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