Member Suffix or Contract Report the unique number / identifier of the DC 10 6/24/10 Text ID Sequence varchar[20] All 98% B Sequence member / patient within the contract Number Number Report the patient's social security number here; used to validate Unique Member ID; Member Social DC 11 11/8/12 Numeric ID Tax char[9] will not be passed into analytic file. Do not All 70% B SSN Security use hyphen. If not available do not report Number any value here Patient to Individual Lookup Report the value that defines the Patient's Subscriber DC 12 6/24/10 Table varchar[2] relationship to the Subscriber. EXAMPLE: All 98% B Relationship Code Numeric 20 = Self / Employee Code Value Description 1 Spouse 4 Grandfather or Grandmother 5 Grandson or Granddaughter 7 Nephew or Niece 10 Foster 15 Ward 17 Stepson or Stepdaughter 19 Child 20 Self/Employee 21 Unknown 22 Handicapped Dependent 23 Sponsored Dependent 24 Dependent of a Minor Dependent 29 Significant Other 32 Mother 33 Father
DC 10 Member Suffix or Number 6/24/10 Text ID Sequence varchar[20] Contract Sequence Number Report the unique number / identifier of the member / patient within the contract All 98% B DC 11 Member SSN 11/8/12 Numeric ID Tax char[9] Social Security Number Report the patient's social security number here; used to validate Unique Member ID; will not be passed into analytic file. Do not use hyphen. If not available do not report any value here All 70% B DC 12 Individual Code 6/24/10 Lookup Table Numeric varchar[2] Patient to Subscriber Relationship Code Report the value that defines the Patient's relationship to the Subscriber. EXAMPLE: 20 = Self / Employee All 98% B Value Description 1 Spouse 4 Grandfather or Grandmother 5 Grandson or Granddaughter 7 Nephew or Niece 10 Foster 15 Ward 17 Stepson or Stepdaughter 19 Child 20 Self/Employee 21 Unknown 22 Handicapped Dependent 23 Sponsored Dependent 24 Dependent of a Minor Dependent 29 Significant Other 32 Mother 33 Father