| Name |
Position |
Label |
Category |
| ADALLO
| 1237 |
ALC/DRUG INPAT DETOX ALL LIMIT:ALL |
Insurance |
| ADCOIN
| 1294 |
ALC/DRUG INPAT DETOX TYPE COINS |
Insurance |
| ADCOINI
| 1255 |
ALC/DRUG INPAT DETOX INTRN LIMIT:COINS |
Insurance |
| ADCOINO
| 1243 |
ALC/DRG INPAT DETOX ALL LIMT:COINS/COPAY |
Insurance |
| ADCOINP
| 1297 |
ALC/DRUG INPAT DETOX % COINS |
Insurance |
| ADCOVI
| 774 |
BNFT CVRG FOR ALC/DRUG INPAT DETOX-IN |
Insurance |
| ADCOVO
| 807 |
BNFT CVRG FOR ALC/DRUG INPAT DETOX-OUT |
Insurance |
| ADDECYD
| 1285 |
A/D INP DETOX TYP DED:AMNT DED/CONFIN/YR |
Insurance |
| ADDEDCY
| 1270 |
ALC/DRUG INPAT DETOX TYPE DED:/CONFIN/YR |
Insurance |
| ADDEDDF
| 1273 |
ALC/DRUG INPAT DETOX TYPE DED:/DAY FIX |
Insurance |
| ADDEDDV
| 1276 |
ALC/DRUG INPAT DETOX TYPE DED:/DAY VARY |
Insurance |
| ADDEDDY
| 1279 |
A/DRG INP DETOX TYP DED:# DAYS/CONFIN/YR |
Insurance |
| ADDEDFD
| 1288 |
A/D INP DETOX DED:AMT DED/DAY FIX|VARY |
Insurance |
| ADDEDI
| 1252 |
ALC/DRUG INPAT DETOX INTRN LIMIT:DEDUCT |
Insurance |
| ADDEDNS
| 1282 |
ALC/DRUG INATP DETOX TYP DED:NOT SPECFD |
Insurance |
| ADDEDO
| 1240 |
ALC/DRUG INPAT DETOX ALL LIMIT:DEDUCT |
Insurance |
| ADDEDYN
| 1291 |
A/D INP DETOX TYP DED:# DAYS/CONFIN/YR |
Insurance |
| ADMAXCYN
| 1303 |
A/D INP DETOX DAY MAX:MAX #DYS/CONFIN/YR |
Insurance |
| ADMAXDI
| 1264 |
ALC/DRUG INPAT DETOX INTRN LIMIT:$ MAX |
Insurance |
| ADMAXNI
| 1261 |
ALC/DRUG INPAT DETOX INTRN LIMIT:DAY MAX |
Insurance |
| ADMAXO
| 1249 |
ALC/DRUG INPAT DETOX ALL LIMIT:PLAN MAX |
Insurance |
| ADMDMX
| 819 |
$ LIFE MAX FOR MNTL HLTH,ALCOHOL/DRUGS |
Insurance |
| ADMDMXAD
| 839 |
ALC/DRUG INPAT DETOX APPLIES $ LIFE MAX |
Insurance |
| ADMDMXAL
| 830 |
ALL MH,ALCOHOL/DRUGS APPLY 2 $ LIFE MAX |
Insurance |
| ADMDMXAO
| 845 |
ALC/DRUG OUTP REHAB APPLIES $ LIFE MAX |
Insurance |
| ADMDMXAR
| 842 |
ALC/DRUG INPAT REHAB APPLIES $ LIFE MAX |
Insurance |
| ADMDMXD
| 822 |
AMNT $ LIFE MAX-MNTL HLTH,ALCOHOL/DRUGS |
Insurance |
| ADMDMXMI
| 833 |
MNTL HLTH INPAT APPLIES $ LIFE MAX |
Insurance |
| ADMDMXMO
| 836 |
MNTL HLTH OUTPAT APPLIES $ LIFE MAX |
Insurance |
| ADMVMX
| 848 |
DAY/VISIT LIFE MAXS 4 MH,ALCOHOL/DRUGS |
Insurance |
| ADMVMXAD
| 860 |
ALC/DRUG INPAT DETOX-DAY/VISIT LIFE MAX |
Insurance |
| ADMVMXAL
| 851 |
ALL MH,ALCOHOL,DRUG-DAY/VST LIFE MAX |
Insurance |
| ADMVMXAO
| 866 |
ALC/DRUG OUTPAT REHAB-DAY/VISIT LIFE MAX |
Insurance |
| ADMVMXAR
| 863 |
ALC/DRUG INPAT REHAB-DAY/VISIT LIFE MAX |
Insurance |
| ADMVMXMI
| 854 |
MH INPAT APPLIES 2 DAY/VISIT LIFE MAX |
Insurance |
| ADMVMXMO
| 857 |
MH OUTPAT APPLIES 2 DAY/VST LIFE MAX |
Insurance |
| ADMXCY
| 1306 |
ALC/DRUG INPAT DETOX TYP $ MAX:/CONFN/YR |
Insurance |
| ADMXCYD
| 1315 |
A/D INPAT DETOX $ MAX:AMT $MAX/CONFIN/YR |
Insurance |
| ADMXDY
| 1309 |
ALC/DRUG INPAT DETOX TYPE $ MAX: /DAY |
Insurance |
| ADMXDYD
| 1323 |
A/D INPAT DETOX TYPE $ MAX:AMT $ MAX/DAY |
Insurance |
| ADMXNS
| 1312 |
ALC/DRUG INPAT DETOX TYPE $ MAX:NOT SPEC |
Insurance |
| ADOOPD
| 1300 |
ALC/DRUG INPAT DETOX AMNT OOP LIMIT |
Insurance |
| ADOOPI
| 1258 |
ALC/DRUG INPAT DETOX INTRN LIMT:OOP LIMT |
Insurance |
| ADOOPO
| 1246 |
ALC/DRUG INPAT DETOX ALL LIMIT:OOP LIMIT |
Insurance |
| ADOTHI
| 1267 |
ALC/DRUG INPAT DETOX INTRN LIMIT:OTHR |
Insurance |
| ADSAME
| 816 |
ALC/DRUG BNFTS SAME AS EACH OTHR |
Insurance |
| AGE1X
| 58 |
AGE-RD1 (EDITED / IMPUTED) |
Demographics |
| AOALLO
| 2010 |
ALC/DRUG OUTP REHAB ALL LIMT:ALL |
Insurance |
| AOCOIFI
| 2028 |
ALC/DRUG OUTP REHAB INTRN LIMT:COINS FIX |
Insurance |
| AOCOINO
| 2016 |
ALC/DRUG OUTP REHAB ALL LIMT:COINS/COPAY |
Insurance |
| AOCOINP
| 2055 |
ALC/DRUG OUTP REHAB:% COINS FIX|VARY |
Insurance |
| AOCOIVI
| 2031 |
ALC/DRUG OUTP REHAB INTRN LMT:COINS VARY |
Insurance |
| AOCOPD
| 2058 |
A/D OUTP REHAB:AMT COPAY/VST FIX|VARY |
Insurance |
| AOCOPFI
| 2034 |
A/D OUTP REHAB INTRN LMT:COPAY/VST FIX |
Insurance |
| AOCOPVI
| 2037 |
A/D OUTP REHAB INTRN LMT:COPAY/VST VARY |
Insurance |
| AOCOVI
| 780 |
BNFT CVRG FOR ALC/DRUG OUTPAT REHAB-IN |
Insurance |
| AOCOVO
| 813 |
BNFT CVRG FOR ALC/DRUG OUTPAT REHAB-OUT |
Insurance |
| AODEDD
| 2052 |
ALC/DRUG OUTP REHAB:AMNT DEDUCT/YR |
Insurance |
| AODEDI
| 2025 |
ALC/DRUG OUTP REHAB INTRN LIMT:DEDUCT/YR |
Insurance |
| AODEDO
| 2013 |
ALC/DRUG OUTP REHAB ALL LIMT:DEDUCT |
Insurance |
| AOMAXO
| 2022 |
ALC/DRUG OUTP REHAB ALL LIMIT:PLAN MAX |
Insurance |
| AOMXDVD
| 2064 |
ALC/DRUG OUTP REHAB:$ AMNT $ MAX /VST |
Insurance |
| AOMXDVI
| 2043 |
ALC/DRUG OUTP REHAB INTRN LMT:$ MAX/VST |
Insurance |
| AOMXNVI
| 2040 |
ALC/DRUG OUTP REHAB INTRN LMT:MAX #VISTS |
Insurance |
| AOMXNVN
| 2061 |
ALC/DRUG OUTP REHAB:# MAX # VISITS |
Insurance |
| AOMXYRD
| 2067 |
ALC/DRUG OUTP REHAB:$ AMNT $ MAX/YR |
Insurance |
| AOMXYRI
| 2046 |
A/DRUG OUTP REHAB INTRN LIMT:$ MAX/YR |
Insurance |
| AOOOPO
| 2019 |
ALC/DRUG OUTP REHAB ALL LIMT:OOP LIMIT |
Insurance |
| AOOTHI
| 2049 |
ALC/DRUG OUTP REHAB INTRN LIMT:OTHR |
Insurance |
| APEXPED
| 495 |
EXPEDITED PROCESS AVAILABLE-APPEAL |
Insurance |
| APINFO
| 489 |
INFO PROVIDED-WHERE TO SEND APPEAL |
Insurance |
| APPEAL
| 483 |
APPEAL PROCESS PROVIDED FOR 1ST LVL |
Insurance |
| APPEAL2L
| 486 |
2ND+ LEVEL(S) OF APPEAL PROVIDED IF |
Insurance |
| APTIME
| 492 |
TIME LIMITS SPECIFIED FOR THE APPEAL |
Insurance |
| ARALLO
| 1326 |
ALC/DRUG INPAT REHAB ALL LIMIT:ALL |
Insurance |
| ARCOIN
| 1383 |
ALC/DRUG INPAT REHAB TYPE COINS |
Insurance |
| ARCOINI
| 1344 |
ALC/DRUG INPAT REHAB INTRN LIMIT:COINS |
Insurance |
| ARCOINO
| 1332 |
ALC/DRUG INPAT REHB ALL LIMT:COINS/COPAY |
Insurance |
| ARCOINP
| 1386 |
ALC/DRUG INPAT REHAB % COINS |
Insurance |
| ARCOVI
| 777 |
BNFT CVRG FOR ALC/DRUG INPAT REHAB-IN |
Insurance |
| ARCOVO
| 810 |
BNFT CVRG FOR ALC/DRUG INPAT REHAB-OUT |
Insurance |
| ARDECYD
| 1374 |
A/D INPAT REHAB DED:AMT DED/CONFIN/YR |
Insurance |
| ARDEDCY
| 1359 |
ALC/DRUG INPAT REHAB TYPE DED:/CONFIN/YR |
Insurance |
| ARDEDDF
| 1362 |
ALC/DRUG INPAT REHAB TYPE DED:/DAY FIX |
Insurance |
| ARDEDDV
| 1365 |
ALC/DRUG INPAT REHAB TYPE DED:/DAY VARY |
Insurance |
| ARDEDDY
| 1368 |
A/D INPAT REHAB TYPE DED:#DAYS/CONFIN/YR |
Insurance |
| ARDEDFD
| 1377 |
A/D INP REHAB DED:AMNT DED/DAY FIX|VARY |
Insurance |
| ARDEDI
| 1341 |
ALC/DRUG INPAT REHAB INTRN LIMIT:DEDUCT |
Insurance |
