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Field Length Type Description
Medical Record Number

8  

Text

HFHS patient medical record number
Plan Number

9  

Text

HAP patient ID number
Site Cd

-  

number

General Ledger site code that PCP's revenue center is assigned to

19

Hamtramck

57

State Fair

76

East Jefferson

80

Detroit Northwest

83

Detroit East
Revenue Center Cd

6  

Text

Revenue/cost center where procedure/visit occurred
REV_CEN_NAME

40  

Text

Name of the Revenue/cost center where patient is assigned
Capitation Type Cd

1  

Text

Capitation type code

C

Capitated

N

Non-capitated
Product Line Cd

1  

Text

Product line code

R

Regular

S

Senior Plus

C

Medicare Complementary

M

Medicaid Regular

W

Medicaid Complementary

P

Preferred Provider Organization (PPO)
Age Major Group

1  

Text

Member major age group

1

Pediatrics (18 and under)

2

Adults (19-64)

3

Geriatrics (65+)
Age Minor Group

2  

Text

Member minor age group

01

0-5 months

02

6-23 months

03

2-4 years

04

5-12 years

05

13-18 years

06

19-39 years

07

40-54 years

08

55-64 years

09

65-74 years

10

75+ years
Age Year Count

-  

Number

Patient age in years at date of encounter
Financial Class Cd

1  

Text

Patient financial class code; indicates which broad classification of insurance has primary financial responsibility for patient

0

Private

1

HAP

2

Blue Cross

3

HMO

4

Medicare A & B

5

Medicaid

6

County Care

7

Commercial

9

PHP

A

Senior Plus

C

Campus

G

HFHS Self Insured

H

Blue Choice

J

Medicare B Only

N

Pending MA / MCC / RCH

R

Research Grant

W

Workers Compensation

X

Industrial Medicine

Z

Workers Compensation
Primary Care Physician

5  

Text

Primary care physician code
PCP Name

25  

Text

Primary care physician name
PCP Specialty Cd

3  

Text

Primary care physician specialty code; indicates the specialty the revenue center physician is associated with
Primary Provider Cd

5  

Text

Primary provider code
PP Name

25  

Text

Primary provider name
Sex Cd

1  

Text

Member's gender

M

Male

F

Female
Birth Date -  

Date

Member's date of birth
Last Name 20  

Text

Member's last name
First Name 20  

Text

Member's first name
Middle Initial 1  

Text

Member's middle initial
Address 1 30   Text Member's address
Address 2 30   Text Member's address continuation line
City 25   Text City where member lives
State 2   Text State where member lives
Zip Cd 5   Text Zip code where member lives
Home Phone 10   Text Home phone number of member
Work Phone 10   Text Work phone number of member
Death Indicator 1  

Text

Indicates whether the member has died
blank The member is alive
1 The member has died

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Last modified: 07/26/04