| EPCPIDX |
1 |
28 |
DUPERSID + EPRSIDX |
| DUPERSID |
29 |
36 |
PERSON CVRD BY POLCYHOLDR - ESTABLISHMENT |
| PHLDRIDX |
37 |
44 |
POLICYHOLDER'S DUPERSID |
| ESTBIDX |
45 |
55 |
ESTABLISHMENT ID |
| EPRSIDX |
56 |
75 |
ESTBIDX + PHLDRIDX + RN |
| PANEL |
76 |
76 |
PANEL NUMBER |
| RN |
77 |
77 |
ROUND NUMBER |
| JOBSIDX |
78 |
88 |
JOB IDENTIFIER |
| JOBSINFR |
89 |
90 |
JOBSIDX INFERRED RATHER THAN REPORTED ID |
| PUF64FLG |
91 |
91 |
1=IN PUF 64, ELSE 0 |
| PUF73FLG |
92 |
92 |
1=IN PUF 73, ELSE 0 |
| CMJINS |
93 |
94 |
CMJ AS THE SOURCE OF PLAN: 1 YES, 2 NO |
| EMPLSTAT |
95 |
96 |
POLICYHOLDER EMPLOYMENT STATUS |
| PHOLDER |
97 |
97 |
POLICY HOLDER |
| DEPNDNT |
98 |
98 |
DEPENDENT OF POLICY HOLDER |
| EVALCOVR |
99 |
100 |
COVERED @ INTERVIEW DATE OR 12/31 |
| STATUS1 |
101 |
102 |
STATUS - MONTH 1 |
| STATUS2 |
103 |
104 |
STATUS - MONTH 2 |
| STATUS3 |
105 |
106 |
STATUS - MONTH 3 |
| STATUS4 |
107 |
108 |
STATUS - MONTH 4 |
| STATUS5 |
109 |
110 |
STATUS - MONTH 5 |
| STATUS6 |
111 |
112 |
STATUS - MONTH 6 |
| STATUS7 |
113 |
114 |
STATUS - MONTH 7 |
| STATUS8 |
115 |
116 |
STATUS - MONTH 8 |
| STATUS9 |
117 |
118 |
STATUS - MONTH 9 |
| STATUS10 |
119 |
120 |
STATUS - MONTH 10 |
| STATUS11 |
121 |
122 |
STATUS - MONTH 11 |
| STATUS12 |
123 |
124 |
STATUS - MONTH 12 |
| STATUS13 |
125 |
126 |
STATUS - MONTH 13 |
| STATUS14 |
127 |
128 |
STATUS - MONTH 14 |
| STATUS15 |
129 |
130 |
STATUS - MONTH 15 |
| STATUS16 |
131 |
132 |
STATUS - MONTH 16 |
| STATUS17 |
133 |
134 |
STATUS - MONTH 17 |
| STATUS18 |
135 |
136 |
STATUS - MONTH 18 |
| STATUS19 |
137 |
138 |
STATUS - MONTH 19 |
| STATUS20 |
139 |
140 |
STATUS - MONTH 20 |
| STATUS21 |
141 |
142 |
STATUS - MONTH 21 |
| STATUS22 |
143 |
144 |
STATUS - MONTH 22 |
| STATUS23 |
145 |
146 |
STATUS - MONTH 23 |
| STATUS24 |
147 |
148 |
STATUS - MONTH 24 |
| DECPHLDR |
149 |
149 |
DECEASED POLICYHOLDER FLAG: 1 YES,2 NO |
| OUTPHLDR |
150 |
150 |
OUT-OF-RU POLICYHOLDER FLAG: 1 YES,2 NO |
| NOPUFLG |
151 |
151 |
PHLDR NOT IN HC064 OR HC073, OTH REASON |
| TYPEFLAG |
152 |
153 |
TYPE OF ESTABLISHMENT |
| PRIVCAT |
154 |
155 |
CATEGORY OF PRIVATE COVERAGE |
| HOSPINSX |
156 |
157 |
