United States Health Information Knowledgebase

 

File Submission Comparison

Selected Items
Action Item Name Version State Type Organization
Medical Eligibility File Submission September 27, 2011 - v2011.1.1 Oregon File Specification Office for Oregon Health Policy and Research (OHPR)
Medical Eligibility File Submission June 25, 2012 - v2013.0.0 Oregon File Specification Office for Oregon Health Policy and Research (OHPR)
Medical Eligibility File Submission June 27, 2013 - v2014.0.0 Oregon File Specification Office for Oregon Health Policy and Research (OHPR)
Medical Eligibility File Submission 2015.0.1 Oregon File Specification Office for Oregon Health Policy and Research (OHPR)
File Specification: Medical Eligibility File Submission - September 27, 2011 - v2011.1.1 (Oregon) Medical Eligibility File Submission - June 25, 2012 - v2013.0.0 (Oregon) Medical Eligibility File Submission - June 27, 2013 - v2014.0.0 (Oregon) Medical Eligibility File Submission - 2015.0.1 (Oregon)
[Shared] Responsible Organization:
Office for Oregon Health Policy and Research Office for Oregon Health Policy and Research Office for Oregon Health Policy and Research Office for Oregon Health Policy and Research
[Unshared] Definition:
Not Provided Eligibility files capture patient demographic information such as date of birth, gender, geography, and race/ethnicity. These also serve as the starting point for identifying claims and providers to be included in the data submissions. Criteria for inclusion are members living in Oregon, and members enrolled in a plan for which the state is a payer (such as PEBB, OEBB, or OMIP), regardless of residence. Eligibility files capture patient demographic information such as date of birth, gender, geography, and race/ethnicity. These also serve as the starting point for identifying claims and providers to be included in the data submissions. Criteria for inclusion are members living in Oregon, and members enrolled in a plan for which the state is a payer (such as PEBB, OEBB, or OMIP), regardless of residence. Eligibility files capture patient demographic information such as date of birth, gender, geography, and race/ethnicity. These also serve as the starting point for identifying claims and providers to be included in the data submissions. Criteria for inclusion are members living in Oregon, and members enrolled in a plan for which the state is a payer (such as PEBB, OEBB, or OMIP), regardless of residence.
File Specification: Medical Eligibility File Submission - September 27, 2011 - v2011.1.1 (Oregon) Medical Eligibility File Submission - June 25, 2012 - v2013.0.0 (Oregon) Medical Eligibility File Submission - June 27, 2013 - v2014.0.0 (Oregon) Medical Eligibility File Submission - 2015.0.1 (Oregon)
ME001
[Shared] Name: Payer type
[Shared] Type: Text
[Shared] Length: 8
Codes:
C
Carrier
D
Medicaid
G
Other government agency
P
Pharmacy benefits manager
T
Third-party administrator
U
Unlicensed entity
[Shared] Name: Payer type
[Shared] Type: Text
[Shared] Length: 8
Codes:
C
Carrier
D
Medicaid
G
Other government agency
P
Pharmacy benefits manager
T
Third-party administrator
U
Unlicensed entity
[Shared] Name: Payer type
[Shared] Type: Text
[Shared] Length: 8
Codes:
C
Carrier
D
Medicaid
G
Other government agency
P
Pharmacy benefits manager
T
Third-party administrator
U
Unlicensed entity
[Shared] Name: Payer type
[Shared] Type: Text
[Shared] Length: 8
Codes:
C
Carrier
D
Medicaid
G
Other government agency
P
Pharmacy benefits manager
T
Third-party administrator
U
Unlicensed entity
ME003
[Shared] Name: Product code
[Shared] Type: Text
[Shared] Length: 3
Codes:
CHP
Special Childrens Health Insurance Program (SCHIP)
EPO
Commercial EPO
HMO
Commercial HMO
IN
Commercial indemnity
MC
Medicare Cost
MD
Medicaid disabled HMO
MDE
Medicaid dual eligible HMO
MDF
Medicaid fee-for-service
MLI
Medicaid low income HMO
MP
Medicare Advantage PPO
 
 
MR
Medicare Advantage HMO
MRB
Medicaid restricted benefit HMO
PH
Pharmacy benefits only
POS
Commercial POS
PPO
Commercial PPO
SIF
Self insured POS
SIH
Self insured HMO
SIP
