| FileMan FileNo | FileMan Filename | Package | 
|---|---|---|
| 9009062.01 | AG ELIGIBILITY UPLOAD TEMPLATE | IHS Patient Registration | 
| Package | Total | Routines | 
|---|---|---|
| IHS Patient Registration | 3 | AGELUP1 AGELUPR AGELUPUT | 
| Package | Total | Routines | 
|---|---|---|
| IHS Patient Registration | 2 | AGELUPR AGELUPUT | 
| Package | Total | FileMan Files | 
|---|---|---|
| IHS Patient Registration | 1 | AG ELIGIBILITY UPLOAD LOG(#9009062.02)[.02] | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | NAME | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************ 
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| .02 | TYPE | 0;2 | SET | 
 
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| .03 | FIXED/VARIABLE | 0;3 | SET | 
 
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| .04 | DELIMETER | 0;4 | FREE TEXT | 
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| .05 | DATE FORMAT | 0;5 | SET | 
 
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| .06 | AUTO/INTERACTIVE | 0;6 | SET | ************************REQUIRED FIELD************************ 
 
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| .07 | INACTIVATION DATE | 0;7 | DATE | 
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| .11 | LAST NAME START | 1;1 | NUMBER | 
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| .12 | LAST NAME END | 1;2 | NUMBER | 
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| .13 | FIRST NAME START | 1;3 | NUMBER | 
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| .14 | FIRST NAME END | 1;4 | NUMBER | 
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| .15 | MIDDLE INITIAL | 1;5 | NUMBER | 
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| .16 | POLICY NUMBER START | 1;6 | NUMBER | 
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| .17 | POLICY NUMBER END | 1;7 | NUMBER | 
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| .175 | POLICY NBR PREFIX/SUFFIX START | 1;10 | NUMBER | 
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| .177 | POLICY NBR PREFIX/SUFFIX END | 1;11 | NUMBER | 
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| .18 | SSN START | 1;8 | NUMBER | 
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| .19 | SSN END | 1;9 | NUMBER | 
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| .195 | SEX START | 1;12 | NUMBER | 
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| .21 | M/M DOB START | 2;1 | NUMBER | 
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| .22 | M/M DOB END | 2;2 | NUMBER | 
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| .295 | MEDICAID STATE | 2;10 | FREE TEXT | 
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| .31 | PROCESS ONLY START | 3;1 | NUMBER | 
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| .32 | PROCESS ONLY END | 3;2 | NUMBER | 
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| .33 | PROCESS ONLY VALUE | 3;3 | FREE TEXT | 
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| .34 | HRN START | 3;4 | NUMBER | 
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| .35 | HRN END | 3;5 | NUMBER | 
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| .36 | ASUFAC START | 3;6 | NUMBER | 
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| .37 | ASUFAC END | 3;7 | NUMBER | 
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| .41 | ELIG 1 START | 4;1 | NUMBER | 
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| .42 | ELIG 1 END | 4;2 | NUMBER | 
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| .43 | ELIG 1 TYPE | 4;3 | FREE TEXT | 
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| .44 | ELIG 2 START | 4;4 | NUMBER | 
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| .45 | ELIG 2 END | 4;5 | NUMBER | 
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| .46 | ELIG 2 TYPE | 4;6 | FREE TEXT | 
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| .47 | ELIG 3 START | 4;7 | NUMBER | 
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| .48 | ELIG 3 END | 4;8 | NUMBER | 
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| .49 | ELIG 3 TYPE | 4;9 | FREE TEXT | 
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| .51 | ELIG 4 START | 5;1 | NUMBER | 
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| .52 | ELIG 4 END | 5;2 | NUMBER | 
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| .53 | ELIG 4 TYPE | 5;3 | FREE TEXT | 
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| .54 | ELIG 5 START | 5;4 | NUMBER | 
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| .55 | ELIG 5 END | 5;5 | NUMBER | 
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| .56 | ELIG 5 TYPE | 5;6 | FREE TEXT | 
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| .57 | ELIG 6 START | 5;7 | NUMBER | 
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| .58 | ELIG 6 END | 5;8 | NUMBER | 
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| .59 | ELIG 6 TYPE | 5;9 | FREE TEXT | 
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| .61 | ELIG 7 START | 6;1 | NUMBER | 
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| .62 | ELIG 7 END | 6;2 | NUMBER | 
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| .63 | ELIG 7 TYPE | 6;3 | FREE TEXT | 
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| .64 | ELIG 8 START | 6;4 | NUMBER | 
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| .65 | ELIG 8 END | 6;5 | NUMBER | 
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| .66 | ELIG 8 TYPE | 6;6 | FREE TEXT | 
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| .67 | ELIG 9 START | 6;7 | NUMBER | 
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| .68 | ELIG 9 END | 6;8 | NUMBER | 
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| .69 | ELIG 9 TYPE | 6;9 | FREE TEXT | 
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| .71 | MAIL ADDRESS LINE 1 START | 7;1 | NUMBER | 
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| .72 | MAIL ADDRESS LINE 1 END | 7;2 | NUMBER | 
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| .73 | MAIL ADDRESS LINE 2 START | 7;3 | NUMBER | 
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| .74 | MAIL ADDRESS LINE 2 END | 7;4 | NUMBER | 
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| .75 | MAIL ADDRESS CITY START | 7;5 | NUMBER | 
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| .76 | MAIL ADDRESS CITY END | 7;6 | NUMBER | 
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| .77 | MAIL ADDRESS STATE START | 7;7 | NUMBER | 
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| .78 | MAIL ADDRESS STATE END | 7;8 | NUMBER | 
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| .79 | MAIL ADDRESS ZIP BEGIN | 7;9 | NUMBER | 
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| .81 | MAIL ADDRESS ZIP END | 7;11 | NUMBER | 
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| .82 | ELIG 13 END | 8;2 | NUMBER | 
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| .83 | ELIG 13 TYPE | 8;3 | FREE TEXT | 
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| .84 | ELIG 14 START | 8;4 | NUMBER | 
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| .85 | ELIG 14 END | 8;5 | NUMBER | 
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| .86 | ELIG 14 TYPE | 8;6 | FREE TEXT | 
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| .87 | ELIG 15 START | 8;7 | NUMBER | 
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| .88 | ELIG 15 END | 8;8 | NUMBER | 
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| .89 | ELIG 15 TYPE | 8;9 | FREE TEXT | 
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| .91 | ELIG 16 START | 9;1 | NUMBER | 
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| .92 | ELIG 16 END | 9;2 | NUMBER | 
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| .93 | ELIG 16 TYPE | 9;3 | FREE TEXT | 
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| .94 | ELIG 17 START | 9;4 | NUMBER | 
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| .95 | ELIG 17 END | 9;5 | NUMBER | 
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| .96 | ELIG 17 TYPE | 9;6 | FREE TEXT | 
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| .97 | ELIG 18 START | 9;7 | NUMBER | 
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| .98 | ELIG 18 END | 9;8 | NUMBER | 
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| .99 | ELIG 18 TYPE | 9;9 | FREE TEXT | 
 | 
| 4 | ELIGIBILITY DATES | 4;0 | Multiple #9009062.014 | 9009062.014 | 
| 1101 | MATCHING - SSN | 11;1 | SET | 
 
 | 
| 1102 | MATCHING - NAME | 11;2 | SET | 
 
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| 1103 | MATCHING - DOB | 11;3 | SET | 
 
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| 1104 | MATCHING - GENDER | 11;4 | SET | 
 
 | 
| 1105 | MATCHING - ZIP | 11;5 | SET | 
 
 |