address
	External Contact Note
	External Contact Phone
	External Contact Type
	Facility
	Funding Arrangement
	Funding Arrangement Definition
	Funding Arrangement Rate Type
	Funding Arrangement Tier Level
	Funding Definition Master
	Funding Method
	Funding Method Rate Type
	GIT Print Function
	Group Address
	Group Address Type
	Group Association Type
	Group Benefit Package
	Group Broker
	Group Broker Package
	Group Carrier Contrib Value
	Group Carrier Emplr Contrib
	Group Carrier History
	Group Carrier History Type
	Group Carrier Rate Type
	Group Carrier Rate Value
	Group Carrier Tier Level
	Group COBRA Employee
	Group Comment Type
	Group Contact Address
	Group Contact Correspnd Type
	Group Contact Type
	Group Employee Class Type
	Group Employee Summary
	Group Employee Summary Type
	Group Employee Summary Value
	Group External Contact
	Group Health Risk Evaluation
	Group Industry
	Group Master
	Group Master Comment
	Group Name History
	Group Package Purpose
	Group Subgroup
	Group SubGroup Package
	Group Team
	ID Card Instruction
	Industry
	Insurance Agency
	Insurance Agency Address
	Insurance Agency Phone
	Insurance Carrier
	Insurance Carrier Address
	Insurance Carrier Contact
	Internal Contact Type
	Internal Organization
	Mail Correspondence Type
	MPS Benefit Level
	MPS Class
	MPS Detail
	MPS Detail Footnote
	MPS Detail Proposal Class
	MPS Detail Proposal Footnote
	MPS Detail Value
	MPS Document
	MPS Document Validation
	MPS Footnote List
	MPS Note
	MPS Validation
	Package Benefit Request
	Package Business Function
	Package Change History
	Package Comment
	Package Comment Type
	Package Contract Exception
	Package Customer Request
	Package Decline Reason
	Package Document Item Value
	Package Eligibility
	Package Eligibility Plan
	Package Eligibility Rule Value
	Package Employee Approval
	Package Employer Contrib Class
	Package Employer Contrib Value
	Package Exception Plan Type
	Package ID Card Instruction
	Package Internal Contact
	Package MPS Proposal Footnote
	Package Option
	Package Option Fundng Definition
	Package Option Tier Level
	Package Phase
	Package Plan
	Package Plan Rate Type
	Package Plan Rate Value
	Package Print Fnctn Hstry Value
	Package Print Function History
	Package Product Plan Type
	Package Proposal Class
	Package Proposal Line
	Package Ref Manual Instruction
	Package Result Status
	Package Step
	Package Step Function
	Package Step Function Approval
	Package Step Transition
	Package Step Transition Approval
	Package Tier Employer Rate Req
	Package Tier Rate Request
	Package Tier Request
	Phone Type
	Plan Code
	Plan Code Value Matrix
	Presentation Section Font
	Presentation Style
	Product
	Product Display Option
	Product Type
	Product Type Proposal Class
	Proposal Class
	Proposal Footnote Master
	Proposal Line
	Ref Manual Instruction
	Rider Master
	Sales Plan Detail
	Status Transition Approval
	Team
	Template Benefit Level
	Template Class
	Template Detail
	Template Detail Footnote
	Template Detail Link
	Template Footnote List
	Template Master
	Template Note
	Template Proposal Footnote List
	Template Proposal Link
	Tier Level Master
	Wizard Rider Detail Result
	Wizard Rider Result
Patient_Registration_Account	Account Bill Condition
	Bill Condition Code
	Encounter Invoice
	Patient Account
	Patient Account Status
	Patient Encounter
Patient_Registration_Codes	Accident
	Accident Type Code
	Admission Type
	Admitting Diagnosis Code
	Diagnosis Code
	Diagnosis Procedure Code
	Discharge Code
	DRG Category HCFA Code
	Encounter Billing Occurence Spa
	Encounter Billing Occurrence
	Patient Billing Sub Type
	Patient Billing Type
	Patient Encounter
	Service Code
	UB92 Occurrence Code
	UB92 Occurrence Span Code
	UB92 Value Code
Patient_Registration_Demographic	Address Direction Note
	Employer
	Employer Demographic Override
	Facility
	Guarantor
	Organization & Person Address
