External Member Report the standard code that describes Members Code Code Source Standard the industry of the subscriber / member. ME 77 NAICS 11/8/12 Source 6 - Standard varchar[6] All 2% C NAICS or SIC This can be from either the NAICS Code 6 - Industry Code list or the SIC 4-digit list Class Report the 5 Zip Code of the Employer External Employer of the Subscriber/Member as Code Zip code of ME 78 Zip Code 11/8/12 Code Source char[5] defined by the United States Postal All 90% A2 Source the Employer (Situs) 2 - Zip Codes Service. Required for GIC and Division 2 - of Insurance Reporting. (Situs) Text Report the previous MassHealth Recipient identification number here. This Required ID element is for MassHealth or Medicaid ME 79 Number 11/8/12 Text varchar[15] when ME134 98% B MassHealth MCOs only and should only be Member ID = 4 populated when reporting older lines of only) eligibility Recipient Report the permanent MassHealth Historical identification number here. This element Required ID ME 80 Number 6/24/10 Text varchar[15] is for MassHealth or Medicaid MCOs when ME134 98% B MassHealth Member ID only and should only be populated when = 4 only) reporting older lines of eligibility. Report the value that defines if and what Lookup Medicare Medicare type of Medicare coverage that applies ME 81 11/8/12 Table - int[1] Plan Indicator All 100% B Code to this line of eligibility. EXAMPLE: 1 = Integer Code Part A Only Value Description 1 Part A Only 2 Part B Only 3 Part A and B 4 Part C Only 5 Advantage 6 Part D Only 9 Not Applicable 0 No Medicare Coverage Member's Report the name of the subscriber's / Required Employer Name ME 82 11/8/12 Text varchar[60] Employer member's employer at time of when = 90% B Name Employer Name enrollment. A or P
ME 77 Members NAICS Code 11/8/12 Code Source 6 - External Code Source 6 - Standard Industry Class varchar[6] Member Standard NAICS or SIC Code Report the standard code that describes the industry of the subscriber / member. This can be from either the NAICS list or the SIC 4-digit list All 2% C ME 78 Employer Zip Code (Situs) 11/8/12 Code Source 2 - Text External Code Source 2 - Zip Codes char[5] Zip code of the Employer Report the 5 Zip Code of the Employer of the Subscriber/Member as defined by the United States Postal Service. Required for GIC and Division of Insurance Reporting. (Situs) All 90% A2 ME 79 Recipient Number only) 11/8/12 Text ID MassHealth varchar[15] Member ID Report the previous MassHealth identification number here. This element is for MassHealth or Medicaid MCOs only and should only be populated when reporting older lines of eligibility Required when ME134 = 4 98% B ME 80 Recipient Historical Number only) 6/24/10 Text ID MassHealth varchar[15] Member ID Report the permanent MassHealth identification number here. This element is for MassHealth or Medicaid MCOs only and should only be populated when reporting older lines of eligibility. Required when ME134 = 4 98% B ME 81 Medicare Code 11/8/12 Lookup Table - Integer int[1] Medicare Plan Indicator Code Report the value that defines if and what type of Medicare coverage that applies to this line of eligibility. EXAMPLE: 1 = Part A Only All 100% B Value Description 1 Part A Only 2 Part B Only 3 Part A and B 4 Part C Only 5 Advantage 6 Part D Only 9 Not Applicable 0 No Medicare Coverage ME 82 Employer Name 11/8/12 Text Name Employer varchar[60] Member's Employer Name Report the name of the subscriber's / member's employer at time of enrollment. Required when = A or P 90% B
v6-apcd-member-eligibility-file-submission-guide-Redline-.docx