David Bozarth

CS 355 – Database Design

5 November 2003

 

Dental Benefit Plan Rate Quote database

 

 

REQUIREMENT

 

A consulting firm uses an Excel macro application that pops up forms for filling in customer information and generating rate quotes. There is a need to store and retrieve customer information, as well as to store and retrieve rate model configuration parameters - instead of filling in the forms from scratch each time the application is run.

 

 

OVERVIEW

 

Customers are typically corporate offices employing from 50 to 1000 persons. Dental plan rate calculations are influenced by population figures, provider pricing, plan features, geography, and previous business relations with the firm.

 

These values represent both plan and model settings. The rate calculator engine performs according to these settings, and provides monthly benefit rates tiered with respect to level of service performed.

 

The stored settings, as well as business information, are to be accessible using retrieval and update queries. It is also desirable to maintain multiple versions of plans that can be compared, reviewed and repositioned.

 

 

NOTES ON SCHEMA

 

There are seven tables, three of which (Account, Contact, Industry) maintain infrequently changing data describing the customer and the business relationship.

 

The Plan table stores tuples that represent specific plan versions for specific customers, and has a dual primary key. The Tier table has the same two key components plus two more components; its tuples represent discrete tiered parameters (e.g., the in-network deductible figures or the out-of-network co-pay figures) for a specific Plan.

 

The ModelType table is accessory to Plan. The ModelConfig table maintains group assignments of special dental services to certain rate levels; the ability to manipulate these assignments independently is a feature of this class of benefit models.