| Parent path for the field | Fields that must be mapped |
|---|---|
| REFTransactionSetPolicyNumber |
REF-38-ReferenceIdentification |
|
EMPINSMembers > EMPNM1MemberName DEPINSMembers > DEPNM1MemberNameWithIDCode |
NamePrefix NameSuffix |
| N1SponsorName |
Sponsor Name Sponsor Identification |
| DEPINSMembers > DEPINSMemberLevelDetail | MedicarePlanCode |
|
EMPINSMembers > EMPHDHealthCoverage > EMPHDHealthCoverageInfo DEPINSMembers > DEPHDHealthCoverage > DEPHDHealthCoverageInfo |
HD – MaintenanceReasonCode HD – InsuranceLineCode HD – PlanCoverageDescription |
|
EMPINSMembers > EMPREFMemberPolicyNumber > EMPMemberREF02ReferenceNumber DEPINSMembers > DEPREFDependentPolicyNumber > DEPREF02ReferenceNumber |
HD - REF-1L- ReferenceIdentification |
|
EMPINSMembers > EMPINSMemberLevelDetailWithDOD/ EMPINSMemberLevelDetailWODOD DEPINSMembers > DEPINSMemberLevelDetail |
COBRAQUALIFYINGEVENTCODE |
|
EMPINSMembers > EMPREFMemberSupplementalIdentifier17 DEPINSMembers > DEPREFDependentSupplementalIdentifier17 |
REF-17-ReferenceIdentification |
|
EMPINSMembers > EMPREFMemberSupplementalIdentifierZZ DEPINSMembers > DEPREFDependentSupplementalIdentifierZZ |
REF-ZZ-ReferenceIdentification |
|
EMPINSMembers > EMPREFMemberIdentificationNumber DEPINSMembers > DEPREFDependentIdentificationNumberF6 |
REF-F6-ReferenceIdentification |