Self insured PPO
SL
Commercial stop loss
SN1
Special needs plan - chronic condition
SN2
Special needs plan - institutionalized
SN3
Special needs plan - dual eligible
ZZ
Unknown
[Shared] Name: Product code
[Shared] Type: Text
[Shared] Length: 3
Codes:
CHP
Special Childrens Health Insurance Program (SCHIP)
EPO
Commercial EPO
HMO
Commercial HMO
IN
Commercial indemnity
MC
Medicare Cost
MD
Medicaid disabled HMO
MDE
Medicaid dual eligible HMO
MDF
Medicaid fee-for-service
MLI
Medicaid low income HMO
MP
Medicare Advantage PPO
 
 
MR
Medicare Advantage HMO
MRB
Medicaid restricted benefit HMO
PH
Pharmacy benefits only
POS
Commercial POS
PPO
Commercial PPO
SIF
Self insured POS
SIH
Self insured HMO
SIP
Self insured PPO
SL
Commercial stop loss
SN1
Special needs plan - chronic condition
SN2
Special needs plan - institutionalized
SN3
Special needs plan - dual eligible
ZZ
Unknown
[Shared] Name: Product code
[Shared] Type: Text
[Shared] Length: 3
Codes:
CHP
Special Childrens Health Insurance Program (SCHIP)
EPO
Commercial EPO
HMO
Commercial HMO
IN
Commercial indemnity
MC
Medicare Cost
MD
Medicaid disabled HMO
MDE
Medicaid dual eligible HMO
MDF
Medicaid fee-for-service
MLI
Medicaid low income HMO
MP
Medicare Advantage PPO
 
 
MR
Medicare Advantage HMO
MRB
Medicaid restricted benefit HMO
PH
Pharmacy benefits only
POS
Commercial POS
PPO
Commercial PPO
SIF
Self insured POS
SIH
Self insured HMO
SIP
Self insured PPO
SL
Commercial stop loss
SN1
Special needs plan - chronic condition
SN2
Special needs plan - institutionalized
SN3
Special needs plan - dual eligible
ZZ
Unknown
[Shared] Name: Product code
[Shared] Type: Text
[Shared] Length: 3
Codes:
CHP
Special Childrens Health Insurance Program (SCHIP)
EPO
Commercial EPO
HMO
Commercial HMO
IN
Commercial indemnity
MC
Medicare Cost
MD
Medicaid disabled HMO
MDE
Medicaid dual eligible HMO
MDF
Medicaid fee-for-service
MLI
Medicaid low income HMO
MP
Medicare Advantage PPO
MPD
Medicare Part D only
MR
Medicare Advantage HMO
MRB
Medicaid restricted benefit HMO
PH
Pharmacy benefits only
POS
Commercial POS
PPO
Commercial PPO
SIF
Self insured POS
SIH
Self insured HMO
SIP
Self insured PPO
SL
Commercial stop loss
SN1
Special needs plan - chronic condition
SN2
Special needs plan - institutionalized
SN3
Special needs plan - dual eligible
ZZ
Unknown
ME004A
[Shared] Name: Eligibility date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Eligibility date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Eligibility date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Eligibility date
[Shared] Type: Date
[Shared] Length: 8
ME005A
[Shared] Name: Termination date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Termination date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Termination date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Termination date
[Shared] Type: Date
[Shared] Length: 8
ME007
[Shared] Name: Subscriber ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Subscriber ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Subscriber ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Subscriber ID
[Shared] Type: Text
[Shared] Length: 30
ME009
[Shared] Name: Plan specific contract number
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Plan specific contract number
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Plan specific contract number
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Plan specific contract number
[Shared] Type: Text
[Shared] Length: 30
ME009A
[Unshared] Name: OEBB flag
[Shared] Type: Numeric
[Shared] Length: 1
Codes:
0
otherwise
1
OEBB group
[Unshared] Name: OEBB flag
[Shared] Type: Numeric
[Shared] Length: 1
Codes:
0
otherwise
1
OEBB group
[Unshared] Name: PEBB flag
[Shared] Type: Numeric
[Shared] Length: 1
Codes:
0
otherwise
1
PEBB group
[Unshared] Name: PEBB flag
[Shared] Type: Numeric
[Shared] Length: 1
Codes:
0
otherwise
1
PEBB group
ME009B
[Shared] Name: OEBB flag
[Shared] Type: Numeric
[Shared] Length: 1
Codes:
0
otherwise
1
OEBB group
[Shared] Name: OEBB flag
[Shared] Type: Numeric
[Shared] Length: 1
Codes:
0
otherwise
1
