| Parent File | Name | Number | Package | 
|---|---|---|---|
| MEDICARE ELIGIBLE(#9000003) | ELIGIBILITY | 9000003.11 | IHS Patient | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | ELIG. DATE | 0;1 | DATE | 
 | 
| .02 | ELIG. END DATE | 0;2 | DATE | 
 | 
| .03 | COVERAGE TYPE | 0;3 | SET | ************************REQUIRED FIELD************************ 
 
 | 
| .04 | PLAN NAME | 0;4 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18) 
 | 
| .05 | MEDICARE NAME | 0;5 | FREE TEXT | 
 | 
| .06 | ID Number | 0;6 | FREE TEXT | 
 | 
| .07 | PERSON CODE | 0;7 | FREE TEXT | 
 | 
| .08 | GENDER | 0;8 | SET | 
 
 | 
| .09 | DATE OF BIRTH | 0;9 | DATE | 
 | 
| .11 | GROUP NAME | 0;11 | POINTER TO EMPLOYER GROUP INSURANCE FILE (#9999999.77) | EMPLOYER GROUP INSURANCE(#9999999.77) 
 |