TYPE OF HI GOTTEN: HOSPITAL/HMO (EDITED) |
| MSUPINSX |
158 |
159 |
TYPE OF HI GOTTEN: MEDIGAP (EDITED) |
| DENTLINS |
160 |
161 |
TYPE OF HI GOTTEN: DENTAL |
| VISIONIN |
162 |
163 |
TYPE OF HI GOTTEN: VISION |
| PMEDINS |
164 |
165 |
TYPE OF HI GOTTEN: PRESCRIPTION DRUG |
| COBRA |
166 |
167 |
COBRA COVERAGE: 1=YES, 2=NO |
| COVTYPIN |
168 |
168 |
COVERAGE @INTVW: 1=SINGLE, 2=FAMILY |
| OOPELIG |
169 |
169 |
FLAG: POLICYHOLDER ESTB HAS PREMIUM |
| OOPPREM |
170 |
177 |
MONTHLY OUT-OF-POCKET PREMIUM |
| OOPPREMX |
178 |
184 |
MONTHLY OUT-OF-POCKET PREMIUM (ED/IMP) |
| OOPX12X |
185 |
192 |
ANNUAL OUT-OF-POCKET PREMIUM (ED/IMP) |
| OOPFLAG |
193 |
194 |
1=OOPPREMX ED/IMP, ELSE 0 |
| PREMLEVX |
195 |
196 |
EDITED PREMLEVL |
| BYFED |
197 |
198 |
FEDERAL GOVT PAID FOR PRIV PLAN PREMIUM |
| BYSTATE |
199 |
200 |
STATE GOVT PAID FOR PRIV PLAN PREMIUM |
| BYLOCAL |
201 |
202 |
LOCAL GOVT PAID FOR PRIV PLAN PREMIUM |
| BYSOMGOV |
203 |
204 |
SOME GOVT PAID FOR PRIV PLAN PREMIUM |
| BYEMPL |
205 |
206 |
EMPLOYER PAID FOR PRIV PLAN PREMIUM |
| BYUNION |
207 |
208 |
UNION PAID FOR PRIV PLAN PREMIUM |
| BYOTHER |
209 |
210 |
OTHER PAID FOR PRIV PLAN PREMIUM |
| UPRHMO |
211 |
212 |
HMO COVERAGE (FROM PRPL) |
| UPRMNC |
213 |
214 |
PLAN REQRD COVRD PERS USE GATEKEEPER |
| DRLIST |
215 |
216 |
DOES PLAN HAVE A BOOK/LIST OF DOCTORS? |
| VISITPAY |
217 |
218 |
PLAN PAY FOR NON-REFER DR VISIT |
| NAMECHNG |
219 |
220 |
HAS THERE BEEN A CHANGE IN PLAN NAME |
| SATELIG |
221 |
221 |
ELIG. FOR SATIS. PLAN QUEST: 1=YES, 2=NO |
| GTDOCPRB |
222 |
223 |
HOW MUCH PROBLEM GETTING PERSONAL DOC |
| APRVTRET |
224 |
225 |
NEED APPROVAL FOR TREATMENT |
| APRVDLAY |
226 |
227 |
DELAY WAITING FOR APPROVAL |
| LOOKINF |
228 |
229 |
INFORMATION ON HOW PLAN WORKS |
| PRBFDINF |
230 |
231 |
PROBLEM FINDING INFORMATION |
| CUSTSERV |
232 |
233 |
HAS CALLED CUSTOMER SERVICE/ADMIN OFFICE |
| PRBCSTSV |
234 |
235 |
PROBLEM GETTING HELP FROM CUST SERVICE |
| PAPRWRK |
236 |
237 |
FILL OUT ANY PAPERWORK FOR PLAN |
| PRBPPRWK |
238 |
239 |
PROBLEM WITH PLAN PAPERWORK |
| RATEPLAN |
240 |
241 |
RATE EXPERIENCE WITH PLAN |
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