AHCCCS Technical Interface Guidelines (TIG)

Health Plan Interface - Annual Enrollment Potential Transition Listing File Layout


FIELD NAME TYPE SIZE DESCRIPTION
PROCESS DATE X 8 CCYYMMDD
CHOICE INDICATOR X 1 J=JOINING
L=LEAVING
NEW HEALTH PLAN ID X 6   
NEW HEALTH PLAN NAME X 26   
NEW COUNTY OF SERVICE CODE X 2   
NEW RATE CODE X 4   
PREVIOUS HEALTH PLAN ID X 6   
PREVIOUS HEALTH PLAN NAME X 26   
PREVIOUS COUNTY OF SERVICE X 2   
PREVIOUS RATE CODE X 4   
RECIPIENT AHCCCS ID X 9   
RECIPIENT LAST NAME X 20   
RECIPIENT FIRST NAME X 10   
RECIPIENT MIDDLE INITIAL X 1   
RCP. STREET ADDRESS LINE 1 X 25   
RCP. STREET ADDRESS LINE 2 X 25   
CITY X 20   
STATE X 2   
ZIP CODE X 5   
DATE OF BIRTH X 8 CCYYMMDD
NEW RECORD INDICATOR X 1 N=NEW RECORD
FILLER X 25