AHCCCS Technical Interface Guidelines (TIG)

 

Behavioral Health Interface - Recipient Master Carrier ID File Layout


FIELD NAME TYPE SIZE DESCRIPTION
STATUS X 1 Record Status:
  • A-Active
  • I-Inactive
  • H-Historical
CARRIER ID X 10 Master Carrier ID Only the last five bytes are used
FILLER X 5 Filler
CARRIER NAME X 25 Name of TPL Carrier
ADDRESS-STREET 1 X 25 Line 1 Carrier's Mailing Address
ADDRESS-STREET 2 X 25 Line 2 Carrier's Mailing Address
ADDRESS-CITY X 25 City Carrier's Mailing Address
ADDRESS-STATE X 2 State Carrier's Mailing Address
ADDRESS-ZIP CODE X 9 Zip Code Carrier's Mailing Address
FILLER X 2  
BUSINESS PHONE X 10 Carrier's Business Phone Number
FILLER X 1
TRIBAL INDICATOR X 1 Tribal Insurance Indicator (Y/N)
BEGIN DATE X 8 Begin Date of record
END DATE X 8 End Date of record
REC ADDED DATE X 8 Date record originally added
REC ADDED TIME X 8 Time record originally added
REC ADDED USER X 3 User ID for record originally added
LAST MOD DATE X 8 Date record last modified
LAST MOD TIME X 8 Time record last modified
LAST MOD USER X 3 User ID for record last modified