	Organization & Person Demographic
	Patient
	Patient Encounter
	Patient Health History
	Patient Site
	Person Name
	Relationship Type
	Relative
	Relative Demographic Override
Patient_Registration_Insurance	Account Insurance Information
	Claim
	DRG
	Insurance Carrier
	Insurance Carrier Override
	Patient Encounter
Patient_Registration_Provider	Emergency Contact
	Encounter Special Attention
	Patient Encounter
	Patient Source of Admission
	Planned Surgery
	Provider Encounter Role
	Provider Person
	Provider Role Type
	Special Attention Code
	Surgical Procedure Code
Payroll	Bank
	Check Register
	Dependant Care Transaction
	Employee
	Employee Benefit
	Employee Benefit Type
	Employee Bonus
	Employee Labor Hours
	Employee Pay Rate
	Employee Phone
	Employee Selected Deduction
	Employment Deduction
	Ethnic Group
	Exempt Code
	Facility
	Gender Code
	Holiday
	Internal Organization
	Job Code
	Job Group
	Life Insurance Rate
	Marital Status
	Organization & Person Address
	Organization & Person Demographic
	Organization & Person Phone
	Payroll Ledger
	Payroll Period
	Relationship Type
	Relative
	Termination Reason
Person	Broker
	Contractor
	Dependent
	Employee
	Employee Applicant
	Ethnic Group
	Gender Code
	Marital Status
	Member
	Organization & Person Address
	Organization & Person Demographic
	Organization & Person Phone
	Patient
	Person Name
	Provider Person
	Subscriber
Procedure_Authorization	Authorization
	Authorization Status Type
	Authorization Type
	Authorized Diagnosis
	Authorized Procedure
	Authorized Visit
	Benefit Category
	Code Category
	Contract Status Type
	CPT Procedure Code
	Diagnosis Code
	DRG
	DRG Base Rate History
	DRG Outlier History
	DRG Pay Code
	DRG Weight History
	Exclusion Code
	Facility Authorization
	Follow Up Type
	HCPC Code
	Insurance Plan Code
	Language
	Pay Code History
	Place Of Service
	Plan Type
	Pricing Category
	Pricing Category History
	Pricing Exception
	Pricing Group
	Proc Code Modifier Ben Cat
	Procedure Modifier
	Procedure Code
	Procedure Followup Exclusions
	Procedure Followup Type
	Procedure Pct Of Charges
	Procedure Pricing
	Procedure Pricing History
	Provider Attribute Code
	Provider Person
	Provider Plan Contract History
	Provider Plan Type
	Provider Procedure Withhold
	Relative Value
	Service Reason
	Service Type
	Specific Procedure Code
Product_Benefit	Adjudication Rule Adj Reason
	Adjustment Reason
	Age Level Group
	Ben Cat Age Level Group
	Ben Cat Diagnosis Type
	Ben Cat Member Status
	Ben Cat Place Of Service
	Ben Cat Plan Code
	Ben Cat Procedure Type
	Ben Cat Prov Contract Status
	Ben Cat Prov Sub Type
	Ben Cat Rider
	Ben Cat Service Reason
	Ben Cat Type Of Service
	Benefit Adjudication Rule
	Benefit Category
	Benefit Class
	Copay Reason
	Deductible Reason
	Diagnosis Code
	Diagnosis Type
	Diagnosis Type Diag Code
	Group Adjudication Rule
	Group Master
	Independent Physician Assoc
	Insurance Plan Code
	IPA Benefit Category
	Member
	Member Status
	Participating Status
	Pending Status
	Place Of Service
	Plan Code Adjudication Rule
	Plan Type
	Plan Type Benefit Category
	Proc Code Modifier Ben Cat
	Procedure Modifier
	Procedure Type
	Provider Organization Type
	Provider Specialty
	Provider Specialty Ben Category
	Provider Type Ben Category
	Rider Adjudication Rule
	Rider Master
Product_Development	Acceptance Reason
	Base Rate
	Benefit Class
	Benefit Class Detail
	Benefit Class Master
	Benefit Detail
	Benefit Detail Line
	Benefit Detail Master
	Benefit Eligibility Rule
	Benefit Footnote Master
	Benefit Level
	Benefit Note Type
	Benefit Option
	Benefit Option Component
	Benefit Option Valid Value
	Benefit Rider
	Benefit Rider Detail
	Benefit Rider Detail Option
	Benefit Rider Detail Value
	Broker
	Broker Address
	Broker Phone
	Broker Role Type
	Carrier Product Plan Bitmap
	Carrier Product Plan Type
	Contingent Funding
	Contracted Group
