| 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 |
|
EMPINSMembers > EMPINSMemberLevelDetailWODOD DEPINSMembers > DEPINSMemberLevelDetail |
MedicarePlanCode |
|
EMPINSMembers > EMPHDHealthCoverage > EMPHDHealthCoverageInfo DEPINSMembers > DEPHDHealthCoverage > DEPHDHealthCoverageInfo |
HD – MaintenanceReasonCode HD – InsuranceLineCode HD – PlanCoverageDescription |
|
EMPINSMembers > EMPHDHealthCoverage > EMPREFHealthCoveragePolicyNumber DEPINSMembers > DEPHDHealthCoverage > DEPREFHealthCoveragePolicyNumber |
HD - REF-1L- ReferenceIdentification |
|
EMPINSMembers > EMPREFMemberIdentificationNumberDX DEPINSMembers > DEPREFMemberIdentificationNumberDX |
REF-DX-ReferenceIdentification |
|
EMPINSMembers > EMPREFMemberIdentificationNumber17 DEPINSMembers > DEPREFMemberIdentificationNumber17
|
REF-17-ReferenceIdentification |
|
EMPINSMembers > EMPREFMemberIdentificationNumber3H DEPINSMembers > DEPREFMemberIdentificationNumber3H |
REF-3H-ReferenceIdentification |
|
EMPINSMembers > EMPHDHealthCoveragePDG > EMPREFHealthCoveragePolicyNumberPDG DEPINSMembers > DEPHDHealthCoveragePDG >DEPREFHealthCoveragePolicyNumberPDG |
REF- PDG - ReferenceIdentification |
|
EMPINSMembers > EMPINSMemberLevelDetailWithDOD/ EMPINSMemberLevelDetailWODOD DEPINSMembers > DEPINSMemberLevelDetail |
COBRAQUALIFYINGEVENTCODE |