BN_834_MEMBER

(SQL Table)
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HIPAA 834 Stage Member Table

Stores the data required for the HIPAA 834 EDI file member (level 2) segments.

  • Parent record: BN_834_PAYER
  • # PeopleSoft Field Name PeopleSoft Field Type Database Column Type Description
    1 PROCESS_INSTANCE Number(10,0) DECIMAL(10) NOT NULL Process Instance
    2 SETID Character(5) VARCHAR2(5) NOT NULL SetID
    3 VENDOR_ID Character(10) VARCHAR2(10) NOT NULL Vendor Identifier
    4 COMPANY Character(3) VARCHAR2(3) NOT NULL Company
    5 BN_EDI_TRANS_NBR Character(9) VARCHAR2(9) NOT NULL Transaction Set Number
    6 EMPLID Character(11) VARCHAR2(11) NOT NULL Employee ID
    7 BENEFIT_RCD_NBR Number(3,0) SMALLINT NOT NULL Specifies a sequence number associated with each of multiple concurrent jobs for a one employee. It is used to determine the applicable benefit program for each job. The first job entered for an employee is automatically assigned a Benefit Record Number of zero (0). This field is linked with EMPL_RCD#, the Employment Record Number.
    8 COBRA_EVENT_ID Number(3,0) SMALLINT NOT NULL Uniquely identifies a COBRA event within an employee's benefits records, and is system-generated.
    9 DEPENDENT_BENEF Character(2) VARCHAR2(2) NOT NULL Dependent Benefit
    01=default
    10 LAST_NAME Character(30) VARCHAR2(30) NOT NULL Last Name
    11 FIRST_NAME Character(30) VARCHAR2(30) NOT NULL First Name
    12 MIDDLE_NAME Character(30) VARCHAR2(30) NOT NULL MIDDLE_NAME
    13 NAME_PREFIX Character(4) VARCHAR2(4) NOT NULL Name Prefix
    14 NAME_SUFFIX Character(15) VARCHAR2(15) NOT NULL Name Suffix
    15 NATIONAL_ID Character(20) VARCHAR2(20) NOT NULL National ID
    16 BIRTHDATE Date(10) DATE Date of Birth
    17 BN_834_BIRTH_ORDER Number(1,0) SMALLINT NOT NULL Stores the Birth Order for Twins / Triplets for the HIPAA 834 EDI File.
    18 SEX Character(1) VARCHAR2(1) NOT NULL Gender
    F=Female
    M=Male
    U=Unknown
    X=Indeterminate/Intersex/Unspec
    19 MAR_STATUS Character(1) VARCHAR2(1) NOT NULL Marital Status
    C=Common-Law
    D=Divorced
    E=Separated
    H=Head of Household
    L=DissDeclLost Civil Partner
    M=Married
    P=Civil Partnership
    S=Single
    T=Surviving Civil Partner
    U=Unknown
    V=Dissolved Civil Partnership
    W=Widowed
    20 MAR_STATUS_DT Date(10) DATE This is the date that the employee's Marital status is/was effective. /* Marital Status date is stored redundantly on PERS_DATA_EFFDT for two reasons. 1. To allow the date to be entered prior to the first PERS_DATA_EFFDT so that the actual date for the marital status on the hire row can be entered. This is the only time that the field is enterable by the user. 2. To allow for easier reporting on the data via SQR and Crystal. This is denormalizing the PERS_DATA_EFFDT record, but the number of requests for this redundancy coupled with the need for #1, has provided the justification for denormalizing this information and taking on the added maintenance. */
    21 RELATIONSHIP Character(2) VARCHAR2(2) NOT NULL Relationship to Employee
    22 COBRA_EVENT_CLASS Character(3) VARCHAR2(3) NOT NULL COBRA Event Classification
    23 BENEFIT_PROGRAM Character(3) VARCHAR2(3) NOT NULL Defines a collection of benefit plans and their associated rate and calculation rules.
    24 HIRE_DT Date(10) DATE First Start Date
    25 JOB_EFFDT Date(10) DATE Job Effective Date
    26 EMPL_STATUS Character(1) VARCHAR2(1) NOT NULL Payroll Status
    A=Active
    D=Deceased
    L=Leave of Absence
    P=Leave With Pay
    Q=Retired With Pay
    R=Retired
    S=Suspended
    T=Terminated
    U=Terminated With Pay
    V=Terminated Pension Pay Out
    W=Short Work Break
    X=Retired-Pension Administration
    27 FULL_PART_TIME Character(1) VARCHAR2(1) NOT NULL Full/Part Time
    D=On Demand
    F=Full-Time
    P=Part-Time
    28 ACTION Character(3) VARCHAR2(3) NOT NULL Action
    29 STUDENT Character(1) VARCHAR2(1) NOT NULL Student
    N=No
    Y=Yes
    30 DISABLED Character(1) VARCHAR2(1) NOT NULL A flag that indicates whether or not (Y or N) a dependent is a disabled.
    31 SMOKER Character(1) VARCHAR2(1) NOT NULL A flag that indicates whether or not (Y or N) an employee or dependent is a smoker.
    N=Non Smoker
    Y=Smoker
    32 DT_OF_DEATH Date(10) DATE Date of Death
    33 MEDICARE_A_IND Character(1) VARCHAR2(1) NOT NULL Medicare Type A indicator
    34 MEDICARE_B_IND Character(1) VARCHAR2(1) NOT NULL Medicare Type B Indicator
    35 MEDICARE_EFFDT Date(10) DATE This is the Medicare Subscription Date for members in HIPAA EDI File.
    36 MEDICARE_ELIG_RSN Character(1) VARCHAR2(1) NOT NULL Medicare Eligibility Reason. Used in the Loop 2000 INS of the HIPAA file.
    0=Age
    1=Disability
    2=End Stage Renal Disease
    37 HOME_PHONE Character(24) VARCHAR2(24) NOT NULL Home Phone #
    38 ADDRESS1 Character(55) VARCHAR2(55) NOT NULL Address 1
    39 ADDRESS2 Character(55) VARCHAR2(55) NOT NULL Address 2
    40 CITY Character(30) VARCHAR2(30) NOT NULL City
    41 STATE Character(6) VARCHAR2(6) NOT NULL State
    42 POSTAL Character(12) VARCHAR2(12) NOT NULL Postal
    43 COUNTRY Character(3) VARCHAR2(3) NOT NULL Country
    44 ADDRESS1_OTHER Character(55) VARCHAR2(55) NOT NULL Address 1 Other
    45 ADDRESS2_OTHER Character(55) VARCHAR2(55) NOT NULL Address 2 Other
    46 CITY_OTHER Character(30) VARCHAR2(30) NOT NULL City Other
    47 STATE_OTHER Character(6) VARCHAR2(6) NOT NULL State Other
    48 POSTAL_OTHER Character(12) VARCHAR2(12) NOT NULL Postal Other
    49 COUNTRY_OTHER Character(3) VARCHAR2(3) NOT NULL Country field for ADDR_OTR_SBR and DERIVED_ADDR_OT
    50 ASOFDATE Date(10) DATE As of Date
    51 BN_834_MAINT_CD Character(3) VARCHAR2(3) NOT NULL Stores the Maintenace Type Code used on the HIPAA 834 EDI file.

