The governed business vocabulary, read live from the governance repository: business terms and their definitions, critical data elements with their golden source and lineage, and the glossaries that own them. Search runs as a query against Postgres, not over a seeded list.
One search across business-term names and definitions, and across critical data elements. Try the insurance vocabulary — the repository carries an Insurance Core Master ontology alongside FIBO and HL7 FHIR.
Each term carries its definition, owning glossary, business domain and classification — the layer that stops two dashboards meaning different things by the same word.
The criteria used to evaluate and process claims.
Current state of a claim in the review and approval process.
Unique identifier for a claim appeal submitted for review.
Final decision made on a claim appeal, either approval or denial.
The justification provided for disputing a claim decision.
Formal submission challenging a denied claim for reconsideration.
Conditions or standards used to determine claim approval eligibility.
A claim reviewed and accepted by an insurance partner for payment.
A claim arising from a declared catastrophic event, pooled for special handling.
The process of registering a legal claim on collateral.
The process of recording a legal claim on collateral.
The removal of a registered claim on collateral after loan repayment.
Claim is a request for indemnification by an insurance company for loss incured from an insured peril or hazard.
A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.
Claim Administrator is a Role played by a Party who is designated by the insurance company, to manage the administration and handling of a claim.
Claim Assessment is an associative entity that relates a Claim to an Assessment.
Pertinent diagnosis information
Package billing code
A Claim Examiner is a Role played by a Party who is assigned to the claim to determine its legitimacy and provide feedback to the insurance company.
A document submitted to request payment for healthcare services.
False or exaggerated insurance claims submitted to receive unwarranted payouts.
A Claim Fraud Examiner is a Role played by a Party whose goal is to determine whether fraud has occurred or is occurring, and to determine who is responsible for the fraud.
Unique identifier for a submitted healthcare claim.
Business Identifier for claim
The elements the business has declared critical — with criticality, PII and regulated flags, the declared golden source, and the physical column they resolve to. This is the lineage a regulator asks for.
| Element | Criticality | Flags | Golden source | Resolves to | Trust |
|---|---|---|---|---|---|
| Catastrophe Event Loss AmountDisaster Risk Management | reporting | regulated | — | draft | |
| Claim IDClaims, Billing & Coverage | decision_making | — | — | — | draft |
| Claim Settlement RatioInsurance Data Analytics | regulatory | — | — | — | draft |
| Claim StatusClaims, Billing & Coverage | decision_making | — | — | — | draft |
| Claim Submission DateClaims, Billing & Coverage | decision_making | — | — | — | draft |
| Fraud Detection ScoreInsurance Data Analytics | decision_making | — | — | draft | |
| Input Tax Credit ClaimedTax | regulatory | regulated | — | — | draft |
| International Patient Insurance Coverage AmountInternational Patient Services | decision_making | PII | — | draft | |
| Provider NPIProviders & Facilities | regulatory | regulated | — | draft | |
| Reinsurance Recovery AmountReinsurance Management | decision_making | — | — | — | draft |
Who owns which vocabulary. Ranked by the number of terms each glossary carries.
Live from datagov_meta on every request — no seeded copy, no cache. The Generali financial book remains in the reconciled SQLite backbone that verify.mjs guards.