| BYUNION | 207    | 208    | UNION PAID FOR PRIV PLAN PREMIUM | 
      
          
            | VISIONIN | 162    | 163    | TYPE OF HI GOTTEN: VISION | 
      
          
            | PMEDINS | 164    | 165    | TYPE OF HI GOTTEN: PRESCRIPTION DRUG | 
      
          
            | MSUPINSX | 158    | 159    | TYPE OF HI GOTTEN: MEDIGAP (EDITED) | 
      
          
            | HOSPINSX | 156    | 157    | TYPE OF HI GOTTEN: HOSPITAL/HMO (EDITED) | 
      
          
            | DENTLINS | 160    | 161    | TYPE OF HI GOTTEN: DENTAL | 
      
          
            | TYPEFLAG | 152    | 153    | TYPE OF ESTABLISHMENT | 
      
          
            | STATUS9 | 117    | 118    | STATUS - MONTH 9 | 
      
          
            | STATUS8 | 115    | 116    | STATUS - MONTH 8 | 
      
          
            | STATUS7 | 113    | 114    | STATUS - MONTH 7 | 
      
          
            | STATUS6 | 111    | 112    | STATUS - MONTH 6 | 
      
          
            | STATUS5 | 109    | 110    | STATUS - MONTH 5 | 
      
          
            | STATUS4 | 107    | 108    | STATUS - MONTH 4 | 
      
          
            | STATUS3 | 105    | 106    | STATUS - MONTH 3 | 
      
          
            | STATUS24 | 147    | 148    | STATUS - MONTH 24 | 
      
          
            | STATUS23 | 145    | 146    | STATUS - MONTH 23 | 
      
          
            | STATUS22 | 143    | 144    | STATUS - MONTH 22 | 
      
          
            | STATUS21 | 141    | 142    | STATUS - MONTH 21 | 
      
          
            | STATUS20 | 139    | 140    | STATUS - MONTH 20 | 
      
          
            | STATUS2 | 103    | 104    | STATUS - MONTH 2 | 
      
          
            | STATUS19 | 137    | 138    | STATUS - MONTH 19 | 
      
          
            | STATUS18 | 135    | 136    | STATUS - MONTH 18 | 
      
          
            | STATUS17 | 133    | 134    | STATUS - MONTH 17 | 
      
          
            | STATUS16 | 131    | 132    | STATUS - MONTH 16 | 
      
          
            | STATUS15 | 129    | 130    | STATUS - MONTH 15 | 
      
          
            | STATUS14 | 127    | 128    | STATUS - MONTH 14 | 
      
          
            | STATUS13 | 125    | 126    | STATUS - MONTH 13 | 
      
          
            | STATUS12 | 123    | 124    | STATUS - MONTH 12 | 
      
          
            | STATUS11 | 121    | 122    | STATUS - MONTH 11 | 
      
          
            | STATUS10 | 119    | 120    | STATUS - MONTH 10 | 
      
          
            | STATUS1 | 101    | 102    | STATUS - MONTH 1 | 
      
          
            | BYSTATE | 199    | 200    | STATE GOVT PAID FOR PRIV PLAN PREMIUM | 
      
          
            | BYSOMGOV | 203    | 204    | SOME GOVT PAID FOR PRIV PLAN PREMIUM | 
      
          
            | RN | 77    | 77    | ROUND NUMBER | 
      
          
            | RATEPLAN | 240    | 241    | RATE EXPERIENCE WITH PLAN | 
      
          
            | PRBPPRWK | 238    | 239    | PROBLEM WITH PLAN PAPERWORK | 
      
          
            | PRBCSTSV | 234    | 235    | PROBLEM GETTING HELP FROM CUST SERVICE | 
      
          
            | PRBFDINF | 230    | 231    | PROBLEM FINDING INFORMATION | 
      
          
            | PHLDRIDX | 37    | 44    | POLICYHOLDER'S DUPERSID | 
      
          
            | EMPLSTAT | 95    | 96    | POLICYHOLDER EMPLOYMENT STATUS | 
      
          
            | PHOLDER | 97    | 97    | POLICY HOLDER | 
      
          
            | UPRMNC | 213    | 214    | PLAN REQRD COVRD PERS USE GATEKEEPER | 
      
          
