Health Plan Interface
Active Care File Layout
DATA NAME |
TYPE |
SIZE |
REMARKS |
| HEALTH PLAN ID |
X |
6 |
|
| COUNTY ID |
X |
1 |
|
| RECIPIENT ID |
X |
9 |
|
| MOTHER'S ID |
X |
9 |
|
| RECIPIENT CASE |
X |
9 |
|
| MOTHER'S CASE |
X |
9 |
|
| RECIPIENT NAME |
X |
34 |
|
| MOTHER'S NAME |
X |
34 |
|
| RECIPIENT SEX |
X |
1 |
|
| RECIPIENT DATE OF BIRTH |
X |
8 |
CCYYMMDD |
| LOCATION NAME |
X |
34 |
|
| MEDICAL CONDITION |
X |
2 |
SEE
Medical Conditions (Below) |
| DATE ADMITTED |
X |
8 |
CCYYMMDD |
| EXPECTED DELIVERY |
X |
8 |
CCYYMMDD |
Medical
Conditions:
MEDICAL
CONDITION (RF532) |
CODE
|
DESCRIPTION
|
BB |
BED-BOUND
|
BC |
BREAST AND CERVICAL CANCER PROGRAM MEMBR |
CC |
LTC FACILITY CONV CARE |
CH |
CHEMOTHERAPY |
CM |
APPLICANT CHRONIC MEDICAL CONDITION |
DI |
DIALYSIS |
ER |
ER-ACC/INJ RELATED |
HA |
HOSPITALIZED-ACC/INJ REL |
HI |
HEAD INJURY |
HK |
HOSPITALIZED, KICK PAYMENT CONSIDERED |
HS |
HOSPITALIZED |
NI |
NICU |
NN |
NEWBORN-NORMAL |
OA |
OUTPATIENT-ACC/INJ REL |
PG |
PREGNANT |
PR |
PREGNANT-HIGH RISK |
RT |
RADIATION THERAPY |
SI |
SPINAL CORD INJURY |
SN |
NEWBORN-SICK |
ST |
SURGICAL STERILIZATION |
TP |
TRANSPLANTS |
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