Member plan table

reference australia Updated Sep 10, 2026 2 min read hcls-memb-plan-table.md
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The Member Plan [sn_hcls_member_plan] table stores the details of a health insurance plan associated with a patient.

Key features

  • Extends the Install base item [sn_install_base_item] table to store member plan details.
  • Models the health insurance data associated with a patient, including the member number, group number, the payer plan that is purchased and start and end dates of the plan.

Role required to configure the table: sn_hcls.admin.

For more information, see Healthcare and Life Sciences data model.

Field

Data type

Description

Effective from

Date

Start date from when the member plan is effective.

Effective to

Date

End date until when the member plan is effective.

External identifier

String

Identifier of the record in an electronic medical record (EMR) system.

Group number

String

Group number or policy number of the member.

Member

Reference

The associated member's first and last name.

Member number

String

Unique ID number of the patient that enables healthcare providers to verify insurance coverage and arrange payment for services.

Number

String

Alpha-numeric profile identifier of the member plan.

Patient

Reference

Name of the patient in whose name is the plan.

Plan priority

String

Priority of the plan.

The priority of the plan is:

  • Primary: The first member plan to which the patient is the subscriber and that is used as if there's no other plans for the patient.
  • Secondary: The second member plan to which the patient is listed as a dependent.
  • Tertiary: The third member plan to be billed for the patient. The tertiary plan is used after the primary and secondary plans have been successfully processed.

Payer plan

Reference

Member plan taken by the patient.

Relation to subscriber

Reference

Relationship of the dependent member with the subscriber.

Rx Bin

String

Number to identify how a prescription drug will be reimbursed and where a pharmacy can send a reimbursement claim to.

Rx Group

String

Alphanumeric or numeric value of the member plan that is used to process prescription benefits.

Rx PCN

String

Processor control number (PCN) used in routing of pharmacy reimbursements.

Source

Reference

Source system details of an external healthcare system in a ServiceNow instance.

Subscriber

Reference

Subscriber's patient record.

**Parent Topic:**[Healthcare and Life Sciences data model tables](https://raw.githubusercontent.com/ServiceNow/ServiceNowDocs/australia/markdown/australia/healthcare-life-sciences/healthcare-and-life-sciences-service-management-core/hcls-healthcare-data-tables.md)
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