	Contracted Group Phy
	Dependent
	Document Section
	Funding Method
	GIT Package
	GIT Package Option
	GIT Package Plan
	Group Association Type
	Group Broker
	Group Carrier History
	Group Contract Type
	Group Employee Class Type
	Group Employee Summary
	Group Health Risk Evaluation
	Group Industry
	Group Master
	Group Master Elig Rule
	Group Non Geog Census Type
	Group Plan Eligibility Rule
	Group Proposal
	Group Senate Bill Impact
	Group Subgroup
	Group Team
	ID Card Instruction
	Industry
	Insurance Agency
	Insurance Carrier Contact
	Insurance Carrier Product
	Insurance Plan Code
	Internal Contact Type
	MPS Benefit Level
	MPS Class
	MPS Detail
	MPS Detail Footnote
	MPS Detail Value
	MPS Document
	MPS Document Validation
	MPS Footnote List
	MPS Note
	MPS Validation
	Package Internal Contact
	Phone Type
	Plan Code Value Matrix
	Presentation Section Font
	Presentation Style
	Product
	Product Characterisitic
	Product Display Option
	Product Group
	Product Specific Characteristic
	Product Type
	Proposal Status Type
	Prospect Declination Reason
	Prov Network Specific Charac
	Provider Network Characteristic
	Provider Network Model Type
	Provider Network Note
	Provider Plan Network
	Rate Tier
	Ref Manual Instruction
	Rider Master
	Sales Plan Detail
	Senate Bill
	Subscriber
	Team
	Template Benefit Level
	Template Class
	Template Detail
	Template Detail Footnote
	Template Detail Link
	Template Footnote List
	Template Master
	Template Note
	Wizard Rider Detail Result
	Wizard Rider Result
Product_Offering	Benefit Adjudication Rule
	Benefit Category
	Benefit Class
	Benefit Class Detail
	Benefit Class Master
	Benefit Detail
	Benefit Detail Line
	Benefit Detail Master
	Benefit Footnote Master
	Benefit Level
	Benefit Note Type
	Benefit Option
	Benefit Option Component
	Benefit Option Valid Value
	Benefit Rider
	Benefit Rider Detail
	Benefit Rider Detail Option
	Benefit Rider Detail Value
	Carrier Product
	Carrier Product Plan Type
	Insurance Carrier
	Plan Code
	Product
	Rider Master
	Template Benefit Level
	Template Class
	Template Detail
	Template Detail Footnote
	Template Detail Link
	Template Footnote List
	Template Master
	Template Note
Prospect_and_Sales	Account Coordinator
	Account Executive
	Address Type
	Broker
	Certification Board
	College
	Competitor
	Contact Request Type
	Covering Provider
	Credential Committee
	Declination Reason
	Facility Specialty
	Group Prospect
	Group Type
	Hospital
	Hospital Contract Status
	Independent Physician Assoc
	Individual Prospect
	Industry
	Inpatient Hospital Affiliation
	Media Type
	Medical Training Type
	Outpatient Facility
	Outpatient Facility Affiliation
	Product
	Professional Society
	Prospect
	Provide Prof Society Affilation
	Provider Board Certification
	Provider Board Eligibility
	Provider Credential History
	Provider Credential Note
	Provider DEA License
	Provider Degree Education
	Provider License Status Type
	Provider Malpractice Insurance
	Provider Medical Training
	Provider Network Master
	Provider Network Model Type
	Provider Person
	Provider Plan IPA
	Provider Privilege Type
	Provider Specialty
	Provider State License
	Provider Tax ID
	Referral Type
	Region
	Sales Plan Detail
	Sales Process Status
	Specialty
	State
Provider_Contract	Accepting New Patients History
	Independent Physician Assoc
	IPA Pricing Exception
	Place Of Service
	Plan Type
	Plan Type Pricing Exception
	Pricing Category History
	Pricing Exception
	Provider Capitated Payment
	Provider Contract Payment
	Provider Contract Payment Type
	Provider Contract Status
	Provider FFS Vendor
	Provider IPA
	Provider Perc Of Charges History
	Provider Person
	Provider Plan Participating Stat
	Provider Plan Type
	Provider Settlement History
	Provider Termination Reason
	Provider Type Pricing Exception
	Provider Withholding Amount
	Specialty
	Vendor
	Vendor Plan History