| ARDEDNS
| 1371 |
ALC/DRUG INPAT REHAB TYPE DED:NOT SPEC |
Insurance |
| ARDEDO
| 1329 |
ALC/DRUG INPAT REHAB ALL LIMIT:DEDUCT |
Insurance |
| ARDEDYN
| 1380 |
A/D INPAT REHAB TYPE DED:#DAYS/CONFIN/YR |
Insurance |
| ARMAXCYN
| 1392 |
A/D INP REHB DAY MAX:MAX # DYS/CONFIN/YR |
Insurance |
| ARMAXDI
| 1353 |
ALC/DRUG INPAT REHAB INTRN LIMIT:$ MAX |
Insurance |
| ARMAXNI
| 1350 |
ALC/DRUG INPAT REHAB INTRN LIMIT:DAY MAX |
Insurance |
| ARMAXO
| 1338 |
ALC/DRUG INPAT REHAB ALL LIMIT:PLAN MAX |
Insurance |
| ARMXCY
| 1395 |
A/D INPAT REHAB TYPE $ MAX:/CONFIN/YR |
Insurance |
| ARMXCYD
| 1404 |
A/D INPT REHAB $ MAX:AMNT $MAX/CONFIN/YR |
Insurance |
| ARMXDY
| 1398 |
ALC/DRUG INPAT REHAB TYPE $ MAX:/DAY |
Insurance |
| ARMXDYD
| 1412 |
A/D INPAT REHAB TYPE $ MAX:AMNT $MAX/DAY |
Insurance |
| ARMXNS
| 1401 |
ALC/DRUG INPAT REHAB TYPE $ MAX:NOT SPEC |
Insurance |
| AROOPD
| 1389 |
ALC/DRUG INPAT REHAB AMNT OOP LIMIT: |
Insurance |
| AROOPI
| 1347 |
ALC/DRUG INPAT REHAB INTRN LIMT:OOP LIMT |
Insurance |
| AROOPO
| 1335 |
ALC/DRUG INPAT REHAB ALL LIMIT:OOP LIMIT |
Insurance |
| AROTHI
| 1356 |
ALC/DRUG INPAT REHAB INTRN LIMIT:OTHR |
Insurance |
| CCAUDIT
| 426 |
COST CONTAIN:PENLTY 4 ER OUT OF NET |
Insurance |
| CCNONE
| 411 |
COST CONTAIN: NONE |
Insurance |
| CCOTH
| 435 |
COST CONTAIN: OTHR |
Insurance |
| CCOUTSUR
| 432 |
COST CONTAIN: OUTPAT SURGRY INCENTV |
Insurance |
| CCPC
| 414 |
COST CONTAIN: PREADM CERTIFICATION |
Insurance |
| CCPCCOIN
| 447 |
PREADM CERT: COINS REDUCED |
Insurance |
| CCPCCOP
| 450 |
PREADM CERT: COPAY INCREASED |
Insurance |
| CCPCDED
| 444 |
PREADM CERT:DEDUCT IMPOSE/INCREASE |
Insurance |
| CCPCNOCV
| 441 |
PREADM CERT: NO CVRG PROVIDED |
Insurance |
| CCPCNOPN
| 438 |
PREADM CERT: NO PENALTY |
Insurance |
| CCPCNS
| 456 |
PREADM CERT: NOT SPECIFIED |
Insurance |
| CCPCOTH
| 453 |
PREADM CERT: OTHR |
Insurance |
| CCPRETST
| 417 |
COST CONTAIN: PREADMISSION TESTING |
Insurance |
| CCSS
| 429 |
COST CONTAIN: 2ND SURGICAL OPINION |
Insurance |
| CCSSCOIN
| 468 |
PNLTY NO 2ND SURG OPIN: COINS REDUCED |
Insurance |
| CCSSCOP
| 471 |
PNLTY NO 2ND SURG OPIN: COPAY INCREASED |
Insurance |
| CCSSDED
| 465 |
PNLTY NO 2ND SURG OPIN: DEDUCT |
Insurance |
| CCSSLOW
| 474 |
PNLTY NO 2ND SRG OPIN:LOWER SCHD PAYMNT |
Insurance |
| CCSSNOCV
| 462 |
PNLTY NO 2ND SURG OPIN:NO CVRG PROVD |
Insurance |
| CCSSNOPN
| 459 |
PNLTY NO 2ND SURG OPIN: NO PENALTY |
Insurance |
| CCSSNS
| 480 |
PNLTY NO 2ND SURG OPIN: NOT SPECFD |
Insurance |
| CCSSOTH
| 477 |
PNLTY NO 2ND SURG OPIN: OTHR |
Insurance |
| CCUTIL
| 420 |
COST CONTAIN: UTILIZATION|CONCUR REVU |
Insurance |
| CCWKEND
| 423 |
COST CONTAIN:NON-EMRG WEEKEND ADM |
Insurance |
| COICOPDI
| 572 |
AMT COPAY 4 COINS/COPAY:COPA FIX|VARY-IN |
Insurance |
| COICOPDO
| 581 |
AMT COPA 4 COINS/COPAY:COPA FIX|VARY-OUT |
Insurance |
| COICOPI
| 566 |
TYPE COINS/COPAY-IN |
Insurance |
| COICOPO
| 575 |
TYPE COINS/COPAY-OUT |
Insurance |
| COICOPPI
| 569 |
% COINS 4 COINS/COPAY:COINS FIX|VARY-IN |
Insurance |
| COICOPPO
| 578 |
% COINS 4 COINS/COPAY:COINS FIX|VARY-OUT |
Insurance |
| COVCOUNT
| 297 |
NUMBER OF POLICIES COVERING PERSON |
Insurance |
| DEDFDI
| 515 |
FAM DEDUCT:/YR|$ AMNT VARY BY ERNGS-IN |
Insurance |
| DEDFDO
| 546 |
FAMILY DEDUCT:/YR|$ AMT VARY-ERNGS-OUT |
Insurance |
| DEDFPCTI
| 529 |
FAM DEDUCT:PERCENT OF EARNINGS-IN |
Insurance |
| DEDFPCTO
| 560 |
FAMILY DEDUCT:PERCENT OF EARNINGS-OUT |
Insurance |
| DEDI
| 504 |
TYPE DEDUCT-IN |
Insurance |
| DEDIDI
| 507 |
INDIV DEDUCT:/YR|$ AMNT VARY BY ERNGS-IN |
Insurance |
| DEDIDO
| 538 |
INDIV DEDUCT:/YR|$ AMT VARY BY ERNGS-OUT |
Insurance |
| DEDINUMO
| 563 |
# INDIV FOR DEDUCT:% OF EARNINGS-OUT |
Insurance |
| DEDIPCTI
| 526 |
INDIV DEDUCT: PERCENT OF EARNINGS-IN |
Insurance |
| DEDIPCTO
| 557 |
INDIV DEDUCT:PERCENT OF EARNINGS-OUT |
Insurance |
| DEDNUMDI
| 523 |
# INDV 4 DEDUC:/YR|$ AMT VARY-ERNGS-IN |
Insurance |
| DEDNUMDO
| 554 |
# INDV 4 DEDUCT:/YR|$ AMT VARY-ERNGS-OUT |
Insurance |
| DEDNUMPI
| 532 |
# INDIV FOR DEDUCT:% OF EARNINGS-IN |
Insurance |
| DEDO
| 535 |
TYPE DEDUCT-OUT |
Insurance |
| DENTAL
| 372 |
DENTAL CVRG PROVIDED |
Insurance |
| DEPNDNT
| 55 |
DEPENDENT OF POLICYHOLDER |
Survey Administration and Eligibility Status |
| DNCR1CIP
| 2457 |
CRWN/PROS:% COINS (PROV 1) |
Insurance |
| DNCR1CPD
| 2460 |
CRWN/PROS:AMNT COPAY /PROC|/VST (P 1) |
Insurance |
| DNCR1CV
| 2454 |
BNFT CVRG FOR CRWN/PROS (PROV 1) |
Insurance |
| DNCR1DSD
| 2466 |
CRWN/PROS:AMNT NEGOTIATED DISCNT (P 1) |
Insurance |
| DNCR1FED
| 2463 |
CRWN/PROS:AMNT FEE SCHD SPEC PROC (P 1) |
Insurance |
| DNCR2CIP
| 2472 |
CRWN/PROS:% COINS (PROV 2) |
Insurance |
| DNCR2CPD
| 2475 |
CRWN/PROS:AMNT COPAY /PROC|/VST (P 2) |
Insurance |
| DNCR2CV
| 2469 |
BNFT CVRG FOR CRWN/PROS (PROV 2) |
Insurance |
| DNCR2DSD
| 2481 |
CRWN/PROS:AMNT NEGOTIATED DISCNT (P 2) |
Insurance |
| DNCR2FED
| 2478 |
CRWN/PROS:AMNT FEE SCHD SPEC PROC (P 2) |
Insurance |
| DNDED
| 2262 |
DENTAL DEDUCT |
Insurance |
| DNDEDALL
| 2274 |
DNTL SRVCS SUBJ 2 DEDUCT:ALL COVRD SRVCS |
Insurance |
| DNDEDCR
| 2292 |
DENTL SRVCS SUBJ 2 DEDUCT:CRWN/PROS |
Insurance |
| DNDEDEN
| 2289 |
DENTL SRVCS SUBJ 2 DEDUCT:ENDO |
Insurance |
| DNDEDEX
| 2277 |
DENTL SRVCS SUBJ 2 DEDUCT:EXAM,XRAY |
Insurance |
| DNDEDFD
| 2268 |
AMNT FAMILY DEDUCT |
Insurance |
| DNDEDFL
| 2283 |
DENTL SRVCS SUBJ 2 DEDUCT:FILLINGS |
Insurance |
| DNDEDID
| 2265 |
AMNT INDIV DEDUCT |
Insurance |
| DNDEDN
| 2271 |
# INDIV FOR DENTAL DEDUCT |
Insurance |
| DNDEDOR
| 2295 |
DENTL SRVCS SUBJ 2 DEDUCT:ORTHODONTIA |
Insurance |
| DNDEDPR
| 2286 |
DENTL SRVCS SUBJ 2 DEDUCT:PERIO |
Insurance |
| DNDEDSR
| 2280 |
DENTL SRVCS SUBJ 2 DEDUCT:SURGERY |
Insurance |
| DNDETAIL
| 2259 |
DETAILS PROVIDED FOR DENTAL CVRG |
Insurance |
| DNEN1CIP
| 2427 |
ENDO:% COINS (PROV 1) |
Insurance |
| DNEN1CPD
| 2430 |
ENDO:AMNT COPAY /PROC OR /VST (P 1) |
Insurance |
| DNEN1CV
| 2424 |
BNFT CVRG FOR ENDO (PROV 1) |
Insurance |
| DNEN1DSD
| 2436 |
ENDO:AMNT NEGOTIATED DISCNT (PROV 1) |
Insurance |
| DNEN1FED
| 2433 |
ENDO:AMNT FEE SCHD SPEC PROC (P 1) |
Insurance |
| DNEN2CIP
| 2442 |
ENDO:% COINS (PROV 2) |
Insurance |
| DNEN2CPD
| 2445 |
ENDO:AMNT COPAY /PROC OR /VST (PRV 2) |
Insurance |
| DNEN2CV
| 2439 |
BNFT CVRG FOR ENDO (PROV 2) |
Insurance |
| DNEN2DSD
