20 Self/Employee 21 Unknown 22 Handicapped Dependent 23 Sponsored Dependent 24 Dependent of a Dependent 29 Significant Other 32 Mother 33 Father 36 Emancipated Minor 39 Organ Donor 40 Cadaver Donor 41 Injured Plaintiff Child Where Insured Has No 43 Financial Responsibility 53 Life Partner 76 Dependent Report patient gender as found on Lookup the claim in alpha format. Used to Member MC 13 6/24/10 tlkpGender char[1] Patient's Gender validate clinical services when All 98% B Gender Text applicable and Unique Member ID. EXAMPLE: F = Female Code Description F Female M Male O Other U Unknown Member Century Year Report the date the member / patient Full Date Member/Patient's MC 14 Date of 6/24/10 Day - int[8] was born in CCYYMMDD Format. All 98% B - Integer date of birth Birth CCYYMMDD Used to validate Unique Member ID.
20 Self/Employee 21 Unknown 22 Handicapped Dependent 23 Sponsored Dependent 24 Dependent of a Dependent 29 Significant Other 32 Mother 33 Father 36 Emancipated Minor 39 Organ Donor 40 Cadaver Donor 41 Injured Plaintiff 43 Child Where Insured Has No Financial Responsibility 53 Life Partner 76 Dependent MC 13 Member Gender 6/24/10 Lookup Text tlkpGender char[1] Patient's Gender Report patient gender as found on the claim in alpha format. Used to validate clinical services when applicable and Unique Member ID. EXAMPLE: F = Female All 98% B Code Description F Female M Male O Other U Unknown MC 14 Member Date of Birth 6/24/10 Full Date - Integer Century Year Day - CCYYMMDD int[8] Member/Patient's date of birth Report the date the member / patient was born in CCYYMMDD Format. Used to validate Unique Member ID. All 98% B
v3-1-apcd-medical-claim-file-submission-guide-2013-06.docx