OEBB group
[Shared] Name: OEBB flag
[Shared] Type: Numeric
[Shared] Length: 1
Codes:
0
otherwise
1
OEBB group
[Shared] Name: OEBB flag
[Shared] Type: Numeric
[Shared] Length: 1
Codes:
0
otherwise
1
OEBB group
ME009C
[Shared] Name: Medical home flag
[Shared] Type: Numeric
[Shared] Length: 1
Codes:
0
otherwise
1
medical home plan
[Shared] Name: Medical home flag
[Shared] Type: Numeric
[Shared] Length: 1
Codes:
0
otherwise
1
medical home plan
[Shared] Name: Medical home flag
[Shared] Type: Numeric
[Shared] Length: 1
Codes:
0
otherwise
1
medical home plan
[Shared] Name: Medical home flag
[Shared] Type: Numeric
[Shared] Length: 1
Codes:
0
otherwise
1
medical home plan
ME009D
Data Element: ME009D
not present in this file submission.
[Unshared] Name: OMIP flag
[Unshared] Type: Numeric
[Unshared] Length: 1
Codes:
0
otherwise
1
OMIP member
[Unshared] Name: OMIP flag
[Unshared] Type: Numeric
[Unshared] Length: 1
Codes:
0
otherwise
1
OMIP member
[Unshared] Name: OMIP flag
[Unshared] Type: Numeric
[Unshared] Length: 1
Codes:
0
otherwise
1
OMIP member
ME009E
Data Element: ME009E
not present in this file submission.
[Unshared] Name: HKC flag
[Unshared] Type: Numeric
[Unshared] Length: 1
Codes:
0
otherwise
1
Healthy Kids Connect plan
[Unshared] Name: HKC flag
[Unshared] Type: Numeric
[Unshared] Length: 1
Codes:
0
otherwise
1
Healthy Kids Connect plan
[Unshared] Name: HKC flag
[Unshared] Type: Numeric
[Unshared] Length: 1
Codes:
0
otherwise
1
Healthy Kids Connect plan
ME010
[Shared] Name: Member ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Member ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Member ID
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Member ID
[Shared] Type: Text
[Shared] Length: 30
ME012
[Shared] Name: Relationship code
[Shared] Type: Numeric
[Shared] Length: 2
Codes:
1
Spouse
4
Grandfather or Grandmother
5
Grandson or Granddaughter
7
Nephew or Niece
10
Foster Child
15
Ward
17
Stepson or Stepdaughter
18
Self
19
Child
20
Employee
21
Unknown
22
Handicapped Dependent
23
Sponsored Dependent
24
Dependent of a Minor Dependent
29
Significant Other
32
Mother
33
Father
36
Emancipated Minor
39
Organ Donor
40
Cadaver Donor
41
Injured Plaintiff
43
Child Where Insured Has No Financial Responsibility
53
Life Partner
[Shared] Name: Relationship code
[Shared] Type: Numeric
[Shared] Length: 2
Codes:
1
Spouse
4
Grandfather or Grandmother
5
Grandson or Granddaughter
7
Nephew or Niece
10
Foster Child
15
Ward
17
Stepson or Stepdaughter
18
Self
19
Child
20
Employee
21
Unknown
22
Handicapped Dependent
23
Sponsored Dependent
24
Dependent of a Minor Dependent
29
Significant Other
32
Mother
33
Father
36
Emancipated Minor
39
Organ Donor
40
Cadaver Donor
41
Injured Plaintiff
43
Child Where Insured Has No Financial Responsibility
53
Life Partner
[Shared] Name: Relationship code
[Shared] Type: Numeric
[Shared] Length: 2
Codes:
1
Spouse
4
Grandfather or Grandmother
5
Grandson or Granddaughter
7
Nephew or Niece
10
Foster Child
15
Ward
17
Stepson or Stepdaughter
18
Self
19
Child
20
Employee
21
Unknown
22
Handicapped Dependent
23
Sponsored Dependent
24
Dependent of a Minor Dependent
29
Significant Other
32
Mother
33
Father
36
Emancipated Minor
39
Organ Donor
40
Cadaver Donor
41
Injured Plaintiff
43
Child Where Insured Has No Financial Responsibility
53
Life Partner
[Shared] Name: Relationship code
[Shared] Type: Numeric
[Shared] Length: 2
Codes:
1
Spouse
4
Grandfather or Grandmother
5
Grandson or Granddaughter
7
Nephew or Niece
10
Foster Child
15
Ward
17
Stepson or Stepdaughter
18
Self
19
Child
20
Employee
21
Unknown
22
Handicapped Dependent
23
Sponsored Dependent
24
Dependent of a Minor Dependent
29
Significant Other
32
Mother
33
Father
36
Emancipated Minor
39
Organ Donor
40
Cadaver Donor
41
Injured Plaintiff
43
Child Where Insured Has No Financial Responsibility
53
Life Partner
ME013
[Shared] Name: Member gender
[Shared] Type: Text
[Shared] Length: 1
Codes:
F
female
M
male
U
unknown
[Shared] Name: Member gender
[Shared] Type: Text
[Shared] Length: 1
Codes:
F
female
M
male
U
unknown
[Shared] Name: Member gender
