Eligibility
The eligibility table includes information about a patient's health insurance coverage and demographics (note: we use the word patient as a synonym for member). Every claims dataset should include some sort of eligibility data, otherwise it's impossible to calculate member months, which are needed to calculate measures like PMPM.
Primary Keys:
- patient_id
- member_id
- enrollment_start_date
- enrollment_end_date
| Column | Data Type | Description | Terminology |
|---|