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