UNKNOW Unknown / not specified Report the Member-identified secondary Lookup ethnicity from either the External Code Table - Source or here, whichever provides the OR - best detail as obtained from the Member External Member's / Subscriber. The value “UNKNOW” ME 26 Ethnicity 2 11/8/12 Code Source char[6] Secondary All 2% C should be used ONLY when the Code 17 - Ethnicity Ethnicity Member answers unknown, or refuses Source to answer. Do not report any value here 17 - if data has not been collected. Report Text only collected data. Code Description AMERCN American BRAZIL Brazilian CVERDN Cape Verdean Caribbean Island (see CDC Code CARIBI PORTUG Portuguese RUSSIA Russian EASTEU Eastern European Other Ethnicity UNKNOW Unknown / not specified . Do not populate with any data. ME 27 Filler 2/2017 Text Filler char[0] Filler All 100% C Required to be NULL 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
UNKNOW Unknown / not specified ME 26 Ethnicity 2 11/8/12 Lookup Table - OR - Code Source 17 - Text External Code Source 17 - Ethnicity char[6] Member's Secondary Ethnicity Report the Member-identified secondary ethnicity from either the External Code Source or here, whichever provides the best detail as obtained from the Member / Subscriber. The value “UNKNOW” should be used ONLY when the Member answers unknown, or refuses to answer. Do not report any value here if data has not been collected. Report only collected data. All 2% C Code Description AMERCN American BRAZIL Brazilian CVERDN Cape Verdean CARIBI Caribbean Island (see CDC Code PORTUG Portuguese RUSSIA Russian EASTEU Eastern European Other Ethnicity UNKNOW Unknown / not specified ME 27 Filler 2/2017 Text Filler char[0] Filler . Do not populate with any data. Required to be NULL All 100% 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
v6-apcd-member-eligibility-file-submission-guide-FINAL.docx