Last Updated: 7/22/2025 8:42:49 PM

Intergy Version: 22.00.00.00

Policy

Table Definition  Parent Tables  Child Tables

Table Definition

Description: This table is used to store policy information as issued by a plan.

Field Datatype Default Null Option Comment
PlanID INTEGER ?   MANDATORY FK
PolicyNumber CHARACTER(20)   MANDATORY User entered ID Number of the patient's insurance policy.
Class CHARACTER(6)   OPTIONAL User selects the policy class code. Policy class codes are defined in the LookupCode table for the lookup type 'PolicyClass'. Codes for lookup type 'PolicyClass' are user definable.
GroupNumber CHARACTER(30)   OPTIONAL FK
SubscriberID INTEGER ?   MANDATORY FK
AssignBenefits CHARACTER(1)   OPTIONAL 07/21/04 - Obselete Field per Jason D. Assignment flag (Y/N) indicating whether or not benefits can be assigned. User entered.
Description CHARACTER(60)   OPTIONAL User entered description.
StartDate DATE   OPTIONAL User entered start date of the policy.
EndDate DATE   OPTIONAL User entered end date of the policy.
TimeStamp CHARACTER(14)   OPTIONAL System generated date/time stamp record was last written.
LastUser INTEGER ?   OPTIONAL User ID of user that last wrote the record.
CreateStamp CHARACTER(14)   OPTIONAL System generated date/time stamp record was created.
CreateUser INTEGER ?   OPTIONAL User ID of user that created the record.
AuthorizePayment CHARACTER(1)   OPTIONAL Indicates that the patient does not necessarily assign benefits but does authorize the insurance company to pay the doctor. This field is supported by the Confirmation lookup type. Possible Values: (Y)es (N)o
HL7Updated CHARACTER(1)   OPTIONAL This field indicates if HL7 has processed this table entry and will be used by the DB triggers. values "Y" or "N".

Parent Tables
Parent TableJoin PhraseWhen deleting parent record...
Entity Policy.SubscriberID = Entity.EntitySID RESTRICT if Policy exists
PlanGroup Policy.PlanID = PlanGroup.PlanID and
Policy.GroupNumber = PlanGroup.GroupNumber
RESTRICT if Policy exists
Plan Policy.PlanID = Plan.PlanID RESTRICT if Policy exists

Child Tables
Child TableJoin PhraseWhen deleting Policy record...
Eligibility Eligibility.PlanID = Policy.PlanID and
Eligibility.PolicyNumber = Policy.PolicyNumber
CASCADE if Eligibility exists
Charge Charge.RespPartyID = Policy.PlanID and
Charge.PolicyNumber = Policy.PolicyNumber
RESTRICT if Charge exists
ResponsibilityTransfer ResponsibilityTransfer.RespPartyID = Policy.PlanID and
ResponsibilityTransfer.PolicyNumber = Policy.PolicyNumber
RESTRICT if ResponsibilityTransfer exists
PolicyMember PolicyMember.PlanID = Policy.PlanID and
PolicyMember.PolicyNumber = Policy.PolicyNumber
CASCADE if PolicyMember exists
WorkersComp WorkersComp.PlanID = Policy.PlanID and
WorkersComp.PolicyNumber = Policy.PolicyNumber
RESTRICT if WorkersComp exists
PlanClaim PlanClaim.PlanID = Policy.PlanID and
PlanClaim.PolicyNumber = Policy.PolicyNumber
RESTRICT if PlanClaim exists