| 2451 |
ENDO:AMNT NEGOTIATED DISCNT (PROV 2) |
Insurance |
| DNEN2FED
| 2448 |
ENDO:AMNT FEE SCHD SPEC PROC (PRV 2) |
Insurance |
| DNEX1CIP
| 2307 |
EXAM,XRAY,CLEAN:% COINS (PROV 1) |
Insurance |
| DNEX1CPD
| 2310 |
EXAM,XRAY:AMNT COPAY /PROC|/VST (P 1) |
Insurance |
| DNEX1CV
| 2304 |
BNFT CVRG FOR EXAM,XRAY,CLEAN (P 1) |
Insurance |
| DNEX1DSD
| 2316 |
EXAM,XRAY:AMNT NEGOTIATED DISCNT (P 1) |
Insurance |
| DNEX1FED
| 2313 |
EXAM,XRAY:AMNT FEE SCHD SPEC PROC (P 1) |
Insurance |
| DNEX2CIP
| 2322 |
EXAM,XRAY,CLEAN:% COINS (PROV 2) |
Insurance |
| DNEX2CPD
| 2325 |
EXAM,XRAY:AMNT COPAY /PROC|/VST (P 2) |
Insurance |
| DNEX2CV
| 2319 |
BNFT CVRG FOR EXAM,XRAY,CLEAN (PROV 2) |
Insurance |
| DNEX2DSD
| 2331 |
EXAM,XRAY:AMNT NEGOTIATED DISCNT (P 2) |
Insurance |
| DNEX2FED
| 2328 |
EXAM,XRAY:AMNT FEE SCHD SPEC PROC (P 2) |
Insurance |
| DNFL1CIP
| 2367 |
FILLINGS:% COINS (PROV 1) |
Insurance |
| DNFL1CPD
| 2370 |
FILLINGS:AMNT COPAY /PROC|/VST (P 1) |
Insurance |
| DNFL1CV
| 2364 |
BNFT CVRG FOR FILLINGS (PROV 1) |
Insurance |
| DNFL1DSD
| 2376 |
FILLINGS:AMNT NEGOTIATED DISCNT (P 1) |
Insurance |
| DNFL1FED
| 2373 |
FILLINGS:AMNT FEE SCHD SPEC PROC (P 1) |
Insurance |
| DNFL2CIP
| 2382 |
FILLINGS:% COINS (PROV 2) |
Insurance |
| DNFL2CPD
| 2385 |
FILLINGS:AMNT COPAY /PROC|/VST (P 2) |
Insurance |
| DNFL2CV
| 2379 |
BNFT CVRG FOR FILLINGS (PROV 2) |
Insurance |
| DNFL2DSD
| 2391 |
FILLINGS:AMNT NEGOTIATED DISCNT (P 2) |
Insurance |
| DNFL2FED
| 2388 |
FILLINGS:AMNT FEE SCHD SPEC PROC (P 2) |
Insurance |
| DNMAX
| 2298 |
YEARLY DENTAL MAX |
Insurance |
| DNMAXD
| 2301 |
AMNT YEARLY DENTAL MAX |
Insurance |
| DNORTH
| 2256 |
ORTHODONTIA CVRG |
Insurance |
| DNPR1CIP
| 2397 |
PERIO:% COINS (PROV 1) |
Insurance |
| DNPR1CPD
| 2400 |
PERIO:AMNT COPAY /PROC OR /VST (P 1) |
Insurance |
| DNPR1CV
| 2394 |
BNFT CVRG FOR PERIO (PROV 1) |
Insurance |
| DNPR1DSD
| 2406 |
PERIO:AMNT NEGOTIATED DISCNT (PROV 1) |
Insurance |
| DNPR1FED
| 2403 |
PERIO:AMNT FEE SCHD SPEC PROC (P 1) |
Insurance |
| DNPR2CIP
| 2412 |
PERIO:% COINS (PROV 2) |
Insurance |
| DNPR2CPD
| 2415 |
PERIO:AMNT COPAY /PROC OR /VST (P 2) |
Insurance |
| DNPR2CV
| 2409 |
BNFT CVRG FOR PERIO (PROV 2) |
Insurance |
| DNPR2DSD
| 2421 |
PERIO:AMNT NEGOTIATED DISCNT (PROV 2) |
Insurance |
| DNPR2FED
| 2418 |
PERIO:AMNT FEE SCHD SPEC PROC (P 2) |
Insurance |
| DNPREV
| 2253 |
PREVENTIVE DENTAL CARE CVRG |
Insurance |
| DNPROV
| 2250 |
TYPE DENTAL PROVIDER |
Insurance |
| DNSR1CIP
| 2337 |
SURGERY:% COINS (PROV 1) |
Insurance |
| DNSR1CPD
| 2340 |
SURGERY:AMNT COPAY /PROC|/VST (P 1) |
Insurance |
| DNSR1CV
| 2334 |
BNFT CVRG FOR SURGERY (PROV 1) |
Insurance |
| DNSR1DSD
| 2346 |
SURGERY:AMNT NEGOTIATED DISCNT (P 1) |
Insurance |
| DNSR1FED
| 2343 |
SURGERY:AMNT FEE SCHD SPEC PROC (P 1) |
Insurance |
| DNSR2CIP
| 2352 |
SURGERY:% COINS (PROV 2) |
Insurance |
| DNSR2CPD
| 2355 |
SURGERY:AMNT COPAY /PROC|/VST (P 2) |
Insurance |
| DNSR2CV
| 2349 |
BNFT CVRG FOR SURGERY (PROV 2) |
Insurance |
| DNSR2DSD
| 2361 |
SURGERY:AMNT NEGOTIATED DISCNT (P 2) |
Insurance |
| DNSR2FED
| 2358 |
SURGERY:AMNT FEE SCHD SPEC PROC (P 2) |
Insurance |
| DRALLOB
| 2144 |
OUTPAT PMEDS ALL LIMIT:ALL (BRAND) |
Insurance |
| DRALLOG
| 2197 |
OUTP PMEDS ALL LIMIT:ALL (GEN) |
Insurance |
| DRCOINIB
| 2162 |
OUTP PMEDS INTRN LIMIT:COINS (BRAND) |
Insurance |
| DRCOINIG
| 2215 |
OUTP PMEDS INTRN LIMT:COINS (GEN) |
Insurance |
| DRCOINOB
| 2150 |
OUTPAT PMEDS ALL LIMIT:COINS (BRAND) |
Insurance |
| DRCOINOG
| 2203 |
OUTP PMEDS ALL LIMIT:COINS (GEN) |
Insurance |
| DRCOINPB
| 2183 |
% COINS (BRAND) |
Insurance |
| DRCOINPG
| 2236 |
% COINS (GENERIC) |
Insurance |
| DRCOPDB
| 2186 |
AMNT COPAY PER PRESCRIPTION (BRAND) |
Insurance |
| DRCOPDG
| 2239 |
AMNT COPAY PER PRESCRIPTION (GEN) |
Insurance |
| DRCOPIB
| 2165 |
OUTP PMEDS INTRN LMT:COPAY/SCRIPT(BRAND) |
Insurance |
| DRCOPIG
| 2218 |
OUTP PMEDS INTRN LMT:COPAY/SCRIPT(GEN) |
Insurance |
| DRDEDFDB
| 2177 |
AMNT FAMILY DEDUCT/YR (BRAND) |
Insurance |
| DRDEDFDG
| 2230 |
AMNT FAMILY DEDUCT/YR (GENERIC) |
Insurance |
| DRDEDIB
| 2159 |
OUTP PMEDS INTRN LIMIT:DEDUCT/YR (BRAND) |
Insurance |
| DRDEDIDB
| 2174 |
AMNT INDIV DEDUCT/YR (BRAND) |
Insurance |
| DRDEDIDG
| 2227 |
AMNT INDIV DEDUCT/YR (GENERIC) |
Insurance |
| DRDEDIG
| 2212 |
OUTP PMEDS INTRN LIMT:DEDUCT/YR (GEN) |
Insurance |
| DRDEDNB
| 2180 |
# INDIV FOR DEDUCT/YR (BRAND) |
Insurance |
| DRDEDNG
| 2233 |
# INDIV FOR DEDUCT/YR (GENERIC) |
Insurance |
| DRDEDOB
| 2147 |
OUTPAT PMEDS ALL LIMIT:DEDUCT (BRAND) |
Insurance |
| DRDEDOG
| 2200 |
OUTP PMEDS ALL LIMIT:DEDUCT (GEN) |
Insurance |
| DRFORMUL
| 2141 |
FORMULARY DRUGS |
Insurance |
| DRGCOV
| 250 |
DRUG COVERAGE INDICATOR |
Insurance |
| DRGDEDI
| 253 |
DRUG INDIVIDUAL DEDUCTIBLE |
Insurance |
| DRGINOOP
| 294 |
FLAG: DRUGS INCLUDED IN OOP LIMIT? |
Insurance |
| DRGMAXIL
| 286 |
DRUG LIFETIME MAXIMUM |
Insurance |
| DRGMAXIY
| 275 |
DRUG ANNUAL MAXIMUM |
Insurance |
| DRGPAYT
| 272 |
DRUG PAYMENT TYPE |
Insurance |
| DRGRATE
| 264 |
DRUG COINSURANCE RATE |
Insurance |
| DRMAIL
| 2135 |
MAIL ORDER DRUGS |
Insurance |
| DRMAXDB
| 2189 |
AMNT $ LIMIT/YR (BRAND) |
Insurance |
| DRMAXDG
| 2242 |
AMNT $ LIMIT/YR. (GENERIC) |
Insurance |
| DRMAXIB
| 2168 |
OUTP PMEDS INTRN LIMIT:$ MAX/YR (BRAND) |
Insurance |
| DRMAXIG
| 2221 |
OUTP PMEDS INTRN LIMT:$ MAX/YR (GEN) |
Insurance |
| DRMAXOB
| 2156 |
OUTP PMEDS ALL LIMIT:PLAN MAX (BRAND) |
Insurance |
| DRMAXOG
| 2209 |
OUTP PMEDS ALL LIMT:PLAN MAX (GEN) |
Insurance |
| DROOPOB
| 2153 |
OUTP PMEDS ALL LIMIT:OOP LIMIT (BRAND) |
Insurance |
| DROOPOG
| 2206 |
OUTP PMEDS ALL LIMT:OOP LIMT (GEN) |
Insurance |
| DROTHIB
| 2171 |
OUTP PMEDS INTRN LIMIT:OTHR (BRAND) |
Insurance |
| DROTHIG
| 2224 |
OUTP PMEDS INTRN LIMIT:OTHR (GEN) |
Insurance |
| DRPP
| 2138 |
PARTICIPATING PHARMACIES |
Insurance |
| DRUGCOVB
| 2129 |
BNFT CVRG FOR OUTPAT PMEDS (BRAND) |
Insurance |
| DRUGCOVG
| 2132 |
BNFT CVRG FOR OUTPAT PMEDS (GEN) |
Insurance |
| DRUGS
| 369 |
PRESCRIPTION DRUG CVRG PROVIDED |
Insurance |
| DRVCOV
| 198 |
PHYSICIAN OFF. VIS. COVERAGE INDICATOR |
Insurance |
| DRVDEDI
| 201 |
PHYSICIAN OFF. VIS. IND. DEDUCTIBLE |
Insurance |
| DRVMAXIL
| 234 |
PHYSICIAN OFF. VIS. LIFETIME MAXIMUM |
Insurance |
| DRVMAXIY
| 223 |
PHYSICIAN OFF. VIS. ANNUAL MAXIMUM |
