Report the year for which eligibility is Date Eligibility year reported in this submission in CCYY Period Century Year reported in format. If reporting previous year's ME 4 Year 6/24/10 int[4] All 100% A0 - - CCYY this data, the year reported here will not Integer submission. match current year. Do not report a future year here. Date Report the month for which eligibility is Period Reporting reported in this submission in MM ME 5 Month 6/24/10 - - MM char[2] Month of Format. Leading zero is required for All 100% A0 Eligibility reporting January through September files. Insured Report the number that defines the or Group / Policy insured or policy. Do not report the ME 6 6/24/10 Text ID varchar[30] All 99% A2 Policy Number number that uniquely identifies the Number subscriber or member. Lookup Benefit Coverage Report the code that defines the ME 7 11/8/12 Table - char[3] Coverage All 99% A1 Level Code dependent coverage Text Level Code Code Description CHD Children Only DEP Dependents Only ECH Employee and Children ELF Employee and Life Partner EMP Employee Only ESP Employee and Spouse FAM Family IND Individual SPC Spouse and Children SPO Spouse Only UNK Unknown Report the Subscriber's SSN here; used to create Unique Member ID; will not be Subscriber's passed into analytic file. Do not use Subscriber Social ME 8 2/2017 ID Tax char[9] hyphen. If not available do not report All 85% A0 SSN Security any here. (Will be hashed prior to Number submission via CHIA’s FileSecure application.)
ME 4 Year 6/24/10 Date Period - Integer Century Year - CCYY int[4] Eligibility year reported in this submission. Report the year for which eligibility is reported in this submission in CCYY format. If reporting previous year's data, the year reported here will not match current year. Do not report a future year here. All 100% A0 ME 5 Month 6/24/10 Date Period - - MM char[2] Reporting Month of Eligibility Report the month for which eligibility is reported in this submission in MM Format. Leading zero is required for reporting January through September files. All 100% A0 ME 6 Insured or Policy Number 6/24/10 Text ID varchar[30] Group / Policy Number Report the number that defines the insured or policy. Do not report the number that uniquely identifies the subscriber or member. All 99% A2 ME 7 Coverage Level Code 11/8/12 Lookup Table - Text char[3] Benefit Coverage Level Code Report the code that defines the dependent coverage All 99% A1 Code Description CHD Children Only DEP Dependents Only ECH Employee and Children ELF Employee and Life Partner EMP Employee Only ESP Employee and Spouse FAM Family IND Individual SPC Spouse and Children SPO Spouse Only UNK Unknown ME 8 Subscriber SSN 2/2017 ID Tax char[9] Subscriber's Social Security Number Report the Subscriber's SSN here; used to create Unique Member ID; will not be passed into analytic file. Do not use hyphen. If not available do not report any here. (Will be hashed prior to submission via CHIA’s FileSecure application.) All 85% A0
v6-apcd-member-eligibility-file-submission-guide-FINAL.docx