AHCCCS Technical Interface Guidelines (TIG)

Health Plan Interface - 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