[Shared] Type: Text
[Shared] Length: 1
Codes:
F
female
M
male
U
unknown
[Shared] Name: Member gender
[Shared] Type: Text
[Shared] Length: 1
Codes:
F
female
M
male
U
unknown
ME014
[Shared] Name: Member date of birth
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Member date of birth
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Member date of birth
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Member date of birth
[Shared] Type: Date
[Shared] Length: 8
ME015
[Shared] Name: Member city
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Member city
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Member city
[Shared] Type: Text
[Shared] Length: 30
[Shared] Name: Member city
[Shared] Type: Text
[Shared] Length: 30
ME015A
[Shared] Name: Member's street address
[Shared] Type: Text
[Shared] Length: 50
[Shared] Name: Member's street address
[Shared] Type: Text
[Shared] Length: 50
[Shared] Name: Member's street address
[Shared] Type: Text
[Shared] Length: 50
[Shared] Name: Member's street address
[Shared] Type: Text
[Shared] Length: 50
ME016
[Shared] Name: Member state
[Shared] Type: Text
[Shared] Length: 4
[Shared] Name: Member state
[Shared] Type: Text
[Shared] Length: 4
[Shared] Name: Member state
[Shared] Type: Text
[Shared] Length: 4
[Shared] Name: Member state
[Shared] Type: Text
[Shared] Length: 4
ME017
[Shared] Name: Member ZIP
[Shared] Type: Text
[Shared] Length: 10
[Shared] Name: Member ZIP
[Shared] Type: Text
[Shared] Length: 10
[Shared] Name: Member ZIP
[Shared] Type: Text
[Shared] Length: 10
[Shared] Name: Member ZIP
[Shared] Type: Text
[Shared] Length: 10
ME018
[Shared] Name: Medical coverage flag
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Medical coverage flag
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Medical coverage flag
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Medical coverage flag
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
ME019
[Shared] Name: Prescription drug coverage flag
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Prescription drug coverage flag
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Prescription drug coverage flag
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Prescription drug coverage flag
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
ME101
[Shared] Name: Subscriber last name
[Shared] Type: Text
[Shared] Length: 35
[Shared] Name: Subscriber last name
[Shared] Type: Text
[Shared] Length: 35
[Shared] Name: Subscriber last name
[Shared] Type: Text
[Shared] Length: 35
[Shared] Name: Subscriber last name
[Shared] Type: Text
[Shared] Length: 35
ME102
[Shared] Name: Subscriber first name
[Shared] Type: Text
[Shared] Length: 25
[Shared] Name: Subscriber first name
[Shared] Type: Text
[Shared] Length: 25
[Shared] Name: Subscriber first name
[Shared] Type: Text
[Shared] Length: 25
[Shared] Name: Subscriber first name
[Shared] Type: Text
[Shared] Length: 25
ME103
[Shared] Name: Subscriber middle name
[Shared] Type: Text
[Shared] Length: 25
[Shared] Name: Subscriber middle name
[Shared] Type: Text
[Shared] Length: 25
[Shared] Name: Subscriber middle name
[Shared] Type: Text
[Shared] Length: 25
[Shared] Name: Subscriber middle name
[Shared] Type: Text
[Shared] Length: 25
ME104
[Shared] Name: Member last name
[Shared] Type: Text
[Shared] Length: 35
[Shared] Name: Member last name
[Shared] Type: Text
[Shared] Length: 35
[Shared] Name: Member last name
[Shared] Type: Text
[Shared] Length: 35
[Shared] Name: Member last name
[Shared] Type: Text
[Shared] Length: 35
ME105
[Shared] Name: Member first name
[Shared] Type: Text
[Shared] Length: 25
[Shared] Name: Member first name
[Shared] Type: Text
[Shared] Length: 25
[Shared] Name: Member first name
[Shared] Type: Text
[Shared] Length: 25
[Shared] Name: Member first name
[Shared] Type: Text
[Shared] Length: 25
ME106
[Shared] Name: Member middle name
[Shared] Type: Text
[Shared] Length: 25
[Shared] Name: Member middle name
[Shared] Type: Text
[Shared] Length: 25
[Shared] Name: Member middle name
[Shared] Type: Text
[Shared] Length: 25
[Shared] Name: Member middle name
