AHCCCS Technical Interface Guidelines (TIG)

Behavioral Health Interface - Health Plan Monthly Capitation Detail File Layout


FIELD NAME TYPE SIZE DESCRIPTION
HP-ID X 6 HEALTH PLAN ID
CTRT-TYP X 1 CONTRACT TYPE
CTY-SER-AREA-CD X 2 COUNTY CODE
AHCCCS-ID X 9 AHCCCS ID
RP-NAME X 34 NAME
ELG-KEY-CD X 3 ELIGIBILITY KEY CODE
RP-ZIP X 9 ZIP CODE
RP-SEX X 1 GENDER
RP-DAT-OF-BIR X 8 DATE OF BIRTH (CCYYMMDD)
PMT-DAT X 8 PAYMENT DATE (CCYYMMDD)
ACT-TYP X 1 NATIVE AMERICAN (Y OR N)
CASE-ID X 9 CASE ID
ACUTE-HP-ID X 6 ACUTE MEDICAL HP ID
TRIBE-CD X 2 RACE
MH-CATEGORY X 1 BHS CATEGORY
ACUTE-RATE-CD X 4 ACUTE MEDICAL RATE CODE
LANGUAGE X 1 LANGUAGE
FILLER X 15 FILLER