EnrollEligCOB
Class WorkersCompClaim

"Workers' compensation is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue his or her employer for the tort of negligence." - Wikipedia. This class represents a Workers' Compensation Claim, which identifies a particular work-related injury and the employer, and which accumulates the costs for billable medical services related to treatment of the injury. Claims for reimbursement must cite the case identifier in order to be processed. Note that the FHIM treats Workers Compensation Claims as a type of Patient Case Management, in that they share a certain amount of active oversight by a case manager.

Attributes
«TS» PointInTime dateOfInjury dateOfInjury

"Date on which the injury occurred." - NCPDP Telecommunication (Field 434-DY, Data Dictionary 201104).

«AD» UsMailingAddress employerAddress employerAddress

Mailing address of the employer (street address, city, state, and zipcode). - NCPDP Telecommunication (Fields 316-CG, 317-CH, 318-CI, and 319-CJ).

«II» Id employerId employerId

"ID assigned to employer. Required if required by law as defined in the HIPAA final Privacy regulations.... Required if needed for Workers’ Compensation billing." - NCPDP Telecommunication (Field 333-CZ, Data Dictionary 201104).

String employerName employerName

"Complete name of employer." - NCPDP Telecommunication (Field 315-CF, Data Dictionary 201104).

«TEL» ContactPoint employerPhone employerPhone

"Ten-digit phone number of employer." - NCPDP Telecommunication (Field 320-CK, Data Dictionary 201104).

«PN» PersonName employerPointOfContact employerPointOfContact

"Employer primary contact." - NCPDP Telecommunication (Field 321-CL, Data Dictionary 201104).

HealthcarePolicy healthcarePolicy healthcarePolicy

Pointer to the Insurance Policy (a contract between an benefits provider and an individual or his/her sponsor to pay for a set of benefits) being cited by the Workmans' Compensation claim for payment.

Attributes inherited from FHIM::EnrollEligCOB::PatientCaseManagement FHIM::EnrollEligCOB::PatientCaseManagement
caseId caseId, diagnosisList diagnosisList, dateRange dateRange, priorAuthorization priorAuthorization, isResidentOfCmsQualifiedFacility isResidentOfCmsQualifiedFacility, clinicalInformation clinicalInformation

Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NameWorkersCompClaim
Name Expression
NamespaceEnrollEligCOB
Owned Template Signature
OwnerEnrollEligCOB
Owning Template Parameter
PackageEnrollEligCOB
Qualified NameFHIM::EnrollEligCOB::WorkersCompClaim
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 dateOfInjury
Public «TS» PointInTime dateOfInjury

"Date on which the injury occurred." - NCPDP Telecommunication (Field 434-DY, Data Dictionary 201104).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWorkersCompClaim
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NamedateOfInjury
Name Expression
NamespaceWorkersCompClaim
Opposite
OwnerWorkersCompClaim
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::WorkersCompClaim::dateOfInjury
Stereotype
Template Parameter
Type«TS» PointInTime
Upper1
Upper Value(1)
VisibilityPublic


 employerAddress
Public «AD» UsMailingAddress employerAddress

Mailing address of the employer (street address, city, state, and zipcode). - NCPDP Telecommunication (Fields 316-CG, 317-CH, 318-CI, and 319-CJ).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWorkersCompClaim
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameemployerAddress
Name Expression
NamespaceWorkersCompClaim
Opposite
OwnerWorkersCompClaim
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::WorkersCompClaim::employerAddress
Stereotype
Template Parameter
Type«AD» UsMailingAddress
Upper1
Upper Value(1)
VisibilityPublic


 employerId
Public «II» Id employerId

"ID assigned to employer. Required if required by law as defined in the HIPAA final Privacy regulations.... Required if needed for Workers’ Compensation billing." - NCPDP Telecommunication (Field 333-CZ, Data Dictionary 201104).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWorkersCompClaim
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameemployerId
Name Expression
NamespaceWorkersCompClaim
Opposite
OwnerWorkersCompClaim
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::WorkersCompClaim::employerId
Stereotype
Template Parameter
Type«II» Id
Upper1
Upper Value(1)
VisibilityPublic


 employerName
Public String employerName

"Complete name of employer." - NCPDP Telecommunication (Field 315-CF, Data Dictionary 201104).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWorkersCompClaim
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameemployerName
Name Expression
NamespaceWorkersCompClaim
Opposite
OwnerWorkersCompClaim
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::WorkersCompClaim::employerName
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 employerPhone
Public «TEL» ContactPoint employerPhone

"Ten-digit phone number of employer." - NCPDP Telecommunication (Field 320-CK, Data Dictionary 201104).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWorkersCompClaim
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameemployerPhone
Name Expression
NamespaceWorkersCompClaim
Opposite
OwnerWorkersCompClaim
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::WorkersCompClaim::employerPhone
Stereotype
Template Parameter
Type«TEL» ContactPoint
Upper1
Upper Value(1)
VisibilityPublic


 employerPointOfContact
Public «PN» PersonName employerPointOfContact

"Employer primary contact." - NCPDP Telecommunication (Field 321-CL, Data Dictionary 201104).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWorkersCompClaim
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameemployerPointOfContact
Name Expression
NamespaceWorkersCompClaim
Opposite
OwnerWorkersCompClaim
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::WorkersCompClaim::employerPointOfContact
Stereotype
Template Parameter
Type«PN» PersonName
Upper1
Upper Value(1)
VisibilityPublic


 healthcarePolicy
Public HealthcarePolicy healthcarePolicy

Pointer to the Insurance Policy (a contract between an benefits provider and an individual or his/her sponsor to pay for a set of benefits) being cited by the Workmans' Compensation claim for payment.

Constraints:
Properties:

AggregationNone
Alias
AssociationworkersCompClaim_healthcarePolicy
Association End
ClassWorkersCompClaim
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NamehealthcarePolicy
Name Expression
NamespaceWorkersCompClaim
Opposite
OwnerWorkersCompClaim
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::WorkersCompClaim::healthcarePolicy
Stereotype
Template Parameter
TypeHealthcarePolicy
Upper1
Upper Value(1)
VisibilityPublic