LOADED_EXT_CVG_PLAN
Description:
Clarity table for benefit plan data on external coverages.

Primary Key
Column Name Ordinal Position
EXTERNAL_CVG_ID 1
LINE 2

Column Information
Name Type Discontinued?
1 EXTERNAL_CVG_ID NUMERIC No
The unique identifier (.1 item) for the external coverage record 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 PLAN_EFF_DATE DATETIME No
The effective start date for a benefit plan period.
4 PLAN_TERM_DATE DATETIME No
The termination date for a benefit plan period.
5 NCQA_PLAN_TYPE_C_NAME VARCHAR No
The plan type of the external benefit plan.
May contain organization-specific values: No
Category Entries:
Commercial EPO
Commercial HMO
Commercial POS
Commercial PPO
Exchange EPO
Exchange HMO
Exchange POS
Exchange PPO
Medicaid Disabled HMO
Medicaid Dual Eligible HMO
Medicaid Low Income HMO
Medicaid Restricted Benefit HMO
Medicare Advantage HMO
Medicare Advantage POS
Medicare Advantage PPO
Medicare Cost
Medicare-Medicaid Plan
Special Needs Plan - Chronic Condition
Special Needs Plan - Institutionalized
Special Needs Plan - Dual Eligible