23 Sponsored Dependent 24 Dependent of a Minor Dependent 29 Significant 32 Mother 33 Father 34 Other Adult 36 Emancipated Minor 39 Organ Donor 40 Cadaver Child Where Insured Has No Financial 43 Responsibility 53 Life Partner 76 Dependent Report member gender as reported on Lookup Member Member's enrollment form in alpha format. Used ME 13 6/24/10 Table - tlkpGender char[1] All 100% A0 Gender Gender to create Unique Member ID. Text EXAMPLE: F = Female Code Description F Female M Male O Other U Unknown Report the date the member was born in Member Full Century Year CCYYMMDD Format. Used to create Member's ME 14 Date of 2/2017 Date - Month Day - int[8] Unique Member ID. (Will be hashed All 99% A0 date of Birth Integer CCYYMMDD to submission via CHIA’s FileSecure application.) . Do not populate with any data. ME 15 Filler 2/2017 Text Filler char[0] Filler All 100% A0 Required to be NULL Address Report the of the member’s State / Member External residence as defined by the US Postal ME 16 char[2] Province of All 99% A0 State Code Code Source Service. Report Province when Country the Member Source 2 - States Code does not = USA.
23 Sponsored Dependent 24 Dependent of a Minor Dependent 29 Significant 32 Mother 33 Father 34 Other Adult 36 Emancipated Minor 39 Organ Donor 40 Cadaver 43 Child Where Insured Has No Financial Responsibility 53 Life Partner 76 Dependent ME 13 Member Gender 6/24/10 Lookup Table - Text tlkpGender char[1] Member's Gender Report member gender as reported on enrollment form in alpha format. Used to create Unique Member ID. EXAMPLE: F = Female All 100% A0 Code Description F Female M Male O Other U Unknown ME 14 Member Date of Birth 2/2017 Full Date - Integer Century Year Month Day - CCYYMMDD int[8] Member's date of Report the date the member was born in CCYYMMDD Format. Used to create Unique Member ID. (Will be hashed to submission via CHIA’s FileSecure application.) All 99% A0 ME 15 Filler 2/2017 Text Filler char[0] Filler . Do not populate with any data. Required to be NULL All 100% A0 ME 16 Member State Code Source Address External Code Source 2 - States char[2] State / Province of the Member Report the of the member’s residence as defined by the US Postal Service. Report Province when Country Code does not = USA. All 99% A0
v6-apcd-member-eligibility-file-submission-guide-FINAL.docx