Insurance |
| DRVMAXVS
| 242 |
PHYSICIAN OFF. VIS. MAX VISITS / YEAR |
Insurance |
| DRVPAYT
| 220 |
PHYSICIAN OFF. VIS. PAYMENT TYPE |
Insurance |
| DRVRATE
| 212 |
PHYSICIAN OFF. VIS. COINSURANCE RATE |
Insurance |
| DUID
| 0 |
DWELLING UNIT ID |
Identifiers |
| DUPERSID
| 11 |
PERSON ID (DUID+PID) |
Identifiers |
| EPRSIDX
| 30 |
ESTABLISHMENT ID + POLICYHOLDER ID |
Identifiers |
| ESTBIDX
| 19 |
ESTABLISHMENT ID |
Identifiers |
| FDEDIO_D
| 261 |
FLAG: DRUG. DED. INTERNAL / OVERALL |
Insurance |
| FDEDIO_H
| 146 |
FLAG: HOSP. DED. INTERNAL / OVERALL |
Insurance |
| FDEDIO_P
| 209 |
FLAG: PHYS. DED. INTERNAL / OVERALL |
Insurance |
| FMAXIO_D
| 283 |
FLAG: DRUG. ANN. MAX INTERNAL / OVERALL |
Insurance |
| FMAXIO_H
| 168 |
FLAG: HOSP. ANN. MAX INTERNAL / OVERALL |
Insurance |
| FMAXIO_P
| 231 |
FLAG: PHYS. ANN. MAX INTERNAL / OVERALL |
Insurance |
| FOOP_H
| 187 |
FLAG: HOSP OOP INTERNAL / OVERALL |
Insurance |
| GAPA
| 2078 |
PART A BNFT |
Insurance |
| GAPA1COP
| 2081 |
PART A BNFT:HOSP COPAY - DAYS 61-90 |
Insurance |
| GAPA2COP
| 2084 |
PART A BNFT:HOSP COPAY - DAYS 91-150 |
Insurance |
| GAPA3COP
| 2087 |
PART A BNFT:HOSP COPAY GT 150 DAYS |
Insurance |
| GAPADED
| 2093 |
PART A BNFT:DEDUCT |
Insurance |
| GAPASNF
| 2090 |
PART A BNFT:SNF COPAY - DAYS 21-100 |
Insurance |
| GAPB
| 2096 |
PART B BNFT |
Insurance |
| GAPB1COI
| 2105 |
PART B BNFT:COINS, W/OUT ADDTL DEDUCT |
Insurance |
| GAPB2COI
| 2108 |
PART B BNFT:COINS, W/ ADDTL DEDUCT |
Insurance |
| GAPB3COI
| 2111 |
PART B BNFT:COINS-OUTPAT MNTL HLTH |
Insurance |
| GAPBDED
| 2102 |
PART B BNFT:DEDUCT |
Insurance |
| GAPBEXC
| 2099 |
PART B BNFT:EXCESS CHARGE |
Insurance |
| GAPOTH
| 2114 |
OTHR BNFT |
Insurance |
| GAPOTHBL
| 2117 |
OTHR BNFT:BLOOD DEDUCT |
Insurance |
| GAPOTHHM
| 2123 |
OTHR BNFT:AT-HOME RECOVERY |
Insurance |
| GAPOTHPR
| 2126 |
OTHR BNFT:PREVENTIVE MEDICAL CARE |
Insurance |
| GAPOTHTR
| 2120 |
OTHR BNFT:FOREIGN TRAVL BNFT-MED EMRG |
Insurance |
| GAPTYPE
| 2075 |
TYPE MEDIGAP PLAN |
Insurance |
| GATEKEEP
| 387 |
REQUIRE PRIM-CARE DR-REFER SPECIALIST |
Insurance |
| GATELEV
| 390 |
LEVEL(S):REQ PRIM-CARE DR-REFER SPCLST |
Insurance |
| HHALLO
| 1880 |
HOME HEALTH CARE ALL LIMIT:ALL |
Insurance |
| HHCOIFI
| 1898 |
HOME HEALTH CARE INTRN LIMIT:COINS FIX |
Insurance |
| HHCOINO
| 1886 |
HOME HEALTH CARE ALL LIMIT:COINS/COPAY |
Insurance |
| HHCOINP
| 1925 |
HOME HEALTH CARE:% COINS FIX|VARY |
Insurance |
| HHCOIVI
| 1901 |
HOME HEALTH CARE INTRN LIMIT:COINS VARY |
Insurance |
| HHCOPD
| 1928 |
HOME HEALTH CARE:AMNT COPAY/VST FIX|VARY |
Insurance |
| HHCOPFI
| 1904 |
HOME HLTH CARE INTRN LMT:COPAY/VST FIX |
Insurance |
| HHCOPVI
| 1907 |
HOME HLTH CARE INTRN LMT:COPAY/VST VARY |
Insurance |
| HHCOVI
| 765 |
BNFT CVRG FOR HOME HEALTH CARE-IN |
Insurance |
| HHCOVO
| 798 |
BNFT CVRG FOR HOME HEALTH CARE-OUT |
Insurance |
| HHDEDD
| 1922 |
HOME HEALTH CARE:AMNT DEDUCT/YR |
Insurance |
| HHDEDI
| 1895 |
HOME HEALTH CARE INTRN LIMIT:DEDUCT/YR |
Insurance |
| HHDEDO
| 1883 |
HOME HEALTH CARE ALL LIMIT:DEDUCT |
Insurance |
| HHMAXO
| 1892 |
HOME HEALTH CARE ALL LIMIT:PLAN MAX |
Insurance |
| HHMXDVD
| 1934 |
HOME HEALTH CARE:$ AMNT $ MAX /VST |
Insurance |
| HHMXDVI
| 1913 |
HOME HEALTH CARE INTRN LIMIT:$ MAX /VST |
Insurance |
| HHMXNVI
| 1910 |
HOME HEALTH CARE INTRN LIMIT:MAX #VISTS |
Insurance |
| HHMXNVN
| 1931 |
HOME HEALTH CARE:# MAX # VISITS |
Insurance |
| HHMXYRD
| 1937 |
HOME HEALTH CARE:$ AMNT $ MAX/YR |
Insurance |
| HHMXYRI
| 1916 |
HOME HEALTH CARE INTRN LIMIT:$ MAX/YR |
Insurance |
| HHOOPO
| 1889 |
HOME HEALTH CARE ALL LIMIT:OOP LIMIT |
Insurance |
| HHOTHI
| 1919 |
HOME HEALTH CARE INTRN LIMIT:OTHR |
Insurance |
| HMOFEDQ
| 399 |
HMO FEDERALLY QUALIFIED |
Insurance |
| HMOMODEL
| 396 |
HMO MODEL TYPE |
Insurance |
| HOSPCOV
| 135 |
HOSPITAL R / B COVERAGE INDICATOR |
Insurance |
| HOSPDEDI
| 138 |
HOSPITAL R / B INDIVIDUAL DEDUCTIBLE |
Insurance |
| HOSPMAXL
| 171 |
HOSPITAL R / B LIFETIME MAXIMUM |
Insurance |
| HOSPMAXY
| 160 |
HOSPITAL R / B ANNUAL MAXIMUM |
Insurance |
| HOSPMOOP
| 179 |
HOSPITAL R / B INTERNAL OOP MAXIMUM |
Insurance |
| HOSPPAYT
| 157 |
HOSPITAL R / B PAYMENT TYPE |
Insurance |
| HOSPRATE
| 149 |
HOSPITAL R / B COINSURANCE RATE |
Insurance |
| HSALLOI
| 965 |
HOSP R/B ALL LIMIT:ALL-IN |
Insurance |
| HSALLOO
| 1054 |
HOSP R/B ALL LIMIT:ALL-OUT |
Insurance |
| HSCOINI
| 1022 |
HOSP R/B TYPE COINS-IN |
Insurance |
| HSCOINII
| 983 |
HOSP R/B INTRN LIMIT:COINS-IN |
Insurance |
| HSCOINIO
| 1072 |
HOSP R/B INTRN LIMIT:COINS-OUT |
Insurance |
| HSCOINO
| 1111 |
HOSP R/B TYPE COINS-OUT |
Insurance |
| HSCOINOI
| 971 |
HOSP R/B ALL LIMIT:COINS/COPAY-IN |
Insurance |
| HSCOINOO
| 1060 |
HOSP R/B ALL LIMIT:COINS/COPAY-OUT |
Insurance |
| HSCOINPI
| 1025 |
HOSP R/B % COINS-IN |
Insurance |
| HSCOINPO
| 1114 |
HOSP R/B % COINS-OUT |
Insurance |
| HSCOVI
| 750 |
BNFT CVRG FOR HOSP R/B-IN |
Insurance |
| HSCOVO
| 783 |
BNFT CVRG FOR HOSP R/B-OUT |
Insurance |
| HSDECYDI
| 1013 |
HSP R/B TYP DEDUC:AMT DEDUC/CONFIN/YR-IN |
Insurance |
| HSDECYDO
| 1102 |
HSP RB TYP DED:AMNT DEDUC/CONFIN/YR-OUT |
Insurance |
| HSDEDCYI
| 998 |
HOSP R/B TYPE DEDUCT:/CONFIN/YEAR-IN |
Insurance |
| HSDEDCYO
| 1087 |
HOSP R/B TYPE DEDUCT:/CONFIN/YEAR-OUT |
Insurance |
| HSDEDDFI
| 1001 |
HOSP R/B TYPE DEDUCT:/DAY FIX-IN |
Insurance |
| HSDEDDFO
| 1090 |
HOSP R/B TYPE DEDUCT:/DAY FIX-OUT |
Insurance |
| HSDEDDVI
| 1004 |
HOSP R/B TYPE DEDUCT:/DAY VARY-IN |
Insurance |
| HSDEDDVO
| 1093 |
HOSP R/B TYPE DEDUCT:/DAY VARY-OUT |
Insurance |
| HSDEDDYI
| 1007 |
HOSP R/B TYPE DEDUCT:# DAYS/CONFIN/YR-IN |
Insurance |
| HSDEDDYO
| 1096 |
HSP R/B TYPE DEDUCT:# DAYS/CONFIN/YR-OUT |
Insurance |
| HSDEDFDI
| 1016 |
HSP RB TYP DEDUC:AMT DED/DAY FIX|VARY-IN |
Insurance |
| HSDEDFDO
| 1105 |
HSP RB TYP DED:AMT DED/DAY FIX|VARY-OUT |
Insurance |
| HSDEDII
| 980 |
HOSP R/B INTRN LIMIT:DEDUCT-IN |
Insurance |
| HSDEDIO
| 1069 |
HOSP R/B INTRN LIMIT:DEDUCT-OUT |
Insurance |
| HSDEDNSI
| 1010 |
HOSP R/B TYPE DEDUCT:NOT SPECIFIED-IN |
Insurance |
| HSDEDNSO
| 1099 |
HOSP R/B TYPE DEDUCT:NOT SPECIFIED-OUT |
Insurance |
| HSDEDOI
| 968 |
HOSP R/B ALL LIMIT:DEDUCT-IN |
Insurance |
| HSDEDOO
| 1057 |
HOSP R/B ALL LIMIT:DEDUCT-OUT |
Insurance |
| HSDEDYNI
| 1019 |
