PPS EDB Data Element Definition

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System Number: EDB0682

User Access Name: 0682-6

Programming Name: FCB_HLTH_ENRL_REAS IN PPPFCB

Revision Date: 02/01/05

Comments

Location(s)  N/A




Name: FUTURE MEDICAL ENROLLMENT REASON CODE

Type: ALPHANUMERIC

Length: 2

Format

N/A

General Description

Code indicating the reason for establishing a future medical enrollment.

Code Interpretation


User Enterable Reason Codes:
ER    -   Error correction
DR    -   HMO Provider Disruption             
HI    -   HIPAA enrollment (medical    
          only)                        
LV    -   Reinstatement on return from 
          leave of absence             
OE    -   Open Enrollment              
OR    -   Other Reason                 
PI    -   Enrollment because of a PIE  
          (other than new hire)        


System Derived Reason Codes:

BE  -   Enrollment due to BELI change 
CV  -   Coverage level change         
        because of adding/deleting    
        dependent                     
DE  -   De-enrolled due to suspension 
        of premiums                   
IE  -   New hire initial enrollment   
OT  -   One-time process 
RH  -   Rehire enrollment             
UN  -   Unknown/unspecified reason