PPS EDB Data Element Definition

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System Number: EDB0292

User Access Name: 0292-1

Programming Name: HLTH_PLAN IN PPPBEN

Revision Date: 07/01/05

Comments

Location(s):   HBN 4532  - Medical Plan Code-HBN in HDB
APS 0953 - Primary Health Plan Code
BCS 0953 - Primary Health Plan Code
CPS 0953 - Primary Health Plan Code
IPS 0953 - Primary Health Plan Code
OPP 0953 - Primary Health Plan Code


Name: MEDICAL PLAN CODE-EDB

Type: ALPHANUMERIC

Length: 2

Format

N/A

General Description

Code indicating the medical insurance plan in which the individual is enrolled.

Code Interpretation

BC    - Blue Cross Plus
BH - High Option (Blue Cross)
BP - Blue Cross PPO
CM - Core Major Medical (Blue Cross)
DH - Definity Health (UCSF and UCSB only)
FP - PacifiCare
HN - Health Net
KN - Kaiser North
KS - Kaiser South
KU - Kaiser Umbrella
KW - Kaiser MidAtlantic
PN - PacifiCare Nevada
P1 - PSBP Medical HMO
P2 - PSBP Medical PPO
SE - UnitedHealthcare Select EPO
WH - Western Health Advantage
DM - Medical plan not yet selected by the employee
XX - Opted out of medical
XC - Cancelled medical
XD - De-enrolled - suspension of
Premiums or ineligible dependent





EDB 0292 -- MEDICAL INSURANCE PLAN CODE Previously Valid Codes


FN    - Foundation
HA - Heals
HG - FHP Health Care
NA - PruNet
NH - Blue Premier HMO New Mexico
PH - Prudential High Option
UC - UC Care