CVERDN Cape Verdean Caribbean Island (see CDC Code CARIBI PORTUG Portuguese RUSSIA Russian EASTEU Eastern European OTHER Ethnicity UNKNOW Unknown / not specified Report the member's self-disclosed Required Member's Other Free Text ethnicity when ME025 or ME026 is when ME025 ME 27 6/24/10 Text varchar[20] Other 99% C Ethnicity Field entered as OTHER; if not applicable, or MC026 = Ethnicity do not report any value here OTHER Report the value that defines the Indicator - element. EXAMPLE: 1 = Yes, Primary Lookup Primary Insurance is Primary (Products, Plans or ME 28 Insurance 11/8/12 Table - int[1] All 100% A0 Insurance Benefits that only cover Copays, Indicator Integer Coverage Coinsurance and Deductibles [Gap Coverage] will answer 2 = No here). Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable Report the code that defines the type of Lookup Type of Coverage insurance policy by the enrollee is ME 29 11/8/12 Table - char[3] Coverage All 98% A0 Type covered. EXAMPLE: UND = Plan Text Code underwritten by the insurer Code Description Self-funded that are administered by a third-party administrator, where the ASW employer has purchased stop-loss, or group excess, insurance coverage Self-funded plans that are administered by a third-party administrator, where the ASO employer has not purchased stop-loss, or group excess, insurance coverage
CVERDN Cape Verdean CARIBI Caribbean Island (see CDC Code PORTUG Portuguese RUSSIA Russian EASTEU Eastern European OTHER Ethnicity UNKNOW Unknown / not specified ME 27 Other Ethnicity 6/24/10 Text Free Text Field varchar[20] Member's Other Ethnicity Report the member's self-disclosed ethnicity when ME025 or ME026 is entered as OTHER; if not applicable, do not report any value here Required when ME025 or MC026 = OTHER 99% C ME 28 Primary Insurance Indicator 11/8/12 Lookup Table - Integer int[1] Indicator - Primary Insurance Coverage Report the value that defines the element. EXAMPLE: 1 = Yes, Insurance is Primary (Products, Plans or Benefits that only cover Copays, Coinsurance and Deductibles [Gap Coverage] will answer 2 = No here). All 100% A0 Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable ME 29 Coverage Type 11/8/12 Lookup Table - Text char[3] Type of Coverage Code Report the code that defines the type of insurance policy by the enrollee is covered. EXAMPLE: UND = Plan underwritten by the insurer All 98% A0 Code Description ASW Self-funded that are administered by a third-party administrator, where the employer has purchased stop-loss, or group excess, insurance coverage ASO Self-funded plans that are administered by a third-party administrator, where the employer has not purchased stop-loss, or group excess, insurance coverage