Automated Eligibility Verification System...
This dataset provides basic information about third parties who may be liable for medical expenses that would otherwise be paid by Medi-Cal. This information is based on a point in time and is expected to be updated monthly. The data is retrieved from the Carrier Code Master File (CCMF), which is used to bill liable third parties to ensure Medi-Cal remains the payer of last resort.
Dicionario de datos
Columna | Tipo | Etiqueta | Descrición |
---|---|---|---|
CARRIER CODE | text | Carrier Code | State Carrier Code defined to the Carrier. |
LAST CHANGE DATE | text | Last Change Date | Last date the record was updated. |
STATUS CODE | text | Status Code | Current status of the Carrier. A=Active H=Active HMO |
OHC CODE | text | Other Health Coverage Code | Other Health Coverage (OHC) Code. Refer to the MEDS Quick Reference Guide for a list of OHC Codes. |
CARRIER NAME-1 | text | Carrier Name 1 | Carrier name. |
CARRIER NAME-2 | text | Carrier Name 2 | Carrier name. |
CARRIER ADDR-2 | text | Carrier Billing Address | Carrier Billing Address. |
CARRIER CITY | text | Carrier City | Carrier billing address city. |
CARRIER STATE | text | Carrier State | Carrier billing address state. |
CARRIER ZIP CODE | text | Carrier Zip Code | Carrier billing address zip code. |
CARRIER PHONE | text | Carrier Phone Number | Carrier 10-byte phone number including area code. |
PLAN TYPE | text | Carrier Plan Type | The type of care and/or benefits defined to the carrier. HFP=Healthy Families Plan HMO=Health Management Organization MAP=Medicare Advantage Plan (HMO) MPO=Medicare Preferred Organization (PPO) MSP=Medicare Special Needs Plan PAC=Medicare Pace Plan PDP=Prescription Drug Plan PPO=Preferred Provider Organization TPD=Third Party Dental Care Plan TPI=Third Party Inpatient Care Plan TPL=Third Party Long Term Care Plan TPM=Third Party Medical Plan TPO=Third Party Outpatient Care Plan TPP=Third Party Medi-Cal Prescription Drug Plan TPV=Third Party Vision Care Plan |
Additional Information
Field | Value |
---|---|
Última actualización | 26 de abril de 2024 |
Created | 4 de decembro de 2017 |
Format | CSV |