| Name | Description | Type | Additional information |
|---|---|---|---|
| Incoming834_Coverage_Id | integer |
None. |
|
| Incoming834_Member_Id | integer |
None. |
|
| ProcessingCode | string |
None. |
|
| MaintenanceTypeCode_HD01 | string |
None. |
|
| LineOfCoverage_HD03 | string |
None. |
|
| CoverageLevelCode_HD05 | string |
None. |
|
| IsLateEnrollee_HD09 | boolean |
None. |
|
| CoverageEffectiveDate_DTP03 | date |
None. |
|
| MedicarePlanCode_INS06_1 | string |
None. |
|
| MedicareEligibilityReasonCode_INS06_2 | string |
None. |
|
| MedicareBeffectivedate | date |
None. |
|
| ChangeReason | string |
None. |
|
| CarrierPlanID_2300REF01_CE | string |
None. |
|
| PlanDescription | string |
None. |
|
| EffectiveReason | string |
None. |
|
| IsDisabled | boolean |
None. |
|
| PCPName | string |
None. |
|
| PCPNumber | string |
None. |
|
| CarrierAccountID_2300REF01_IL | string |
None. |
|
| Carrier | string |
None. |
|
| CreatedDate | date |
None. |
|
| UpdatedDate | date |
None. |
|
| CarrierGroupID_2300REF01_E8 | string |
None. |
|
| IsAncillary | boolean |
None. |
|
| DependentBenefitQuantity_LC05 | integer |
None. |
|
| BenefitAmount_AMT02 | decimal number |
None. |
|
| OriginalBenefitAmount_AMT02 | decimal number |
None. |
|
| MedicareAEffectiveDate | date |
None. |
|
| MedicareEligibilityReasonCode_INS06_2_2 | string |
None. |
|
| MedicareEligibilityReasonCode_INS06_2_3 | string |
None. |
|
| BenefitEndDate_DTP03 | date |
None. |
|
| SSNofCOBPerson_2320REF02 | string |
None. |
|
| OtherCOBNumber | string |
None. |
|
| PriorCOMNumber | string |
None. |
|
| PCPRelationshipCode | boolean |
None. |
|
| COBEffectiveDate | date |
None. |
|
| COBTerminateDate | date |
None. |
|
| CreatedBy | string |
None. |
|
| UpdatedBy | string |
None. |
|
| _EDI_Incoming834_Beneficiary | Collection of _EDI_Incoming834_Beneficiary |
None. |