Health Plan Interface
Review File Layout
DATA
NAME |
TYPE |
SIZE |
REMARKS |
| HP-ID |
X |
6 |
|
| RATE-CD |
X |
4 |
|
| SRC-AGENCY |
X |
3 |
|
| CASE-ID |
X |
9 |
|
| AHCCCS-ID |
X |
9 |
|
| SSN |
X |
9 |
|
| NAME |
|
|
|
| LNAME |
X |
20 |
|
| FNAME |
X |
10 |
|
|
MI |
X |
1 |
|
| DOB |
X |
8 |
CCYYMMDD |
| GENDER |
X |
1 |
M or F |
| RES-ADDR |
|
|
|
|
RES-LINE1 |
X |
25 |
|
|
RES-LINE2 |
X |
25 |
|
| RES-CITY |
X |
20 |
|
| RES-STATE |
X |
2 |
|
| RES-ZIP
|
X |
9 |
|
| MAIL-ADDR |
|
|
|
|
MAIL-LINE1 |
X |
25 |
|
|
MAIL-LINE2 |
X |
25 |
|
|
MAIL-CITY |
X |
20 |
|
|
MAIL-STATE |
X |
2 |
|
|
MAIL-ZIP |
X |
9 |
|
| PHONE |
X |
10 |
|
| EMAIL |
X |
40 |
|
| LANG |
X |
20 |
|
| MEM-TYP |
X |
3 |
|
| FILLER |
X |
35 |
|
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