HOSP R/B TYPE DEDUCT:# DAYS/CONFIN/YR-IN |
Insurance |
| HSDEDYNO
| 1108 |
HSP R/B TYPE DEDUCT:# DAYS/CONFIN/YR-OUT |
Insurance |
| HSMAXDII
| 992 |
HOSP R/B INTRN LIMIT:$ MAX-IN |
Insurance |
| HSMAXDIO
| 1081 |
HOSP R/B INTRN LIMIT:$ MAX-OUT |
Insurance |
| HSMAXNII
| 989 |
HOSP R/B INTRN LIMIT:DAY MAX-IN |
Insurance |
| HSMAXNIO
| 1078 |
HOSP R/B INTRN LIMIT:DAY MAX-OUT |
Insurance |
| HSMAXOI
| 977 |
HOSP R/B ALL LIMIT:PLAN MAX-IN |
Insurance |
| HSMAXOO
| 1066 |
HOSP R/B ALL LIMIT:PLAN MAX-OUT |
Insurance |
| HSMXCYDI
| 1043 |
HSP R/B TYP $ MAX:AMT $ MAX/CONFIN/YR-IN |
Insurance |
| HSMXCYDO
| 1132 |
HSP RB TYP $MAX:AMNT $MAX/CONFIN/YR-OUT |
Insurance |
| HSMXCYI
| 1034 |
HOSP R/B TYPE $ MAX:/CONFIN/YEAR-IN |
Insurance |
| HSMXCYNI
| 1031 |
HOSP R/B DAY MAX:MAX # DAYS/CONFIN/YR-IN |
Insurance |
| HSMXCYNO
| 1120 |
HSP RB DAY MAX:MAX # DAYS/CONFIN/YR-OUT |
Insurance |
| HSMXCYO
| 1123 |
HOSP R/B TYPE $ MAX:/CONFIN/YEAR-OUT |
Insurance |
| HSMXDYDI
| 1051 |
HOSP R/B TYPE $ MAX:AMT $ MAX/DAY-IN |
Insurance |
| HSMXDYDO
| 1140 |
HSP RB TYPE $ MAX: AMNT $ MAX /DAY-OUT |
Insurance |
| HSMXDYI
| 1037 |
HOSP R/B TYPE $ MAX:/DAY-IN |
Insurance |
| HSMXDYO
| 1126 |
HOSP R/B TYPE $ MAX:/DAY-OUT |
Insurance |
| HSMXNSI
| 1040 |
HOSP R/B TYPE $ MAX:NOT SPECIFIED-IN |
Insurance |
| HSMXNSO
| 1129 |
HOSP R/B TYPE $ MAX:NOT SPECIFIED-OUT |
Insurance |
| HSOOPDI
| 1028 |
HOSP R/B AMNT OOP LIMIT-IN |
Insurance |
| HSOOPDO
| 1117 |
HOSP R/B AMNT OOP LIMIT-OUT |
Insurance |
| HSOOPII
| 986 |
HOSP R/B INTRN LIMIT:OOP LIMIT-IN |
Insurance |
| HSOOPIO
| 1075 |
HOSP R/B INTRN LIMIT:OOP LIMIT-OUT |
Insurance |
| HSOOPOI
| 974 |
HOSP R/B ALL LIMIT:OOP LIMIT-IN |
Insurance |
| HSOOPOO
| 1063 |
HOSP R/B ALL LIMIT:OOP LIMIT-OUT |
Insurance |
| HSOTHII
| 995 |
HOSP R/B INTRN LIMIT:OTHR-IN |
Insurance |
| HSOTHIO
| 1084 |
HOSP R/B INTRN LIMIT:OTHR-OUT |
Insurance |
| HSPMAXNT
| 190 |
HOSPITAL R / B MAX NIGHTS / YEAR |
Insurance |
| ICIMP
| 360 |
FLAG: RECORD IMPUTED USING IC DATA |
Insurance |
| IDRGDEDI
| 351 |
IMPUTATION FLAG FOR DRGDEDI |
Insurance |
| IDRGMAXL
| 357 |
IMPUTATION FLAG FOR DRGMAXIL |
Insurance |
| IDRGMAXY
| 354 |
IMPUTATION FLAG FOR DRGMAXIY |
Insurance |
| IDRGRATE
| 348 |
IMPUTATION FLAG FOR DRGRATE |
Insurance |
| IDRVDEDI
| 336 |
IMPUTATION FLAG FOR DRVDEDI |
Insurance |
| IDRVMAXL
| 345 |
IMPUTATION FLAG FOR DRVMAXIL |
Insurance |
| IDRVMAXY
| 342 |
IMPUTATION FLAG FOR DRVMAXIY |
Insurance |
| IDRVRATE
| 339 |
IMPUTATION FLAG FOR DRVRATE |
Insurance |
| IHSPDEDI
| 324 |
IMPUTATION FLAG FOR HOSPDEDI |
Insurance |
| IHSPMAXL
| 333 |
IMPUTATION FLAG FOR HOSPMAXY |
Insurance |
| IHSPMAXY
| 330 |
IMPUTATION FLAG FOR HOSPMAXL |
Insurance |
| IHSPMOOP
| 327 |
IMPUTATION FLAG FOR HOSPMOOP |
Insurance |
| IHSPRATE
| 321 |
IMPUTATION FLAG FOR HOSPRATE |
Insurance |
| IOVDEDF
| 303 |
IMPUTATION FLAG FOR OVDEDF |
Insurance |
| IOVDEDI
| 300 |
IMPUTATION FLAG FOR ODEDDI |
Insurance |
| IOVMAXIL
| 312 |
IMPUTATION FLAG FOR OVMAXIL |
Insurance |
| IOVMAXIY
| 309 |
IMPUTATION FLAG FOR OVMAXIY |
Insurance |
| IOVMOOPF
| 318 |
IMPUTATION FLAG FOR OVMOOPF |
Insurance |
| IOVMOOPI
| 315 |
IMPUTATION FLAG FOR OVMOOPI |
Insurance |
| IOVRATE
| 306 |
IMPUTATION FLAG FOR OVRATE |
Insurance |
| ISALLOI
| 1415 |
INPAT SURGERY ALL LIMIT:ALL-IN |
Insurance |
| ISALLOO
| 1488 |
INPAT SURGERY ALL LIMIT:ALL-OUT |
Insurance |
| ISCOINII
| 1433 |
INPAT SURGERY INTRN LIMIT:COINS-IN |
Insurance |
| ISCOINIO
| 1506 |
INPAT SURGERY INTRN LIMIT:COINS-OUT |
Insurance |
| ISCOINOI
| 1421 |
INPAT SURGERY ALL LIMIT:COINS/COPAY-IN |
Insurance |
| ISCOINOO
| 1494 |
INPAT SURGERY ALL LIMIT:COINS/COPAY-OUT |
Insurance |
| ISCOINPI
| 1448 |
INPAT SURGERY:% COINS-IN |
Insurance |
| ISCOINPO
| 1521 |
INPAT SURGERY:% COINS-OUT |
Insurance |
| ISCOPDI
| 1451 |
INPAT SURGERY:AMNT COPAY-IN |
Insurance |
| ISCOPDO
| 1524 |
INPAT SURGERY:AMNT COPAY-OUT |
Insurance |
| ISCOPII
| 1436 |
INPAT SURGERY INTRN LIMIT:COPAY-IN |
Insurance |
| ISCOPIO
| 1509 |
INPAT SURGERY INTRN LIMIT:COPAY-OUT |
Insurance |
| ISCOVI
| 753 |
BNFT CVRG FOR INPAT SURGERY-IN |
Insurance |
| ISCOVO
| 786 |
BNFT CVRG FOR INPAT SURGERY-OUT |
Insurance |
| ISDEDDI
| 1445 |
INPAT SURGERY:AMNT DEDUCT-IN |
Insurance |
| ISDEDII
| 1430 |
INPAT SURGERY INTRN LIMIT:DEDUCT-IN |
Insurance |
| ISDEDIO
| 1503 |
INPAT SURGERY INTRN LIMIT:DEDUCT-OUT |
Insurance |
| ISDEDNO
| 1518 |
INPAT SURGERY:AMNT DEDUCT-OUT |
Insurance |
| ISDEDOI
| 1418 |
INPAT SURGERY ALL LIMIT:DEDUCT-IN |
Insurance |
| ISDEDOO
| 1491 |
INPAT SURGERY ALL LIMIT:DEDUCT-OUT |
Insurance |
| ISMAXII
| 1439 |
INPAT SURGERY INTRN LIMIT:$ MAX-IN |
Insurance |
| ISMAXIO
| 1512 |
INPAT SURGERY INTRN LIMIT:$ MAX-OUT |
Insurance |
| ISMAXOI
| 1427 |
INPAT SURGERY ALL LIMIT:PLAN MAX-IN |
Insurance |
| ISMAXOO
| 1500 |
INPAT SURGERY ALL LIMIT:PLAN MAX-OUT |
Insurance |
| ISMXCYDI
| 1466 |
INPAT SRGRY $ MAX:AMT $MAX/CONFIN/YR-IN |
Insurance |
| ISMXCYDO
| 1539 |
INPAT SRGY $ MAX:AMT $MAX/CONFIN/YR-OUT |
Insurance |
| ISMXCYI
| 1454 |
INPAT SURGERY TYPE $ MAX:/CONFIN/YEAR-IN |
Insurance |
| ISMXCYO
| 1527 |
INPAT SURGERY TYPE $ MAX:/CONFIN/YR-OUT |
Insurance |
| ISMXFE1I
| 1482 |
INPAT SRGRY TYPE $MAX:AMT $MAX:APPEND-IN |
Insurance |
| ISMXFE1O
| 1550 |
INPAT SRGY TYP $ MAX:AMT $MAX:APPEND-OUT |
Insurance |
| ISMXFE2I
| 1485 |
INPAT SRGY $ MAX:AMT $MAX:ING HERNIA-IN |
Insurance |
| ISMXFE2O
| 1553 |
INPAT SRGY $ MAX:AMT $MAX:ING HERNIA-OUT |
Insurance |
| ISMXFEI
| 1460 |
INPAT SURGERY TYPE $ MAX:FEE SCHD-IN |
Insurance |
| ISMXFEO
| 1533 |
INPAT SURGERY TYPE $ MAX:FEE SCHD-OUT |
Insurance |
| ISMXNSI
| 1463 |
INPAT SURGERY TYPE $ MAX:NOT SPECFD-IN |
Insurance |
| ISMXNSO
| 1536 |
INPAT SURGERY TYPE $ MAX:NOT SPECFD-OUT |
Insurance |
| ISMXSRDI
| 1474 |
INPAT SRGRY TYPE $ MAX:AMT $MAX/SURG-IN |
Insurance |
| ISMXSRDO
| 1547 |
INPAT SRGY TYPE $ MAX:AMT $MAX:SRGY-OUT |
Insurance |
| ISMXSRI
| 1457 |
INPAT SURGERY TYPE $ MAX:PER SURGERY-IN |
Insurance |
| ISMXSRO
| 1530 |
INPAT SURGERY TYPE $ MAX:PER SRGERY-OUT |
Insurance |
| ISOOPOI
| 1424 |
INPAT SURGERY ALL LIMIT:OOP LIMIT-IN |
Insurance |
| ISOOPOO
| 1497 |
INPAT SURGERY ALL LIMIT:OOP LIMIT-OUT |
Insurance |
| ISOTHII
| 1442 |
INPAT SURGERY INTRN LIMIT:OTHR-IN |
Insurance |
| ISOTHIO
| 1515 |
INPAT SURGERY INTRN LIMIT:OTHR-OUT |
Insurance |
| LEVELS
