|
Name |
Type |
Discontinued? |
|
1 |
EXTERNAL_CVG_ID |
NUMERIC |
No |
|
|
|
The unique identifier (.1 item) for the external coverage record record. |
|
|
2 |
CONTACT_DATE_REAL |
FLOAT |
No |
|
|
|
A unique contact date in decimal format. The integer portion of the number indicates the date of contact. The digits after the decimal distinguish different contacts on the same date and are unique for each contact on that date. For example, .00 is the first/only contact, .01 is the second contact, etc. |
|
|
3 |
GROUP_CODE |
VARCHAR |
No |
|
|
|
The group code of an external coverage contact. |
|
|
4 |
GROUP_NAME |
VARCHAR |
No |
|
|
|
The group name of an external coverage contact. |
|
|
5 |
PLAN_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
The plan type of an external coverage contact. |
May contain organization-specific values: Yes |
Category Entries: |
Health |
Dental |
|
|
6 |
PLAN_NAME |
VARCHAR |
No |
|
|
|
The plan name of an external coverage contact. |
|
|
7 |
PAYER_NAME |
VARCHAR |
No |
|
|
|
The payer name of an external coverage contact. |
|
|
8 |
CVG_EFF_DATE |
DATETIME |
No |
|
|
|
The coverage effective date of an external coverage contact. |
|
|
9 |
CVG_TERM_DATE |
DATETIME |
No |
|
|
|
The coverage termination date of an external coverage contact. |
|
|
10 |
CVG_ADJ_TYPE |
INTEGER |
No |
|
|
|
The coverage adjustment type of an external coverage contact. |
|
|
11 |
CVG_ADJ_SEQUENCE |
INTEGER |
No |
|
|
|
The coverage adjustment sequence of an external coverage contact. |
|
|
12 |
CVG_STATUS_C_NAME |
VARCHAR |
No |
|
|
|
The coverage status of an external coverage contact. |
May contain organization-specific values: No |
Category Entries: |
Covered |
Not Covered |
Pending |
In Question |
Invalid |
|
|
13 |
PROGRAM_ID |
NUMERIC |
No |
|
|
|
The contract (program) ID of an external coverage contact. |
|
|
14 |
PROGRAM_ID_RECORD_NAME |
VARCHAR |
No |
|
|
|
The name of the program record. |
|
|
15 |
REGION_NAME |
VARCHAR |
No |
|
|
|
The region name of an external coverage contact. |
|
|
16 |
LOB_ID |
VARCHAR |
No |
|
|
|
The line of business of an external coverage contact. |
|
|
17 |
LOB_ID_LOB_NAME |
VARCHAR |
No |
|
|
|
The name of the line of business record. |
|
|
18 |
CORPORATION_NAME |
VARCHAR |
No |
|
|
|
The corporation name of an external coverage contact. |
|
|
19 |
PAT_PRIMARY_LOC_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
20 |
ENROLLMENT_CAT_C_NAME |
VARCHAR |
No |
|
|
|
The enrollment category of an external coverage contact. |
May contain organization-specific values: Yes |
Category Entries: |
End-Stage Renal Disease |
Disabled |
Aged Dual |
Aged Non-dual |
|
|
21 |
REL_CODE_SET_C_NAME |
VARCHAR |
No |
|
|
|
The relationship code set of an external coverage contact. |
May contain organization-specific values: No |
Category Entries: |
HIPAA |
CWF |
|
|
22 |
SUBSCRIBER_NAME |
VARCHAR |
No |
|
|
|
The subscriber name for an external coverage contact. |
|
|
23 |
SUBSCRIBER_DOB_DATE |
DATETIME |
No |
|
|
|
The subscriber date of birth for an external coverage contact. |
|
|
24 |
SUBSCRIBER_SEX_C_NAME |
VARCHAR |
No |
|
|
|
The subscriber sex for an external coverage contact. |
May contain organization-specific values: Yes |
Category Entries: |
Female |
Male |
Unknown |
Nonbinary |
X |
Other |
|
|
25 |
MEM_REL_TO_SUB_C_NAME |
VARCHAR |
No |
|
|
|
The member's relationship to the subscriber for an external coverage contact. |
May contain organization-specific values: Yes |
Category Entries: |
Self |
Spouse |
Child |
Employee |
Unknown |
|
|
26 |
GROUP_NUMBER |
VARCHAR |
No |
|
|
|
The group number for an external coverage contact. |
|
|
27 |
EXT_DEMOG_ID |
NUMERIC |
No |
|
|
|
The REQ that this LCI is attached to at this timestamp. |
|
|