up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 Report the amount to-date the member / subscriber has incurred towards maximum deductible. Report 0 if no Member Member deductible has been incurred. Do not Required deductible ME 50 Deductible 11/8/12 Integer Currency varchar[10] code decimal or up / down to whole when > 100% A2 amount Used dollars, code zero cents (00) when 0 incurred applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 Behavioral Report the value that defines the Lookup Indicator - Health element. EXAMPLE: 1 = Yes, ME 51 11/8/12 Table - int[1] Behavioral All 100% A2 Benefit Behavioral/Mental Health is a covered Integer Health Option Flag benefit. Value Description 1 Yes 2 No 3 Unknown 4 5 Not Applicable Laboratory Lookup Indicator - Report the value that defines the ME 52 Benefit 11/8/12 - int[1] Laboratory element. EXAMPLE: 1 = Yes, Lab is All 100% A2 Flag Integer Option covered benefit. Value Description 1 Yes 2 No 3 Unknown 4 Other
up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 ME 50 Member Deductible Used 11/8/12 Integer Currency varchar[10] Member deductible amount incurred Report the amount to-date the member / subscriber has incurred towards maximum deductible. Report 0 if no deductible has been incurred. Do not code decimal or up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 Required when > 0 100% A2 ME 51 Behavioral Health Benefit Flag 11/8/12 Lookup Table - Integer int[1] Indicator - Behavioral Health Option Report the value that defines the element. EXAMPLE: 1 = Yes, Behavioral/Mental Health is a covered benefit. All 100% A2 Value Description 1 Yes 2 No 3 Unknown 4 5 Not Applicable ME 52 Laboratory Benefit Flag 11/8/12 Lookup - Integer int[1] Indicator - Laboratory Option Report the value that defines the element. EXAMPLE: 1 = Yes, Lab is covered benefit. All 100% A2 Value Description 1 Yes 2 No 3 Unknown 4 Other
v6-apcd-member-eligibility-file-submission-guide-Redline-.docx