| 384 |
LEVELS OF BNFTS FOR PLAN |
Insurance |
| MAXCYDI
| 711 |
AMNT /CONFIN/YEAR MAX-IN |
Insurance |
| MAXCYDO
| 742 |
AMNT /CONFIN/YEAR MAX-OUT |
Insurance |
| MAXCYI
| 694 |
CONFIN/YEAR MAX-IN |
Insurance |
| MAXCYO
| 725 |
/CONFIN/YEAR MAX-OUT |
Insurance |
| MAXLIFDI
| 703 |
AMNT LIFETIME MAX-IN |
Insurance |
| MAXLIFDO
| 734 |
AMNT LIFETIME MAX-OUT |
Insurance |
| MAXLIFI
| 691 |
LIFETIME MAX-IN |
Insurance |
| MAXLIFO
| 722 |
LIFETIME MAX-OUT |
Insurance |
| MAXNONEI
| 688 |
NO PLAN MAX-IN |
Insurance |
| MAXNONEO
| 719 |
NO PLAN MAX-OUT |
Insurance |
| MAXNSI
| 700 |
PLAN MAX NOT SPECIFIED-IN |
Insurance |
| MAXNSO
| 731 |
PLAN MAX NOT SPECIFIED-OUT |
Insurance |
| MAXOTHI
| 697 |
OTHR PLAN MAX-IN |
Insurance |
| MAXOTHO
| 728 |
OTHR PLAN MAX-OUT |
Insurance |
| MEDCOORD
| 405 |
COORDINATION OF PLAN BNFTS W/MEDICARE |
Insurance |
| MEDICAL
| 363 |
MEDICAL CVRG PROVIDED |
Insurance |
| MEDIGAP
| 366 |
MEDIGAP CVRG PROVIDED |
Insurance |
| MIALLO
| 1143 |
MNTL HLTH INPAT ALL LIMIT:ALL |
Insurance |
| MICOIN
| 1200 |
MNTL HLTH INPAT TYPE COINS |
Insurance |
| MICOINI
| 1161 |
MNTL HLTH INPAT INTRN LIMIT:COINS |
Insurance |
| MICOINO
| 1149 |
MNTL HLTH INPAT ALL LIMIT:COINS/COPAY |
Insurance |
| MICOINP
| 1203 |
MNTL HLTH INPAT % COINS |
Insurance |
| MICOVI
| 768 |
BNFT CVRG FOR MNTL HLTH INPAT-IN |
Insurance |
| MICOVO
| 801 |
BNFT CVRG FOR MNTL HLTH INPAT-OUT |
Insurance |
| MIDECYD
| 1191 |
MH INPAT TYPE DED:AMNT DEDUCT/CONFIN/YR |
Insurance |
| MIDEDCY
| 1176 |
MNTL HLTH INPAT TYPE DEDUCT:/CONFIN/YR |
Insurance |
| MIDEDDF
| 1179 |
MNTL HLTH INPAT TYPE DEDUCT:/DAY FIX |
Insurance |
| MIDEDDV
| 1182 |
MNTL HLTH INPAT TYPE DEDUCT:/DAY VARY |
Insurance |
| MIDEDDY
| 1185 |
MH INPAT TYPE DEDUCT:# DAYS/CONFIN/YR |
Insurance |
| MIDEDFD
| 1194 |
MH INPAT TYPE DED:AMNT DED/DAY FIX|VARY |
Insurance |
| MIDEDI
| 1158 |
MNTL HLTH INPAT INTRN LIMIT:DEDUCT |
Insurance |
| MIDEDNS
| 1188 |
MNTL HLTH INPAT TYPE DEDUCT:NOT SPECIFD |
Insurance |
| MIDEDO
| 1146 |
MNTL HLTH INPAT ALL LIMIT:DEDUCT |
Insurance |
| MIDEDYN
| 1197 |
MH INPAT TYPE DEDUCT:# DAYS /CONFIN/YR |
Insurance |
| MIMAXCYN
| 1214 |
MH INPAT DAY MAX:MAX # DAYS /CONFIN/YR |
Insurance |
| MIMAXDI
| 1170 |
MNTL HLTH INPAT INTRN LIMIT:$ MAX |
Insurance |
| MIMAXNI
| 1167 |
MNTL HLTH INPAT INTRN LIMIT:DAY MAX |
Insurance |
| MIMAXO
| 1155 |
MNTL HLTH INPAT ALL LIMIT:PLAN MAX |
Insurance |
| MIMXCY
| 1217 |
MNTL HLTH INPAT TYPE $ MAX:/CONFIN/YR |
Insurance |
| MIMXCYD
| 1226 |
MH INPAT TYPE $ MAX:AMNT $ MAX/CONFIN/YR |
Insurance |
| MIMXDY
| 1220 |
MNTL HLTH INPAT TYPE $ MAX:/DAY |
Insurance |
| MIMXDYD
| 1234 |
MH INPAT TYPE $ MAX: AMNT $ MAX /DAY |
Insurance |
| MIMXNS
| 1223 |
MNTL HLTH INPAT TYPE $ MAX:NOT SPECIFID |
Insurance |
| MIOOPD
| 1206 |
MNTL HLTH INPAT AMNT OOP LIMIT |
Insurance |
| MIOOPI
| 1164 |
MNTL HLTH INPAT INTRN LIMIT:OOP LIMIT |
Insurance |
| MIOOPO
| 1152 |
MNTL HLTH INPAT ALL LIMIT:OOP LIMIT |
Insurance |
| MIOTHI
| 1173 |
MNTL HLTH INPAT INTRN LIMIT:OTHR |
Insurance |
| MMBASIC
| 402 |
BASIC W/SUPPLEMENTARY MAJ MED PLAN |
Insurance |
| MOALLO
| 1945 |
MNTL HLTH OUTPAT ALL LIMIT:ALL |
Insurance |
| MOCOIFI
| 1963 |
MNTL HLTH OUTPAT INTRN LIMIT:COINS FIX |
Insurance |
| MOCOINO
| 1951 |
MNTL HLTH OUTPAT ALL LIMIT:COINS/COPAY |
Insurance |
| MOCOINP
| 1990 |
MNTL HLTH OUTPAT:% COINS FIX|VARY |
Insurance |
| MOCOIVI
| 1966 |
MNTL HLTH OUTPAT INTRN LIMIT:COINS VARY |
Insurance |
| MOCOPD
| 1993 |
MNTL HLTH OUTPT:AMT COPAY/VST FIX|VARY |
Insurance |
| MOCOPFI
| 1969 |
MNTL HLTH OUTPAT INTRN LMT:COPAY/VST FIX |
Insurance |
| MOCOPVI
| 1972 |
MNTL HLTH OUTPT INTRN LMT:COPAY/VST VARY |
Insurance |
| MOCOVI
| 771 |
BNFT CVRG FOR MNTL HLTH OUTPAT-IN |
Insurance |
| MOCOVO
| 804 |
BNFT CVRG FOR MNTL HLTH OUTPAT-OUT |
Insurance |
| MODEDD
| 1987 |
MNTL HLTH OUTPAT:AMNT DEDUCT/YR |
Insurance |
| MODEDI
| 1960 |
MNTL HLTH OUTPAT INTRN LIMIT:DEDUCT/YR |
Insurance |
| MODEDO
| 1948 |
MNTL HLTH OUTPAT ALL LIMIT:DEDUCT |
Insurance |
| MOMAXO
| 1957 |
MNTL HLTH OUTPAT ALL LIMIT:PLAN MAX |
Insurance |
| MOMXDVD
| 1999 |
MNTL HLTH OUTPAT:$ AMNT $ MAX /VST |
Insurance |
| MOMXDVI
| 1978 |
MNTL HLTH OUTPAT INTRN LIMIT:$ MAX/VIST |
Insurance |
| MOMXNVI
| 1975 |
MNTL HLTH OUTPT INTRN LIMIT:MAX # VISITS |
Insurance |
| MOMXNVN
| 1996 |
MNTL HLTH OUTPAT:# MAX # VISITS |
Insurance |
| MOMXYRD
| 2002 |
MNTL HLTH OUTPAT:$ AMNT $ MAX/YR |
Insurance |
| MOMXYRI
| 1981 |
MNTL HLTH OUTPAT INTRN LIMIT:$ MAX/YR |
Insurance |
| MOOOPO
| 1954 |
MNTL HLTH OUTPAT ALL LIMIT:OOP LIMIT |
Insurance |
| MOOTHI
| 1984 |
MNTL HLTH OUTPAT INTRN LIMIT:OTHR |
Insurance |
| OFALLOI
| 1629 |
DR OFC VSTS ALL LIMIT:ALL-IN |
Insurance |
| OFALLOO
| 1697 |
DR OFC VSTS ALL LIMIT:ALL-OUT |
Insurance |
| OFCOIFII
| 1647 |
DR OFC VSTS INTRN LIMIT:COINS FIX-IN |
Insurance |
| OFCOIFIO
| 1715 |
DR OFC VSTS INTRN LIMIT:COINS FIX-OUT |
Insurance |
| OFCOINOI
| 1635 |
DR OFC VSTS ALL LIMIT:COINS/COPAY-IN |
Insurance |
| OFCOINOO
| 1703 |
DR OFC VSTS ALL LIMIT:COINS/COPAY-OUT |
Insurance |
| OFCOINPI
| 1677 |
DR OFC VSTS:% COINS FIX|VARY-IN |
Insurance |
| OFCOINPO
| 1745 |
DR OFC VSTS:% COINS FIX|VARY-OUT |
Insurance |
| OFCOIVII
| 1650 |
DR OFC VSTS INTRN LIMIT:COINS VARY-IN |
Insurance |
| OFCOIVIO
| 1718 |
DR OFC VSTS INTRN LIMIT:COINS VARY-OUT |
Insurance |
| OFCOPDI
| 1680 |
DR OFC VSTS:AMNT COPAY /VST FIX|VARY-IN |
Insurance |
| OFCOPDO
| 1748 |
DR OFC VSTS:AMNT COPAY /VST FIX|VARY-OUT |
Insurance |
| OFCOPFII
| 1653 |
DR OFC VSTS INTRN LIMIT:COPAY/VST FIX-IN |
Insurance |
| OFCOPFIO
| 1721 |
DR OFC VSTS INTRN LIMT:COPAY/VST FIX-OUT |
Insurance |
| OFCOPVII
| 1656 |
DR OFC VSTS INTRN LIMT:COPAY/VST VARY-IN |
Insurance |
| OFCOPVIO
| 1724 |
DR OFC VSTS INTRN LMT:COPAY/VST VARY-OUT |
Insurance |
| OFCOVI
| 759 |
BNFT CVRG FOR DR OFC VSTS-IN |
Insurance |
| OFCOVO
| 792 |
BNFT CVRG FOR DR OFC VSTS-OUT |
Insurance |
| OFDEDDI
| 1674 |
DR OFC VSTS:AMNT DEDUCT/YR-IN |
Insurance |
| OFDEDDO
| 1742 |
DR OFC VSTS:AMNT DEDUCT/YR-OUT |
Insurance |
| OFDEDII
| 1644 |
DR OFC VSTS INTRN LIMIT:DEDUCT/YR-IN |
Insurance |
| OFDEDIO
| 1712 |
DR OFC VSTS INTRN LIMIT:DEDUCT/YR-OUT |
Insurance |
| OFDEDOI
| 1632 |
DR OFC VSTS ALL LIMIT:DEDUCT-IN |
Insurance |
| OFDEDOO
| 1700 |
DR OFC VSTS ALL LIMIT:DEDUCT-OUT |
Insurance |
| OFDIFFII
| 1659 |
