|
Name |
Type |
Discontinued? |
|
| 1 |
COVERAGE_ID |
NUMERIC |
No |
|
|
|
| The unique identifier for the coverage record. |
|
|
| 2 |
LINE |
INTEGER |
No |
|
|
|
| The line number for the information associated with this record. Multiple pieces of information can be associated with this record. |
|
|
| 3 |
MA_ERR_CODE_C_NAME |
VARCHAR |
No |
|
|
|
| The Medicare Advantage error code that was previously on the coverage |
| May contain organization-specific values: No |
| Category Entries: |
| Part A Not Effective |
| Part B Not Effective |
| Part D Not Effective |
| Member Not Found |
| Deceased |
| Date of Birth Mismatch |
| Sex Mismatch |
| First Name Mismatch |
| Last Name Mismatch |
| Middle Name Mismatch |
| Incorrect Part C Premium |
| Incorrect Part D Premium |
| Incorrect Contract |
| Incorrect PBP |
| Incorrect Segment |
| Enrolled According to CMS |
| Not Enrolled According to CMS |
| Termed Prior to Enrollment |
| Not Pending Prior to Enrollment |
| Medicaid Status Flag Mismatch |
| ESRD Status Flag Mismatch |
| Part A Entitlement Date Mismatch |
| Part B Entitlement Date Mismatch |
| Hospice Status Flag Mismatch |
| Long Term Institutional Status Flag Mismatch |
| Eligibility Reason Mismatch |
| Part D Eligibility Date Mismatch |
| Application Date Outside Election Period |
| Missing Rx Information |
|
|
| 4 |
MA_ERR_DATA |
VARCHAR |
No |
|
|
|
| The data from the CMS file associated with the Medicare Advantage error |
|
|
| 5 |
MA_ERR_DATE |
DATETIME |
No |
|
|
|
| The date that the error was reported. |
|
|
| 6 |
MA_ERR_CODE_FILE_C_NAME |
VARCHAR |
No |
|
|
|
| The type of CMS file that caused this error to be logged. |
| May contain organization-specific values: No |
| Category Entries: |
| Batch Eligibility Query Response |
| Monthly NoRx File |
| Monthly Membership Report |
| Full Enrollment File Data |
|
|
| 7 |
MA_ERR_RESOLUTION_C_NAME |
VARCHAR |
No |
|
|
|
| The reason the error was resolved. |
| May contain organization-specific values: No |
| Category Entries: |
| Resolved |
| Ignored |
| Replaced |
| BEQ Resubmitted |
|
|
| 8 |
MA_ERR_RESOLUTION_USER_ID |
VARCHAR |
No |
|
|
|
| The user who resolved the error. |
|
|
| 9 |
MA_ERR_RESOLUTION_USER_ID_NAME |
VARCHAR |
No |
|
|
|
| The name of the user record. This name may be hidden. |
|
|
| 10 |
MA_ERR_RESOLUTION_DATE |
DATETIME |
No |
|
|
|
| The date on which the error was resolved. |
|
|