| Parent File | Name | Number | Package |
|---|---|---|---|
| AGEV INSURANCE ELIGIBILITY HOLDING(#9009066) | DEPENDENT LEVEL ELG/BEN INFO | 9009066.031 | IHS Patient Registration |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | DEPENDENT LEVEL ELG/BEN INFO | 0;1 | POINTER TO AGEV ELIGIBILITY INFORMATION TABLE FILE (#9009066.2) | AGEV ELIGIBILITY INFORMATION TABLE(#9009066.2)
|
| .02 | SERVICE TYPE CODE | 0;2 | POINTER TO AGEV SERVICE TYPE TABLE FILE (#9009066.3) | AGEV SERVICE TYPE TABLE(#9009066.3)
|
| .03 | INSURANCE TYPE CODE | 0;3 | POINTER TO AGEV INSURANCE TYPE TABLE FILE (#9009066.4) | AGEV INSURANCE TYPE TABLE(#9009066.4)
|
| 1 | ELG/BEN REQUEST VALIDATION | AAA;0 | POINTER Multiple #9009066.311 | 9009066.311 |
| 2 | ELG/BEN MESSAGE TEXT | MSG;0 | Multiple #9009066.312 | 9009066.312 |
| 3 | ELG/BEN DATE QUAL CODE | DTP;0 | POINTER Multiple #9009066.313 | 9009066.313 |
| 4 | REF ID CODE | REF;0 | POINTER Multiple #9009066.314 | 9009066.314
|