DR OF INTRN LMT:COINS/PAY DIF:SPCLST-IN |
Insurance |
| OFDIFFIO
| 1727 |
DR OF INTRN LMT:COINS/PAY DIF:SPCLST-OUT |
Insurance |
| OFMAXOI
| 1641 |
DR OFC VSTS ALL LIMIT:PLAN MAX-IN |
Insurance |
| OFMAXOO
| 1709 |
DR OFC VSTS ALL LIMIT:PLAN MAX-OUT |
Insurance |
| OFMXDVDI
| 1686 |
DR OFC VSTS:$ AMNT $ MAX /VST-IN |
Insurance |
| OFMXDVDO
| 1754 |
DR OFC VSTS:$ AMNT $ MAX /VST-OUT |
Insurance |
| OFMXDVII
| 1665 |
DR OFC VSTS INTRN LIMIT:$ MAX /VST-IN |
Insurance |
| OFMXDVIO
| 1733 |
DR OFC VSTS INTRN LIMIT:$ MAX /VST-OUT |
Insurance |
| OFMXNVII
| 1662 |
DR OFC VSTS INTRN LIMIT:MAX # VISITS-IN |
Insurance |
| OFMXNVIO
| 1730 |
DR OFC VSTS INTRN LIMIT:MAX # VISITS-OUT |
Insurance |
| OFMXNVNI
| 1683 |
DR OFC VSTS:# MAX # VISITS-IN |
Insurance |
| OFMXNVNO
| 1751 |
DR OFC VSTS:# MAX # VISITS-OUT |
Insurance |
| OFMXYRDI
| 1689 |
DR OFC VSTS:$ AMNT $ MAX/YR-IN |
Insurance |
| OFMXYRDO
| 1757 |
DR OFC VSTS:$ AMNT $ MAX/YR-OUT |
Insurance |
| OFMXYRII
| 1668 |
DR OFC VSTS INTRN LIMIT:$ MAX/YR-IN |
Insurance |
| OFMXYRIO
| 1736 |
DR OFC VSTS INTRN LIMIT:$ MAX/YR-OUT |
Insurance |
| OFOOPOI
| 1638 |
DR OFC VSTS ALL LIMIT:OOP LIMIT-IN |
Insurance |
| OFOOPOO
| 1706 |
DR OFC VSTS ALL LIMIT:OOP LIMIT-OUT |
Insurance |
| OFOTHII
| 1671 |
DR OFC VSTS INTRN LIMIT:OTHR-IN |
Insurance |
| OFOTHIO
| 1739 |
DR OFC VSTS INTRN LIMIT:OTHR-OUT |
Insurance |
| OISMAXI
| 1580 |
OUTPAT SURGERY INTRN LIMIT:$ MAX |
Insurance |
| OOPADI
| 621 |
ALC/DRUGS DOES NOT APPLY OOP LIMIT-IN |
Insurance |
| OOPADO
| 673 |
ALC/DRUGS DOES NOT APPLY OOP LIMIT-OUT |
Insurance |
| OOPAPPI
| 615 |
ALL BNFTS APPLY TO THE OOP LIMIT-IN |
Insurance |
| OOPAPPO
| 667 |
ALL BNFTS APPLY TO THE OOP LIMIT-OUT |
Insurance |
| OOPDEDFL
| 132 |
FLAG: DEDUCTIBLE INCLUDED IN OOP LIMIT? |
Insurance |
| OOPDEDI
| 612 |
DEDUCT INCLUDED IN THE OOP LIMIT-IN |
Insurance |
| OOPDEDO
| 664 |
DEDUCT INCLUDED IN THE OOP LIMIT-OUT |
Insurance |
| OOPDENTI
| 627 |
DENTAL DOES NOT APPLY OOP LIMIT-IN |
Insurance |
| OOPDENTO
| 679 |
DENTAL DOES NOT APPLY OOP LIMIT-OUT |
Insurance |
| OOPDRUGI
| 624 |
DRUGS DOES NOT APPLY OOP LIMIT-IN |
Insurance |
| OOPDRUGO
| 676 |
DRUGS DOES NOT APPLY OOP LIMIT-OUT |
Insurance |
| OOPEARNI
| 587 |
OOP LIMIT BASED ON EARNINGS-IN |
Insurance |
| OOPEARNO
| 639 |
OOP LIMIT BASED ON EARNINGS-OUT |
Insurance |
| OOPFDI
| 604 |
AMNT FAMILY OOP LIMIT-IN |
Insurance |
| OOPFDO
| 656 |
AMNT FAMILY OOP LIMIT-OUT |
Insurance |
| OOPFI
| 601 |
TYPE FAMILY OOP LIMIT-IN |
Insurance |
| OOPFO
| 653 |
TYPE FAMILY OOP LIMIT-OUT |
Insurance |
| OOPI
| 584 |
OOP LIMIT-IN |
Insurance |
| OOPIDI
| 593 |
AMNT INDIV OOP LIMIT-IN |
Insurance |
| OOPIDO
| 645 |
AMNT INDIV OOP LIMIT-OUT |
Insurance |
| OOPII
| 590 |
TYPE INDIV OOP LIMIT-IN |
Insurance |
| OOPIO
| 642 |
TYPE INDIV OOP LIMIT-OUT |
Insurance |
| OOPMHI
| 618 |
MNTL HLTH DOES NOT APPLY OOP LIMIT-IN |
Insurance |
| OOPMHO
| 670 |
MNTL HLTH DOES NOT APPLY OOP LIMIT-OUT |
Insurance |
| OOPO
| 636 |
OOP LIMIT-OUT |
Insurance |
| OOPOTHI
| 633 |
OTHR BNFTS DO NOT APPLY TO OOP LIMIT-IN |
Insurance |
| OOPOTHO
| 685 |
OTHR BNFTS DO NOT APPLY OOP LIMIT-OUT |
Insurance |
| OOPVISI
| 630 |
VISION DOES NOT APPLY OOP LIMIT-IN |
Insurance |
| OOPVISO
| 682 |
VISION DOES NOT APPLY OOP LIMIT-OUT |
Insurance |
| OSALLO
| 1556 |
OUTPAT SURGERY ALL LIMIT:ALL |
Insurance |
| OSCOINI
| 1574 |
OUTPAT SURGERY INTRN LIMIT:COINSURANCE |
Insurance |
| OSCOINO
| 1562 |
OUTPAT SURGERY ALL LIMIT:COINS/COPAY |
Insurance |
| OSCOINP
| 1589 |
OUTPAT SURGERY:% COINS |
Insurance |
| OSCOPD
| 1592 |
OUTPAT SURGERY:AMNT COPAY |
Insurance |
| OSCOPI
| 1577 |
OUTPAT SURGERY INTRN LIMIT:COPAY |
Insurance |
| OSCOVI
| 756 |
BNFT CVRG FOR OUTPAT SURGERY-IN |
Insurance |
| OSCOVO
| 789 |
BNFT CVRG FOR OUTPAT SURGERY-OUT |
Insurance |
| OSDEDD
| 1586 |
OUTPAT SURGERY:AMNT DEDUCT |
Insurance |
| OSDEDI
| 1571 |
OUTPAT SURGERY INTRN LIMIT:DEDUCT |
Insurance |
| OSDEDO
| 1559 |
OUTPAT SURGERY ALL LIMIT:DEDUCT |
Insurance |
| OSMAXO
| 1568 |
OUTPAT SURGERY ALL LIMIT:PLAN MAX |
Insurance |
| OSMX1FE
| 1623 |
OUTPAT SRGY $ MAX:AMT $MAX:TONSIL/ADENOI |
Insurance |
| OSMX2FE
| 1626 |
OUTP SRG TYP $ MAX:AMT $MAX:DIAG D AND C |
Insurance |
| OSMXCY
| 1595 |
OUTPAT SURGERY TYPE $ MAX:/CONFIN/YEAR |
Insurance |
| OSMXCYD
| 1607 |
OUTPAT SRGY $ MAX:AMT $MAX/CONFIN/YR |
Insurance |
| OSMXFE
| 1601 |
OUTPAT SURGERY TYPE $ MAX:FEE SCHD |
Insurance |
| OSMXNS
| 1604 |
OUTPAT SURGERY TYPE $ MAX:NOT SPECIFIED |
Insurance |
| OSMXSR
| 1598 |
OUTPAT SURGERY TYPE $ MAX:PER SURGERY |
Insurance |
| OSMXSRD
| 1615 |
OUTPAT SRGY TYPE $ MAX:AMT $MAX/SURGERY |
Insurance |
| OSOOPO
| 1565 |
OUTPAT SURGERY ALL LIMIT:OOP LIMIT |
Insurance |
| OSOTHI
| 1583 |
OUTPAT SURGERY INTRN LIMIT:OTHR |
Insurance |
| OTHAIMI
| 893 |
ADULT IMMUNIZATIONS-IN |
Insurance |
| OTHAIMO
| 941 |
ADULT IMMUNIZATIONS-OUT |
Insurance |
| OTHCHIRI
| 902 |
CHIROPRACTIC CARE-IN |
Insurance |
| OTHCHIRO
| 950 |
CHIROPRACTIC CARE-OUT |
Insurance |
| OTHCIMI
| 896 |
CHILD IMMUNIZATIONS-IN |
Insurance |
| OTHCIMO
| 944 |
CHILD IMMUNIZATIONS-OUT |
Insurance |
| OTHCONVI
| 908 |
REHABILITATION FACILITY-IN |
Insurance |
| OTHCONVO
| 956 |
CONVALESCENT-OUT |
Insurance |
| OTHHOSPI
| 914 |
HOSPICE CARE-IN |
Insurance |
| OTHHOSPO
| 962 |
HOSPICE CARE-OUT |
Insurance |
| OTHIPCVI
| 875 |
INPAT DR'S CHARGES CVRG-IN |
Insurance |
| OTHIPCVO
| 923 |
INPAT DR'S CHARGES CVRG-OUT |
Insurance |
| OTHIPI
| 872 |
INPAT DR-IN |
Insurance |
| OTHIPO
| 920 |
INPAT DR-OUT |
Insurance |
| OTHMAMI
| 881 |
ROUTINE MAMMOGRAMS-IN |
Insurance |
| OTHMAMO
| 929 |
ROUTINE MAMMOGRAMS-OUT |
Insurance |
| OTHNONEI
| 869 |
NO OTHR BNFT INCLUDED IN PLAN DESC-IN |
Insurance |
| OTHNONEO
| 917 |
NO OTHR BNFT INCLUDED IN PLAN DESC-OUT |
Insurance |
| OTHNONPI
| 905 |
OTHR NON-DR PROVIDERS-IN |
Insurance |
| OTHNONPO
| 953 |
OTHR NON-DR PROVIDERS-OUT |
Insurance |
| OTHPAPI
| 887 |
ROUTINE PAP SMEARS-IN |
Insurance |
| OTHPAPO
| 935 |
ROUTINE PAP SMEARS-OUT |
Insurance |
| OTHPEI
| 884 |
ADULT ROUTINE PHYSICAL EXAMS-IN |
Insurance |
| OTHPEO
| 932 |
ADULT ROUTINE PHYSICAL EXAMS-OUT |
Insurance |
| OTHPRENI
| 890 |
OFC VSTS FOR PRENATAL CARE-IN |
Insurance |
| OTHPRENO
| 938 |
OFC VSTS FOR PRENATAL CARE-OUT |
Insurance |
| OTHSNFI
| 911 |
EXTENDED CARE/SNF-IN |
Insurance |
