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Individual Relationship Code

ME012, Maine

Versions: 2010-03-16• v1.1Compare Versions


Name:Individual Relationship Code
Data Element ID:ME012
Description:Member's relationship to insured
State:Maine
Data Type:integer
Length:2
Database Fieldname:REL
DATE AVAIL:1/1/2003
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File Specification for Multiple versionsMedical Eligibility File Submission - 2010-03-16

Data Element ID Data Element Description Type Format Length
Multiple versionsME914 MTIME Not Provided integer CCYYMM
Multiple versionsME001 Payer Payer submitting payments, MHDO Submitter Code varchar 8
Multiple versionsME002 National Plan ID CMS National Plan ID. Set as null if unavailable. varchar 30
Multiple versionsME003 Insurance Type/Product Code Not Provided varchar 2
Multiple versionsME004 Year Year for which eligibility is reported in this submission integer 4
Multiple versionsME005 Month Month for which eligibility is reported in this submission integer 2
Multiple versionsME006 Insured Group or Policy Number Group or policy number - not the number that uniquely identifies varchar 30
Multiple versionsME007 Coverage Level Code Benefit coverage level varchar 3
Multiple versionsME008 Encrypted Subscriber Social Security Number Encrypted subscriber's social security number. Set as null if varchar 128
Multiple versionsME009 Plan Specific Contract Number Encrypted plan assigned contract number. Set as null if contract varchar 128
Multiple versionsME010 Member Suffix or Sequence Number Uniquely numbers the member within the contract. integer 20
Multiple versionsME011 Member Identification Code Encrypted member's social security number. Set as null if varchar 128
Multiple versionsME012 Individual Relationship Code Member's relationship to insured integer 2
Multiple versionsME013 Member Gender Not Provided varchar 1
Multiple versionsME014 Member Date of Birth Not Provided date CCYYMMDD
Multiple versionsME015 Member City Name City name of member varchar 30
Multiple versionsME016 Member State or Province As defined by the US Postal Service varchar 2
Multiple versionsME017 Member ZIP Code ZIP Code of member - may include non-US codes. Do not include varchar 11
Multiple versionsME018 Medical Coverage Not Provided varchar 1
Multiple versionsME019 Prescription Drug Coverage Not Provided varchar 1
Multiple versionsME020 Dental Coverage Not Provided varchar 1
Multiple versionsME021 Race 1 Not Provided varchar 6
ME022 Race 2 Not Provided varchar 6
ME023 Other Race Not Provided varchar 15
ME024 Hispanic Indicator Not Provided varchar 1
ME025 Ethnicity 1 Not Provided varchar 6
ME026 Ethnicity 2 Not Provided varchar 6
ME027 Other Ethnicity Not Provided varchar 20
ME028 Primary Insurance Indicator Indicates if payer is primary insurer or not varchar 1
ME029 Coverage Type Type of coverage varchar 3
ME030 Market Category Code Target market in which policy was sold and issued varchar 4
ME031 Special Coverage Not Provided varchar 3
ME032 Group Name Group name or IND for individual policies, and BLANK if data is varchar 128
ME101 Encryped Subscriber Last Name The encrypted subscriber last name varchar 128
ME102 Encryped Subscriber First Name The encrypted subscriber first name varchar 128
ME103 Encryped Subscriber Middle Initial Not Provided varchar 1
ME104 Encryped Member Last Name Not Provided varchar 128
ME105 Encryped Member First Name Not Provided varchar 128
ME106 Encryped Member Middle Initial Not Provided varchar 1
ME899 Record Type Not Provided varchar 2
Multiple versionsME901 Member Age Not Provided integer
Multiple versionsME902 Record ID# Not Provided integer
Multiple versionsME903 Date of Transfer to MHDO Not Provided date CCYYMMDD
Multiple versionsME904 Encrypted Member ID# (longer of ESSN or Contract) + DOB Not Provided varchar 71
Multiple versionsME905 Medicare coverage Not Provided varchar 1
Multiple versionsME906 Submission ID# Not Provided integer
Multiple versionsME907 Double Encrypted Subscriber Social Security Number Not Provided varchar 64
Multiple versionsME908 Double Encrypted Plan Specific Contract Number Not Provided varchar 128
Multiple versionsME909 Double Encrypted Member Identification Code Not Provided varchar 128
Multiple versionsME910 Double Encrypted Member ID# (longer of MHDO_ESSN or Not Provided varchar 135
Multiple versionsME911 Standardized Insurance Individual Relationship Code Not Provided integer 2
Multiple versionsME912 Standardized Insurance Type/Product Code Not Provided varchar 2
Multiple versionsME913 Duplicate Not Provided varchar 1

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