[Shared] Type: Text
[Shared] Length: 25
ME201
Data Element: ME201
not present in this file submission.
Data Element: ME201
not present in this file submission.
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
Codes:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
[Unshared] Name: Medicare coverage flag
[Unshared] Type: Text
[Unshared] Length: 2
Codes:
A
Part A
B
Part B
C
Part C only
CD
Part C and Part D
D
Part D only
X
other
Z
none
ME202
Data Element: ME202
not present in this file submission.
Data Element: ME202
not present in this file submission.
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
ME203
Data Element: ME203
not present in this file submission.
Data Element: ME203
not present in this file submission.
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
ME204
Data Element: ME204
not present in this file submission.
Data Element: ME204
not present in this file submission.
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
ME205
Data Element: ME205
not present in this file submission.
Data Element: ME205
not present in this file submission.
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
ME206
Data Element: ME206
not present in this file submission.
Data Element: ME206
not present in this file submission.
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
ME207
Data Element: ME207
not present in this file submission.
Data Element: ME207
not present in this file submission.
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
ME208
Data Element: ME208
not present in this file submission.
Data Element: ME208
not present in this file submission.
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
ME209
Data Element: ME209
not present in this file submission.
Data Element: ME209
not present in this file submission.
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
ME210
Data Element: ME210
not present in this file submission.
Data Element: ME210
not present in this file submission.
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
[Unshared] Name: Not Provided
[Unshared] Type: Not Provided
[Unshared] Length: Not Provided
OHLC3
[Shared] Name: Oregon HVMH flag
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Oregon HVMH flag
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Oregon HVMH flag
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Oregon HVMH flag
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
OHLC4
[Shared] Name: Oregon HVMH clinic
[Shared] Type: Text
[Shared] Length: 3
[Shared] Name: Oregon HVMH clinic
[Shared] Type: Text
[Shared] Length: 3
[Shared] Name: Oregon HVMH clinic
[Shared] Type: Text
[Shared] Length: 3
[Shared] Name: Oregon HVMH clinic
[Shared] Type: Text
[Shared] Length: 3
OHLC5
[Shared] Name: Oregon HVMH eligibility segment effective date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Oregon HVMH eligibility segment effective date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Oregon HVMH eligibility segment effective date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Oregon HVMH eligibility segment effective date
[Shared] Type: Date
[Shared] Length: 8
OHLC6
[Shared] Name: Oregon HVMH eligibility segment termination date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Oregon HVMH eligibility segment termination date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Oregon HVMH eligibility segment termination date
[Shared] Type: Date
[Shared] Length: 8
[Shared] Name: Oregon HVMH eligibility segment termination date
[Shared] Type: Date
[Shared] Length: 8
OHLC7
[Shared] Name: Prepaid amount/ PMPM
[Shared] Type: Numeric
[Shared] Length: 12
[Shared] Name: Prepaid amount/ PMPM
[Shared] Type: Numeric
[Shared] Length: 12
[Shared] Name: Prepaid amount/ PMPM
[Shared] Type: Numeric
[Shared] Length: 12
[Shared] Name: Prepaid amount/ PMPM
[Shared] Type: Numeric
[Shared] Length: 12
QC013
[Shared] Name: ChemDep Benefit - Inpatient
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: ChemDep Benefit - Inpatient
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: ChemDep Benefit - Inpatient
