| EPCPIDX |
1 |
28 |
EPRSIDX + RN + DUPERSID |
| DUPERSID |
29 |
36 |
PERSON CVRD BY POLCYHLDR-ESTABLISHMENT |
| PHLDRIDX |
37 |
44 |
POLICY HOLDER'S DUPERSID |
| ESTBIDX |
45 |
55 |
ESTABLISHMENT ID |
| EPRSIDX |
56 |
74 |
ESTABLISHMENT ID + POLICYHOLDER ID |
| RN |
75 |
75 |
ROUND NUMBER |
| JOBSIDX |
76 |
86 |
JOBSIDX |
| PUF1FLG |
87 |
87 |
1=IN HC001, ELSE 0 |
| PUF12FLG |
88 |
88 |
1=IN HC012, ELSE 0 |
| CMJINS |
89 |
90 |
CMJ AS THE SOURCE OF PLAN: 1 YES, 2 NO |
| PHOLDER |
91 |
91 |
POLICY HOLDER |
| DEPNDNT |
92 |
92 |
DEPENDENT OF POLICY HOLDER |
| EVALCOVR |
93 |
94 |
COVERED @ INTERVIEW DATE OR 12/31 |
| STATUS1 |
95 |
96 |
STATUS -MONTH 1 |
| STATUS2 |
97 |
98 |
STATUS -MONTH 2 |
| STATUS3 |
99 |
100 |
STATUS -MONTH 3 |
| STATUS4 |
101 |
102 |
STATUS -MONTH 4 |
| STATUS5 |
103 |
104 |
STATUS -MONTH 5 |
| STATUS6 |
105 |
106 |
STATUS -MONTH 6 |
| STATUS7 |
107 |
108 |
STATUS -MONTH 7 |
| STATUS8 |
109 |
110 |
STATUS -MONTH 8 |
| STATUS9 |
111 |
112 |
STATUS -MONTH 9 |
| STATUS10 |
113 |
114 |
STATUS -MONTH 10 |
| STATUS11 |
115 |
116 |
STATUS -MONTH 11 |
| STATUS12 |
117 |
118 |
STATUS -MONTH 12 |
| DECPHLDR |
119 |
119 |
DECEASED POLICYHOLDER FLAG: 1 YES,2 NO |
| OUTPHLDR |
120 |
120 |
OUT-OF-RU POLICYHOLDER FLAG: 1 YES,2 NO |
| NOPUFLG |
121 |
121 |
PHLDR NOT IN HC001 OR HC012, OTH REASON |
| TYPEFLAG |
122 |
123 |
TYPE OF ESTABLISHMENT |
| PRIVCAT |
124 |
125 |
CATEGORY OF PRIVATE COVERAGE |
| HOSPINSX |
126 |
127 |
TYPE OF HI GOTTEN: HOSPITAL/HMO (EDITED) |
| MSUPINSX |
128 |
129 |
TYPE OF HI GOTTEN: MEDIGAP (EDITED) |
| DENTLINS |
130 |
131 |
TYPE OF HI GOTTEN: DENTAL |
| VISIONIN |
132 |
133 |
TYPE OF HI GOTTEN: VISION |
| LTCINS |
134 |
135 |
TYPE OF HI GOTTEN: LTC-NURSING HOME |
| PMEDINS |
136 |
137 |
TYPE OF HI GOTTEN: PRESCRIPTION DRUG |
| COBRA |
138 |
139 |
COBRA COVERAGE: 1=YES, 2=NO |
| COVTYPIN |
140 |
141 |
COVERAGE @INTVW: 1=SINGLE, 2=FAMILY |
| OOPELIG |
142 |
143 |
FLAG: POLICYHOLDER ESTB HAS PREMIUM |
| OOPPREM |
144 |
150 |
MONTHLY OUT-OF-POCKET PREMIUM, R1 (ED) |
| PREMLEVX |
151 |
152 |
EDITED PREMLEVL |
| BYFED |
153 |
154 |
FEDERAL GOVT PAID FOR PRIV PLAN PREMIUM |
| BYSTATE |
155 |
156 |
STATE GOVT PAID FOR PRIV PLAN PREMIUM |
| BYLOCAL |
157 |
158 |
LOCAL GOVT PAID FOR PRIV PLAN PREMIUM |
| BYSOMGOV |
159 |
160 |
SOME GOVT PAID FOR PRIV PLAN PREMIUM |
| BYEMPL |
161 |
162 |
EMPLOYER PAID FOR PRIV PLAN PREMIUM |
| BYUNION |
163 |
164 |
UNION PAID FOR PRIV PLAN PREMIUM |
| BYOTHER |
165 |
166 |
OTHER PAID FOR PRIV PLAN PREMIUM |
| UPRHMO |
167 |
168 |
HMO COVERAGE (FROM PRPL) |
| UPRMNC |
169 |
170 |
PLAN REQRD COVRD PERS USE GATEKEEPER |
| DRLIST |
171 |
172 |
DOES PLAN HAVE A BOOK/LIST OF DOCTORS? |
| VISTPAYX |
173 |
174 |
PLAN PAY NON-HMO, NON-REFER DR VISIT(ED) |
| NAMECHNG |
175 |
176 |
HAS THERE BEEN A CHANGE IN PLAN NAME |
| SATELIG |
177 |
177 |
ELIG. FOR SATIS. PLAN QUEST: 1=YES, 2=NO |
| APPT |
178 |
179 |
HOW DIFFICULT TO GET SPECIALIST APPT? |
| CHANPROV |
180 |
181 |
DID HAVE TO CHANGE PRIMARY CARE PROVIDER |
| COSTQUAL |
182 |
183 |
IMPORTANCE COST/QUALITY IN CHOOSING PLAN |
| CUSTSERV |
184 |
185 |
HAS CALLED CUSTOMER SERVICE/ADMIN OFFICE |
| DIFFREF |
186 |
187 |
HOW DIFFICULT TO GET SPECIALIST REFERRAL |
| PAIDLESS |
188 |
189 |
HAS PLAN PAID LESS THAN EXPECTED? |
| PLANREF |
190 |
191 |
PLAN REFUSED TO PAY FOR OR APPROVE CARE |
| PLANSAT |
192 |
193 |
SATISFACTION WITH INSURANCE PLAN |
| RECPLAN |
194 |
195 |
LIKELY TO RECOMMEND PLAN? |
| SATAMT |
196 |
197 |
SATISFIED WITH AMOUNT PAID |
| SATCHOIC |
198 |
199 |
HOW SATISFIED WITH CHOICE OF PROVIDER |
| SATCOVH |
200 |
201 |
HOW SATISFIED WITH HOSPITALIZATION? |
| SATCOVMH |
202 |
203 |
HOW SATISFIED WITH MENTAL HEALTH SERVICE |
| SATCOVP |
204 |
205 |
HOW SATISFIED W/ PREVENTIVE HEALTH CARE? |
| SATCOVPM |
206 |
207 |
HOW SATISFIED WITH PRESCRIPTION MEDS? |
| SATCS |
208 |
209 |
HOW SATISFIED WITH HOW CALL HANDLED |
| SATPAPER |
210 |
211 |
SATISFIED W/ AMOUNT/DIFFICULTY PAPERWORK |
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