| OTHSNFO
| 959 |
EXTENDED CARE/SNF-OUT |
Insurance |
| OTHWCCI
| 899 |
WELL-CHILD CARE, 2-4 YEARS-IN |
Insurance |
| OTHWCCO
| 947 |
WELL-CHILD CARE, 2-4 YEARS-OUT |
Insurance |
| OTHXRAYI
| 878 |
DIAGNOSTIC X-RAYS AND LAB-IN |
Insurance |
| OTHXRAYO
| 926 |
DIAGNOSTIC X-RAYS AND LAB-OUT |
Insurance |
| OVDEDF
| 81 |
OVERALL FAMILY DEDUCTIBLE |
Insurance |
| OVDEDI
| 73 |
OVERALL INDIVIDUAL DEDUCTIBLE |
Insurance |
| OVERLIMI
| 498 |
OVERALL LIMIT-IN |
Insurance |
| OVERLIMO
| 501 |
OVERALL LIMIT-OUT |
Insurance |
| OVLIMIT
| 70 |
OVERALL LIMIT INDICATOR |
Insurance |
| OVMAXIL
| 108 |
OVERALL LIFETIME MAXIMUM |
Insurance |
| OVMAXIY
| 100 |
OVERALL ANNUAL MAXIMUM |
Insurance |
| OVMOOPF
| 124 |
OVERALL FAMILY OOP MAXIMUM |
Insurance |
| OVMOOPI
| 116 |
OVERALL INDIVIDUAL OOP MAXIMUM |
Insurance |
| OVPAYT
| 97 |
OVERALL PAYMENT TYPE |
Insurance |
| OVRATE
| 89 |
OVERALL COINSURANCE RATE |
Insurance |
| PHOLDER
| 52 |
POLICYHOLDER |
Survey Administration and Eligibility Status |
| PID
| 8 |
PERSON ID |
Identifiers |
| PLANTYPE
| 378 |
TYPE PLAN FROM BKLT |
Insurance |
| PROVTYPE
| 381 |
TYPE PLAN AS DETERMINED BY PLAN CHAR |
Insurance |
| RACETHNX
| 64 |
RACE/ETHNICITY (EDITED / IMPUTED) |
Demographics |
| RACEX
| 61 |
RACE (EDITED / IMPUTED) |
Demographics |
| REFOBGYN
| 393 |
REQUIRE PRIM-CARE DR-REFER OB-GYN |
Insurance |
| RESTRICT
| 408 |
RESTRICT CVRG OF PRE-EXISTING COND |
Insurance |
| SEX
| 67 |
SEX |
Demographics |
| VISION
| 375 |
VISION CVRG PROVIDED |
Insurance |
| VSCOV
| 2487 |
VISION BNFT APPLIED |
Insurance |
| VSDED
| 2493 |
VISION DEDUCT |
Insurance |
| VSDEDD
| 2496 |
AMNT VISION DEDUCT |
Insurance |
| VSDETAIL
| 2490 |
DETAILS PROVIDED FOR VISION CVRG |
Insurance |
| VSEX1CIP
| 2508 |
EYE EXAMS:% COINS (PROV 1) |
Insurance |
| VSEX1CPD
| 2511 |
EYE EXAMS:AMNT COPAY (PROV 1) |
Insurance |
| VSEX1CV
| 2505 |
BNFT CVRG FOR EYE EXAMS (PROV 1) |
Insurance |
| VSEX1MXD
| 2514 |
EYE EXAMS:AMNT $ MAX (PROV 1) |
Insurance |
| VSEX2CIP
| 2520 |
EYE EXAMS:% COINS (PROV 2) |
Insurance |
| VSEX2CPD
| 2523 |
EYE EXAMS:AMNT COPAY (PROV 2) |
Insurance |
| VSEX2CV
| 2517 |
BNFT CVRG FOR EYE EXAMS (PROV 2) |
Insurance |
| VSEX2MXD
| 2526 |
EYE EXAMS:AMNT $ MAX (PROV 2) |
Insurance |
| VSEX3CIP
| 2532 |
EYE EXAMS:% COINS (PROV 3) |
Insurance |
| VSEX3CPD
| 2535 |
EYE EXAMS:AMNT COPAY (PROV 3) |
Insurance |
| VSEX3CV
| 2529 |
BNFT CVRG FOR EYE EXAMS (PROV 3) |
Insurance |
| VSEX3MXD
| 2538 |
EYE EXAMS:AMNT $ MAX (PROV 3) |
Insurance |
| VSGL1CIP
| 2544 |
EYE GLASSES:% COINS (PROV 1) |
Insurance |
| VSGL1CPD
| 2547 |
EYE GLASSES:AMNT COPAY (PROV 1) |
Insurance |
| VSGL1CV
| 2541 |
BNFT CVRG FOR EYE GLASSES (PROV 1) |
Insurance |
| VSGL1MXD
| 2550 |
EYE GLASSES:AMNT $ MAX (PROV 1) |
Insurance |
| VSGL2CIP
| 2556 |
EYE GLASSES:% COINS (PROV 2) |
Insurance |
| VSGL2CPD
| 2559 |
EYE GLASSES:AMNT COPAY (PROV 2) |
Insurance |
| VSGL2CV
| 2553 |
BNFT CVRG FOR EYE GLASSES (PROV 2) |
Insurance |
| VSGL2MXD
| 2562 |
EYE GLASSES:AMNT $ MAX (PROV 2) |
Insurance |
| VSGL3CIP
| 2568 |
EYE GLASSES:% COINS (PROV 3) |
Insurance |
| VSGL3CPD
| 2571 |
EYE GLASSES:AMNT COPAY (PROV 3) |
Insurance |
| VSGL3CV
| 2565 |
BNFT CVRG FOR EYE GLASSES PROV 3) |
Insurance |
| VSGL3MXD
| 2574 |
EYE GLASSES:AMNT $ MAX (PROV 3) |
Insurance |
| VSMAX
| 2499 |
VISION MAX |
Insurance |
| VSMAXD
| 2502 |
AMNT VISION MAX |
Insurance |
| VSPROV
| 2484 |
TYPE VISION PROVIDER |
Insurance |
| WBALLOI
| 1760 |
WELL BABY ALL LIMIT:ALL-IN |
Insurance |
| WBALLOO
| 1820 |
WELL BABY ALL LIMIT:ALL-OUT |
Insurance |
| WBCOIFII
| 1778 |
WELL BABY INTRN LIMIT:COINS FIX-IN |
Insurance |
| WBCOIFIO
| 1838 |
WELL BABY INTRN LIMIT:COINS FIX-OUT |
Insurance |
| WBCOINOI
| 1766 |
WELL BABY ALL LIMIT:COINS/COPAY-IN |
Insurance |
| WBCOINOO
| 1826 |
WELL BABY ALL LIMIT:COINS/COPAY-OUT |
Insurance |
| WBCOINPI
| 1805 |
WELL BABY:% COINS FIX|VARY-IN |
Insurance |
| WBCOINPO
| 1865 |
WELL BABY:% COINS FIX|VARY-OUT |
Insurance |
| WBCOIVII
| 1781 |
WELL BABY INTRN LIMIT:COINS VARY-IN |
Insurance |
| WBCOIVIO
| 1841 |
WELL BABY INTRN LIMIT:COINS VARY-OUT |
Insurance |
| WBCOPDI
| 1808 |
WELL BABY:AMNT COPAY /VST FIX|VARY-IN |
Insurance |
| WBCOPDO
| 1868 |
WELL BABY:AMNT COPAY /VST FIX|VARY-OUT |
Insurance |
| WBCOPFII
| 1784 |
WELL BABY INTRN LIMIT:COPAY /VST FIX-IN |
Insurance |
| WBCOPFIO
| 1844 |
WELL BABY INTRN LIMIT:COPAY /VST FIX-OUT |
Insurance |
| WBCOPVII
| 1787 |
WELL BABY INTRN LIMIT:COPAY /VST VARY-IN |
Insurance |
| WBCOPVIO
| 1847 |
WELL BABY INTRN LIMIT:COPAY/VST VARY-OUT |
Insurance |
| WBCOVI
| 762 |
BNFT CVRG FOR WELL BABY-IN |
Insurance |
| WBCOVO
| 795 |
BNFT CVRG FOR WELL BABY-OUT |
Insurance |
| WBDEDDI
| 1802 |
WELL BABY:AMNT DEDUCT/YR-IN |
Insurance |
| WBDEDDO
| 1862 |
WELL BABY:AMNT DEDUCT/YR-OUT |
Insurance |
| WBDEDII
| 1775 |
WELL BABY INTRN LIMIT:DEDUCT/YR-IN |
Insurance |
| WBDEDIO
| 1835 |
WELL BABY INTRN LIMIT:DEDUCT/YR-OUT |
Insurance |
| WBDEDOI
| 1763 |
WELL BABY ALL LIMIT:DEDUCT-IN |
Insurance |
| WBDEDOO
| 1823 |
WELL BABY ALL LIMIT:DEDUCT-OUT |
Insurance |
| WBMAXOI
| 1772 |
WELL BABY ALL LIMIT:PLAN MAXIM UM-IN |
Insurance |
| WBMAXOO
| 1832 |
WELL BABY ALL LIMIT:PLAN MAX-OUT |
Insurance |
| WBMXDVDI
| 1814 |
WELL BABY:$ AMNT $ MAX /VST-IN |
Insurance |
| WBMXDVDO
| 1874 |
WELL BABY:$ AMNT $ MAX /VST-OUT |
Insurance |
| WBMXDVII
| 1793 |
WELL BABY INTRN LIMIT:$ MAX /VST-IN |
Insurance |
| WBMXDVIO
| 1853 |
WELL BABY INTRN LIMIT:$ MAX /VST-OUT |
Insurance |
| WBMXNVII
| 1790 |
WELL BABY INTRN LIMIT:MAX # VISITS-IN |
Insurance |
| WBMXNVIO
| 1850 |
WELL BABY INTRN LIMIT:MAX # VISITS-OUT |
Insurance |
| WBMXNVNI
| 1811 |
WELL BABY:# MAX # VISITS-IN |
Insurance |
| WBMXNVNO
| 1871 |
WELL BABY:# MAX # VISITS-OUT |
Insurance |
| WBMXYRDI
| 1817 |
WELL BABY:$ AMNT $ MAX/YR-IN |
Insurance |
| WBMXYRDO
| 1877 |
WELL BABY:$ AMNT $ MAX/YR-OUT |
Insurance |
| WBMXYRII
| 1796 |
WELL BABY INTRN LIMIT:$ MAX/YR-IN |
Insurance |
| WBMXYRIO
| 1856 |
WELL BABY INTRN LIMIT:$ MAX/YR-OUT |
Insurance |
| WBOOPOI
| 1769 |
WELL BABY ALL LIMIT:OOP LIMIT-IN |
Insurance |
| WBOOPOO
| 1829 |
WELL BABY ALL LIMIT:OOP LIMIT-OUT |
Insurance |
| WBOTHII
| 1799 |
WELL BABY INTRN LIMIT:OTHR-IN |
Insurance |
| WBOTHIO
| 1859 |
WELL BABY INTRN LIMIT:OTHR-OUT |
Insurance |
540 Gaither Road Rockville, MD 20850