            | VISITPAY | 217    | 218    | PLAN PAY FOR NON-REFER DR VISIT | 
      
          
            | NOPUFLG | 151    | 151    | PHLDR NOT IN HC053 OR HC062, OTH REASON | 
      
          
            | DUPERSID | 29    | 36    | PERSON CVRD BY POLCYHOLDR - ESTABLISHMENT | 
      
          
            | PANEL | 76    | 76    | PANEL NUMBER | 
      
          
            | OUTPHLDR | 150    | 150    | OUT-OF-RU POLICYHOLDER FLAG: 1 YES,2 NO | 
      
          
            | BYOTHER | 209    | 210    | OTHER PAID FOR PRIV PLAN PREMIUM | 
      
          
            | APRVTRET | 224    | 225    | NEED APPROVAL FOR TREATMENT | 
      
          
            | OOPPREMX | 178    | 184    | MONTHLY OUT-OF-POCKET PREMIUM (ED/IMP) | 
      
          
            | OOPPREM | 170    | 177    | MONTHLY OUT-OF-POCKET PREMIUM | 
      
          
            | BYLOCAL | 201    | 202    | LOCAL GOVT PAID FOR PRIV PLAN PREMIUM | 
      
          
            | JOBSINFR | 89    | 90    | JOBSIDX INFERRED RATHER THAN REPORTED ID | 
      
          
            | JOBSIDX | 78    | 88    | JOB IDENTIFIER | 
      
          
            | LOOKINF | 228    | 229    | INFORMATION ON HOW PLAN WORKS | 
      
          
            | GTDOCPRB | 222    | 223    | HOW MUCH PROBLEM GETTING PERSONAL DOC | 
      
          
            | UPRHMO | 211    | 212    | HMO COVERAGE (FROM PRPL) | 
      
          
            | NAMECHNG | 219    | 220    | HAS THERE BEEN A CHANGE IN PLAN NAME | 
      
          
            | CUSTSERV | 232    | 233    | HAS CALLED CUSTOMER SERVICE/ADMIN OFFICE | 
      
          
            | OOPELIG | 169    | 169    | FLAG: POLICYHOLDER ESTB HAS PREMIUM | 
      
          
            | PAPRWRK | 236    | 237    | FILL OUT ANY PAPERWORK FOR PLAN | 
      
          
            | BYFED | 197    | 198    | FEDERAL GOVT PAID FOR PRIV PLAN PREMIUM | 
      
          
            | EPRSIDX | 56    | 75    | ESTABLISHMEMT ID + POLICYHOLDER ID | 
      
          
            | ESTBIDX | 45    | 55    | ESTABLISHMEMT ID | 
      
          
            | EPCPIDX | 1    | 28    | EPRSIDX + RN + DUPERSID | 
      
          
            | BYEMPL | 205    | 206    | EMPLOYER PAID FOR PRIV PLAN PREMIUM | 
      
          
            | SATELIG | 221    | 221    | ELIG. FOR SATIS. PLAN QUEST: 1=YES, 2=NO | 
      
          
            | PREMLEVX | 195    | 196    | EDITED PREMLEVL | 
      
          
            | DRLIST | 215    | 216    | DOES PLAN HAVE A BOOK/LIST OF DOCTORS? | 
      
          
            | DEPNDNT | 98    | 98    | DEPENDENT OF POLICY HOLDER | 
      
          
            | APRVDLAY | 226    | 227    | DELAY WAITING FOR APPROVAL | 
      
          
            | DECPHLDR | 149    | 149    | DECEASED POLICYHOLDER FLAG: 1 YES,2 NO | 
      
          
            | EVALCOVR | 99    | 100    | COVERED @ INTERVIEW DATE OR 12/31 | 
      
          
            | COVTYPIN | 168    | 168    | COVERAGE @INTVW: 1=SINGLE, 2=FAMILY | 
      
          
            | COBRA | 166    | 167    | COBRA COVERAGE: 1=YES, 2=NO | 
      
          
            | CMJINS | 93    | 94    | CMJ AS THE SOURCE OF PLAN: 1 YES, 2 NO | 
      
          
            | PRIVCAT | 154    | 155    | CATEGORY OF PRIVATE COVERAGE | 
      
          
            | OOPX12X | 185    | 192    | ANNUAL OUT-OF-POCKET PREMIUM (ED/IMP) | 
      
          
            | OOPFLAG | 193    | 194    | 1=OOPPREMX ED/IMP, ELSE 0 | 
      
          
            | PUF62FLG | 92    | 92    | 1=IN PUF 62, ELSE 0 | 
      
          
            | PUF53FLG | 91    | 91    | 1=IN PUF 53, ELSE 0 |