Provider_Credentials	Address Type
	Certification Board
	College
	Credential Committee
	Degree Type
	Facility Accreditation Status
	Hospital
	Inpatient Hospital Affiliation
	Insurance Carrier
	Medical Training Type
	Outpatient Facility
	Outpatient Facility Affiliation
	Professional Society
	Provide Prof Society Affilation
	Provider Address
	Provider Board Certification
	Provider Board Eligibility
	Provider Credential History
	Provider Credential Note
	Provider DEA License
	Provider Degree Education
	Provider Demographic Override
	Provider License Status Type
	Provider Malpractice Insurance
	Provider Medical Training
	Provider Network Master
	Provider Office Information
	Provider Person
	Provider Plan Network
	Provider Privilege Type
	Provider Site Visit
	Provider State License
	Specialty
	State
Provider_Demographics	Address Type
	Covering Provider
	Note Type
	Organization & Person Demographic
	Phone Type
	Provider Address
	Provider Contact
	Provider Contact Phone
	Provider Note
	Provider Office Information
	Provider Person
	Provider Person Demo History
	Provider Phone
	Provider Specialty
	Provider Termination Reason
Provider_Networks	Contracted Group
	Group Plan Type
	Group Plan Type Network
	Group Subgroup
	Insurance Carrier
	Member
	Member Plan Type Network
	Prov Network Specific Charac
	Provider Network Characteristic
	Provider Network Geographic Typ
	Provider Network Master
	Provider Network Model Type
	Provider Network Note
	Provider Person
	Provider Plan Network
	Sub Group Plan Network
Provider_Scheduling	Equipment Item
	Facility Location
	Holiday
	Patient
	Planned Surgery
	Provider Person
	Resource
	Resource Reservation
	Scheduled Event
	Unavailable Resource Reason Code
	Unavailable Resource Schedule
Provider_Subject_Area	Accepting New Patients History
	Address Type
	College
	Contact Request Type
	Contract Status Type
	Credential Committee
	Group Master
	Group Plan Type Network
	Hold Payment Reason
	Hospital
	Independent Physician Assoc
	Inpatient Hospital Affiliation
	Institution
	Member
	Member Plan Type Network
	Note Type
	Organization & Person Address
	Organization & Person Demographic
	Organization & Person Phone
	Outpatient Facility
	Outpatient Facility Affiliation
	Pharmacy
	Pharmacy Dispensing Fee History
	Phone Type
	Place Of Service
	Plan Type
	Pricing Category History
	Pricing Group
	Procedure Pricing
	Provide Prof Society Affilation
	Provider Board Certification
	Provider Capitated Payment
	Provider Contract Payment
	Provider Contract Payment Type
	Provider Credential History
	Provider Degree Education
	Provider FFS Vendor
	Provider IPA
	Provider Malpractice Insurance
	Provider Network Geographic Typ
	Provider Note
	Provider Organization
	Provider Organization Type
	Provider Perc Of AWP History
	Provider Person
	Provider Person Demo History
	Provider Plan Participating Stat
	Provider Plan Type
	Provider Privilege Type
	Provider Settlement History
	Provider Specialty
	Provider State License
	Provider Tax ID
	Provider Termination Reason
	Specialty
	Specific Procedure Code
	State
	Vendor
	Vendor Address Change Reason
	Vendor Payment History
	Vendor Plan History
	Vendor Termination Reason
	Vendor Type
Vendor	FFS Payment History
	Hold Payment Reason
	Provider Capitated Payment
	Provider Plan Type
	Vendor
	Vendor Address
	Vendor Address Change Reason
	Vendor Payment Category
	Vendor Payment History
	Vendor Plan History
	Vendor Termination Reason
	Vendor Type

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CWTI

Health Care Enterprise Data Model

Entity by Subject Area

Send mail to caseware@cwti.com with questions or comments about this web site. Copyright � 2000 CASEware Technology Inc. Last modified: June 13, 2007

Send mail to caseware@cwti.com with questions or comments about this web site.
Copyright � 2000 CASEware Technology Inc.
Last modified: June 13, 2007