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: ChemDep Benefit - Inpatient
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
QC014
[Shared] Name: ChemDep Benefit - Day/Night
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: ChemDep Benefit - Day/Night
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: ChemDep Benefit - Day/Night
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: ChemDep Benefit - Day/Night
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
QC015
[Shared] Name: ChemDep Benefit - Ambulatory
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: ChemDep Benefit - Ambulatory
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: ChemDep Benefit - Ambulatory
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: ChemDep Benefit - Ambulatory
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
QC016
[Shared] Name: Dental benefit
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Dental benefit
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Dental benefit
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Dental benefit
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
QC018
[Shared] Name: Mental Health Benefit - Inpatient
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Mental Health Benefit - Inpatient
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Mental Health Benefit - Inpatient
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Mental Health Benefit - Inpatient
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
QC019
[Shared] Name: Mental Health Benefit - Day/ Night
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Mental Health Benefit - Day/ Night
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Mental Health Benefit - Day/ Night
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Mental Health Benefit - Day/ Night
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
QC020
[Shared] Name: Mental Health Benefit - Ambulatory
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Mental Health Benefit - Ambulatory
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Mental Health Benefit - Ambulatory
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
[Shared] Name: Mental Health Benefit - Ambulatory
[Shared] Type: Text
[Shared] Length: 1
Codes:
N
 
Y
 
RE1
[Shared] Name: Member race
[Shared] Type: Text
[Shared] Length: 1
Codes:
A
Asian
B
Black or African American
I
American Indian or Alaska Native
O
Other (or multiple races)
P
Native Hawaiian or Pacific Islander
R
Refused
U
Unknown
W
White
[Shared] Name: Member race
[Shared] Type: Text
[Shared] Length: 1
Codes:
A
Asian
B
Black or African American
I
American Indian or Alaska Native
O
Other (or multiple races)
P
Native Hawaiian or Pacific Islander
R
Refused
U
Unknown
W
White
[Shared] Name: Member race
[Shared] Type: Text
[Shared] Length: 1
Codes:
A
Asian
B
Black or African American
I
American Indian or Alaska Native
O
Other (or multiple races)
P
Native Hawaiian or Pacific Islander
R
Refused
U
Unknown
W
White
[Shared] Name: Member race
[Shared] Type: Text
[Shared] Length: 1
Codes:
A
Asian
B
Black or African American
I
American Indian or Alaska Native
O
Other (or multiple races)
P
Native Hawaiian or Pacific Islander
R
Refused
U
Unknown
W
White
RE2
[Shared] Name: Member ethnicity
[Shared] Type: Text
[Shared] Length: 1
Codes:
H
Hispanic
O
Not Hispanic
R
Refused
U
Unknown
[Shared] Name: Member ethnicity
[Shared] Type: Text
[Shared] Length: 1
Codes:
H
Hispanic
O
Not Hispanic
R
Refused
U
Unknown
[Shared] Name: Member ethnicity
[Shared] Type: Text
[Shared] Length: 1
Codes:
H
Hispanic
O
Not Hispanic
R
Refused
U
Unknown
[Shared] Name: Member ethnicity
[Shared] Type: Text
[Shared] Length: 1
Codes:
H
Hispanic
O
Not Hispanic
R
Refused
U
Unknown
RE3
[Shared] Name: Primary spoken language
[Shared] Type: Text
[Shared] Length: 3
[Shared] Name: Primary spoken language
[Shared] Type: Text
[Shared] Length: 3
[Shared] Name: Primary spoken language
[Shared] Type: Text
[Shared] Length: 3
[Shared] Name: Primary spoken language
[Shared] Type: Text
[Shared] Length: 3
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