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Financial Assistance Program Data Model and Permissions
Financial Assistance Program uses a data model that supports interoperability. Enable you patient services representative to apply for a financial assistance application and file an appeal on behalf of a care program enrollee by assign appropriate level of access to the relevant objects.
Required Editions
| Available in: Lightning Experience |
| Available in: Enterprise and Unlimited Editions with Life Sciences Cloud or Health Cloud |
Here’s the set of objects and the level of user access required for the Financial Assistance Program application and appeal process.
| Object | Purpose | Access |
|---|---|---|
| Applicant | Represents information about the individual that’s applying for the Financial Assistance Program. |
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| Application Form | Represents the high-level information of an application that's submitted for the program. |
Assign the View All Records permission to enable patient services representatives to view the applications submitted by other patient services representatives. |
| Application Form Relation | Represents the relationship between an application form and the program. |
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| Assessment | Stores the header data for an assessment. |
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| Assessment Question | Represents the container object that stores the questions required for an assessment. |
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| Assessment Question Response | Represents the container object that stores the questions required for an assessment. |
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| Assessment Question Version | Stores the question versions for the assessment questions. |
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| Benefit | Represents information about benefits associated with the program. |
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| Benefit Assignment | Represents the enrollment information of an individual that is captured in an application. |
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| Benefit Disbursement | Represents the allocation of an enrollee's benefit that can be made as monetary or non-monetary with different frequencies. |
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| Benefit Type | Represents information about the type of benefits |
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| Care Benefit Verify Request | Request for verification of benefits. |
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| Care Program | Represents a set of activities, such as a patient therapy, financial assistance, education, wellness, or fitness plan, offered to participants by an employer or insurer. |
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| Care Program Enrollee | Represents a participant enrolled in a care program. |
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| Care Program Enrollee Product | Represents the affiliation between a care program enrollee and a care program product, a care program provider, or both. |
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| Care Program Product | Represents the affiliation between a care program and a care program product, care program provider, or both. |
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| Case | Represents an appeal filed for a rejected application. |
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| Coverage Benefit | Represents the benefits provided to a covered member by a purchaser’s plan. |
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| Coverage Benefit Item | Specific service covered by the insurance plan. |
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| Coverage Benefit Item Limit | Allows you to track details associated with a specific benefit as it relates to expenditures, limits, coverage levels, eligibility, and exclusion. |
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| Medication | Represents detailed information about different medications. |
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| Medication Request | Represents a request or order for the supply of medication, along with information about how it should be administered. |
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| Member Plan | Represents details about the insurance coverage for a member or subscriber. |
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| Omni Process Assessment Question Version | Represents a junction between an OmniScript process and an assessment question version. |
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| Process exception | Represents a business exception, such as a processing failure on an order summary. |
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| Program | Represents information about the enrollment and disbursement of benefits in a program. |
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| Program Enrollment | Represents details of enrollment for benefits in a program. |
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| Purchaser Plan | Represents the payer plan that a purchaser makes available to its members and members’ dependents. |
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| Service Catalog Request | Represents a request made by a user using the Service Catalog. |
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| Service Catalog Item Dependency | Represents the dependencies of a service catalog item |
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