N.H. Admin. Code § Ins 4009.01 - Subscriber and Member Identification Data Elements
Table 1: Matching Requirements for Subscriber/Member Identifiers Across Files |
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Data Element Name* |
Subscriber and Member Identifiers |
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Member Eligibility |
Medical Claims** |
Dental Claims |
Pharmacy Claims |
|
Subscriber Social Security Number |
ME008 |
MC007 |
DC007 |
PC007 |
Plan Specific Contract Number |
ME009 |
MC008 |
DC008 |
PC008 |
Member Suffix or Sequence Number |
ME010 |
MC009 |
DC009 |
PC009 |
Member Identification Code |
ME011 |
MC010 |
DC010 |
PC010 |
Subscriber Last Name |
ME101 |
MC101 |
DC101 |
PC101 |
Subscriber First Name |
ME102 |
MC102 |
DC102 |
PC102 |
Subscriber Middle Initial |
ME103 |
MC103 |
DC103 |
PC103 |
Member Last Name |
ME104 |
MC104 |
DC104 |
PC104 |
Member First Name |
ME105 |
MC105 |
DC105 |
PC105 |
Member Middle Initial |
ME106 |
MC106 |
DC106 |
PC106 |
*The NHCHIS preprocessor hashes these data elements as part of the file encryption and transmission process. |
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**Also pertains to Behavioral Health. |
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.