|
Name |
Type |
Discontinued? |
|
1 |
MEM_LIST_ID |
NUMERIC |
No |
|
|
|
The ID of the transaction member list record computed as part of the specialty capitation payment process. |
|
|
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 |
MEMBER_LIST |
VARCHAR |
No |
|
|
|
The ID of the member eligible for inclusion in specialty capitation payment computations. |
|
|
4 |
COVERAGE_LIST |
NUMERIC |
No |
|
|
|
The ID of the coverage record for the member under which the member is eligible for inclusion in specialty capitation payment computations. |
|
|
5 |
MEMBER_DOB |
DATETIME |
No |
|
|
|
The date of birth for the member eligible for inclusion in specialty capitation payment computations. |
|
|
6 |
MEMBER_SEX_C_NAME |
VARCHAR |
No |
|
|
|
The sex of the member eligible for inclusion in specialty capitation payment computations. |
May contain organization-specific values: Yes |
Category Entries: |
Female |
Male |
Unknown |
Nonbinary |
X |
Other |
|
|
7 |
MEMBER_CVG_ATTRS_EXTERNAL |
VARCHAR |
No |
|
|
|
Stores members' coverage attributes formatted by category list CVG 2001. |
|
|
8 |
MEM_MCARE_CONTRACT_NUM |
VARCHAR |
No |
|
|
|
Stores the member's medicare advantage contract number. |
|
|
9 |
WITHHOLD_REASON_C_NAME |
VARCHAR |
No |
|
|
|
The specialty capitation payment withhold reason category ID for a member in the transaction. |
May contain organization-specific values: No |
Category Entries: |
Member Suspended |
Member Limit Exceeded |
Rate Element Used Default Value |
|
|
10 |
MEMBER_REGION_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
11 |
MEMBER_MEDICAL_GROUP_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|