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  Standard Eligibility Format
 

All data files must be ASCII text files. NO EXCEL FILES WILL BE ACCEPTED

Formats Supported:

  • Vertical Bar Delimited
  • Fixed Width (please refer to the length of each field listed below)

 

Field Name
Field Length
Required
 Notes
  Record_Type
2
Y
 CH=Cardholder
DP=Dependent
  Action_Code
2
Y
 Blank=Add
01=Term
02=Change,
03=Reinstate
04=New Card
  Carrier_Number
5
Y
 Assigned by Avesis
  Group_Number
10
Y
 Assigned by Avesis
  Group_Name
40
Y
 Customer Name
  Plan_Number
5
Y
 Assigned by Avesis
  Member_Number
9
Y
 The Employee's SSN
  ID_Suffix
2
Y
 01=Employee
02=Spouse
03=Dep 1
04=Dep 2
05=Dep 3
etc.
  SSN
9
Y
 Individuals SSN
  Coverage_Code
5
Y
 EE=Employee Only
DEP=Employee+1 Dep
CHD=Employee+Children
FAM=Family
  Last_Name
20
Y
  
  First_Name
20
Y
  
  Middle_Intial
1
N
  
  Address_1
40
Y
  
  Address_2
40
N
  
  City
30
Y
  
  State
2
Y
  
  Zip
9
Y
  
  Gender
1
N
 M=Male
F=Female
  Birth_Date
8
Y
 mmddyyyy
  Effective_Date
8
Y
 mmddyyyy
  Term_Date
8
N
 mmddyyyy
  Sub_Group_ID
10
N
  
 
 
   
     
 
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