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I am looking for business object model for health insurance claims

  • September 21, 2015 at 5:28 pm

    #321385

    Hi,

    I am looking for a sample business object class digaram for health insurance which contains

    - Member

    -Covergae

    - Claims (types of claims)

    -In/out patient

    -Payments.

    I need a sample class diagram that contains properties which contains the relation ship to one after another..

    one to one,one to many,many to many..

    For example member has id,name,address,firstname,last name,state etc..

    I am not sure what are the coverages are covered in claims?

    and also not sure how many types of claims are there?

    Any help PLZ?

  • September 21, 2015 at 9:35 pm

    #1828269

    I don't think this is the type of thing to be solved on a forum. A health insurance structure is going to be pretty involved and very much dependent on what the company needs. I'd start by finding out what they want to store in each table. For instance, the person has a first name, last name, address and phone information and so much more.

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  • September 26, 2015 at 3:45 pm

    #1829715

    try looking here for examples

    http://www.databaseanswers.org/data_models/

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