The BHS Recipient Daily Match Response File is produced by
AHCCCS on a daily basis (Monday through Friday) after processing of the BHS
Recipient Daily Match Input File. The BHS Recipient Daily Match Response File
will provide ADHS information regarding each input file member's match to
an AHCCCS record, eligibility information and current health plan enrollment if
matched.
FIELD NAME |
TYPE |
SIZE |
DESCRIPTION |
AHCCCS-ID |
X |
9 |
Client's AHCCCS ID (from BHS Request) |
LAST-NAME |
X |
20 |
Client's Last Name (from BHS Request) |
FIRST-NAME |
X |
10 |
Client's First Name (from BHS Request) |
MIDDLE |
X |
1 |
Client's Middle Initial (from BHS Request) |
DATE-OF-BIRTH |
X |
8 |
Client's Date of Birth (from BHS Request) |
SEX-CODE |
X |
1 |
Client's Gender (from BHS Request) |
BHMIS-ID |
X |
10 |
Client's BHS MIS ID (from BHS Request) |
SSN |
X |
9 |
Client's SSN (from BHS Request) |
MHS-CATEGORY |
X |
1 |
Client's MHS Category (from BHS Request) |
SITE |
X |
2 |
Client's RBHA Site (from BHS Request) |
ACTION-CODE |
X |
1 |
Action Code (from BHS Request) |
CASE-MGR-ID |
X |
5 |
Client's Case Manager (from BHS Request) |
BEGIN-DATE |
X |
8 |
Client's Begin Date (from BHS Request) |
END-DATE |
X |
8 |
Client's End Date (from BHS Request) |
INTAKE-DATE |
X |
8 |
Client's Intake Date (from BHS Request) |
CHG-RSN |
X |
2 |
Client's Change Reason (from BHS Request) or
When MATCHED-IND = X this will be the FYI Change
reason or demo change reason |
MATCHED-IND |
X |
1 |
Matched to PMMIS Indicator
M-Matched
N-Not Matched
P-Partial Matched
Blank-Match not attempted
X-AHCCCS generated activity |
GEN-MSG-CD |
X |
2 |
General Message code (See table 1 below)
Indicates if request was accepted or rejected |
CORRECT-AHCCCS-ID |
X |
9 |
Member's correct AHCCCS ID
(supplied if submitted AHCCCS ID is secondary or
blank) |
MEDICARE-PT-A |
X |
1 |
Member's Medicare Part A status
Y-Medicare Part A eligible
N-Not Medicare Part A eligible |
MEDICARE-PT-B |
X |
1 |
Member's Medicare Part B status
Y-Medicare Part B eligible
N-Not Medicare Part B eligible |
ELIG-FLAG |
X |
1 |
Flag to indicate eligibility
Y-Member has eligibility
N-Member does not have eligibility |
MSG-CD-1 |
X |
2 |
Detail Message Code for FYI Segment 1
See Table 2 below |
FYI-BEG-DAT-1 |
X |
8 |
Begin Date of FYI Segment 1 |
FYI-END-DAT-1 |
X |
8 |
End Date of FYI Segment 1 |
FUND-GRP-1 |
X |
3 |
Eligibility Funding Group code 1
T19-Title 19
T21-Title 21 KidsCare
HI-Title 21 HIFA Parent
DD-LTC DD enrolled
SDI-SSDI/TMC eligible |
MSG-CD-2 |
X |
2 |
Detail Message Code for FYI Segment 2
See Table 2 below |
FYI-BEG-DAT-2 |
X |
8 |
Begin Date of FYI Segment 2 |
FYI-END-DAT-2 |
X |
8 |
End Date of FYI Segment 2 |
FUND-GRP-2 |
X |
3 |
Eligibility Funding Group code 2
T19-Title 19
T21-Title 21 KidsCare
HI-Title 21 HIFA Parent
DD-LTC DD enrolled
SDI-SSDI/TMC eligible |
MSG-CD-3 |
X |
2 |
Detail Message Code for FYI Segment 3
See Table 2 below |
FYI-BEG-DAT-3 |
X |
8 |
Begin Date of FYI Segment 3 |
FYI-END-DAT-3 |
X |
8 |
End Date of FYI Segment 3 |
FUND-GRP-3 |
X |
3 |
Eligibility Funding Group code 3
T19-Title 19
T21-Title 21 KidsCare
HI-Title 21 HIFA Parent
DD-LTC DD enrolled
SDI-SSDI/TMC eligible |
MSG-CD-4 |
X |
2 |
Detail Message Code for FYI Segment 4
See Table 2 below |
FYI-BEG-DAT-4 |
X |
8 |
Begin Date of FYI Segment 4 |
FYI-END-DAT-4 |
X |
8 |
End Date of FYI Segment 4 |
FUND-GRP-4 |
X |
3 |
Eligibility Funding Group code 4
T19-Title 19
T21-Title 21 KidsCare
HI-Title 21 HIFA Parent
DD-LTC DD enrolled
SDI-SSDI/TMC eligible |
MSG-CD-5 |
X |
2 |
Detail Message Code for FYI Segment 5
See Table 2 below |
FYI-BEG-DAT-5 |
X |
8 |
Begin Date of FYI Segment 5 |
FYI-END-DAT-5 |
X |
8 |
End Date of FYI Segment 5 |
FUND-GRP-5 |
X |
3 |
Eligibility Funding Group code 5
T19-Title 19
T21-Title 21 KidsCare
HI-Title 21 HIFA Parent
DD-LTC DD enrolled
SDI-SSDI/TMC eligible |
MSG-CD-6 |
X |
2 |
Detail Message Code for FYI Segment 6
See Table 2 below |
FYI-BEG-DAT-6 |
X |
8 |
Begin Date of FYI Segment 6 |
FYI-END-DAT-6 |
X |
8 |
End Date of FYI Segment 6 |
FUND-GRP-6 |
X |
3 |
Eligibility Funding Group code 6
T19-Title 19
T21-Title 21 KidsCare
HI-Title 21 HIFA Parent
DD-LTC DD enrolled
SDI-SSDI/TMC eligible |
CURR-HP-ID |
X |
6 |
Member's currently enrolled HP ID |
CODE |
DESCRIPTION |
UPD? |
01 |
DOB is greater than today |
N |
02 |
Begin date is greater than today |
N |
03 |
Begin date is before DOB |
N |
04 |
End date is before begin date |
N |
05 |
Change reason required when end date present |
N |
06 |
Invalid change reason |
N |
07 |
Invalid gender, must be F or M |
N |
08 |
Invalid action code, must be A (add), T (term), or I
(inactivate) |
N |
09 |
Term action must have end date |
N |
10 |
Add action must have begin date |
N |
11 |
Inactivation must have begin date |
N |
12 |
Invalid date |
N |
13 |
No end date with change reason present |
N |
14 |
Invalid SSN (not
numeric) |
N |
15 |
FYI activity modified (add/change/delete) |
Y |
16 |
FYI record already existed |
N |
22 |
No FYI record found for terminations |
N |
26 |
Demo change / No FYI activity – record added to file |
Y |
27 |
Required data is missing |
N |
28 |
Invalid category for DOB |
N
|
29 |
Category or site doesn't match FYI segment |
N |