AHCCCS Technical Interface Guidelines (TIG)

Health Plan Interface - Open Enrollment Potential Transition Listing File Layout


FIELD NAME TYPE SIZE DESCRIPTION
PROCESS DATE X 8 YEARMMDD
CHOICE INDICATOR X 1 J=JOINING
L=LEAVING
NEW HEALTH PLAN ID X 6  
NEW HEALTH PLAN NAME X 26  
NEW COUNTY OF SERVICE X 2  
NEW RATE CODE X 4  
PREVIOUS HEALTH PLAN ID X 6  
PREVIOUS HEALTH PL. NAME X 26  
PREVIOUS COUNTY OF SERV. 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 LINE1 X 25  
RCP. STREET ADDRESS LINE2 X 25  
CITY X 20  
STATE X 2  
ZIP CODE X 5  
DATE OF BIRTH X 8  
NEW RECORD INDICATOR X 1 N=NEW
FILLER X 25