Parent File | Name | Number | Package |
---|---|---|---|
COVERAGE TYPE(#9999999.65) | CO-PAY/DED RATES | 9999999.6519 | Utility Tables |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | START DATE | 0;1 | DATE | ************************REQUIRED FIELD************************
|
.02 | OP CO-PAY | 0;2 | NUMBER |
|
.03 | OP CO-INSURANCE | 0;3 | NUMBER |
|
.04 | ER CO-PAY | 0;4 | NUMBER |
|
.05 | DAY SURGERY CO-PAY | 0;5 | NUMBER |
|
.06 | DAY SURGERY CO-INSURANCE | 0;6 | NUMBER |
|
.07 | IP CO-PAY | 0;7 | NUMBER |
|
.08 | IP CO-INSURANCE | 0;8 | NUMBER |
|
.09 | DENTAL CO-INSURANCE | 0;9 | NUMBER |
|
.11 | MENTAL HEALTH DEDUCTIBLE | 0;10 | NUMBER |
|
.12 | DEDUCTIBLE/FAMILY | 0;11 | NUMBER |
|
.13 | DEDUCTIBLE/INDIVIDUAL | 0;12 | NUMBER |
|
.14 | DEDUCTIBLE/OUT-OF-POCKET | 0;13 | NUMBER |
|
.15 | MCR PART A IP DED | 0;14 | NUMBER |
|
.16 | MCR PART A CO-INS(61-90) | 0;15 | NUMBER |
|
.17 | MCR PART A LIFETIME RES | 0;16 | NUMBER |
|
.18 | MCR PART A SNF CO-INS | 0;17 | NUMBER |
|
.19 | MCR PART A MEDICARE DAYS | 0;18 | NUMBER |
|
.21 | MCR PART B DED | 0;19 | NUMBER |
|
.22 | MCR PART B CO-INS | 0;20 | NUMBER |
|