AHCCCS Technical Interface Guidelines (TIG)

Health Plan Interface - Active Care File Layout

FIELD NAME	TYPE	SIZE	DESCRIPTION
HEALTH PLAN ID	X	6
COUNTY ID	X	2
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 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