    Default Value: 030

    52 BN_834_MAINT_RSNCD Character(3) VARCHAR2(3) NOT NULL Stores the Maintenace Reason Code used on the HIPAA 834 EDI file.
    53 BN_EDI_SUBSCBR_NBR Character(30) VARCHAR2(30) NOT NULL This field will be updated with the EMPLID or SSN based on user choice on EDI Partners page. It will have EMPLID in case SSN field is empty.
    54 BN_834_DEPEND_IND Character(1) VARCHAR2(1) NOT NULL Stores the Dependent Indicator flag used on the HIPAA 834 EDI file.

    Default Value: N

    55 BN_834_MAR_STATUS Character(1) VARCHAR2(1) NOT NULL Stores the Marital Status per the EDI Implementation guide. They are mapped to the Marital Status in PS using Transaction Map table.
    56 BN_834_RELATION_CD Character(2) VARCHAR2(2) NOT NULL Stores the mapped value of the Relationship Code used on the HIPAA 834 EDI file.
    57 BN_834_BEN_STATUS Character(1) VARCHAR2(1) NOT NULL Stores the Benefit Status Code used on the HIPAA 834 EDI file.

    Default Value: A

    58 BN_834_GRP_NBR Character(30) VARCHAR2(30) NOT NULL Stores the Group Number for Loop 2000 and 2300 in HIPAA EDI file
    59 BN_834_MEDICARE_CD Character(1) VARCHAR2(1) NOT NULL Stores the Medicare Codes for HIPAA EDI file

    Default Value: E

    60 BN_834_MED_BGN_DT Date(10) DATE Stores the Medicare Begin Date for HIPAA EDI File.
    61 BN_834_MED_END_DT Date(10) DATE Stores the Medicare End Date for HIPAA EDI File.
    62 BN_834_COBRA_EVENT Character(2) VARCHAR2(2) NOT NULL Stores the mapped value of the COBRA Qualifying Event Code used on the HIPAA 834 EDI file.
    63 BN_834_EMPL_STATUS Character(2) VARCHAR2(2) NOT NULL Stores the Employment Status Code used on the HIPAA 834 EDI file.
    64 BN_834_STUDENT Character(1) VARCHAR2(1) NOT NULL Stores the mapped value of the Student Status Code used on the HIPAA 834 EDI file.
    65 BN_834_HEALTH_CD Character(1) VARCHAR2(1) NOT NULL Stores the Health Related Code used on the HIPAA 834 EDI file.

    Default Value: U

    66 BN_EDI_SEP_SEGMENT Character(1) VARCHAR2(1) NOT NULL Delimiter used to separate segments on the Benefits EDI transactions.
    67 BN_EDI_SEP_FIELD Character(1) VARCHAR2(1) NOT NULL Delimiter used to separate fields on the Benefits EDI transactions.
    68 BN_834_MBR_SEG_INS Character(30) VARCHAR2(30) NOT NULL Stores the concatenation of the INS05 to INS12 member segment fields on the HIPAA 834 EDI file. Required to eliminate empty spaces and trailing empty fields. The Field Length was modified from 25 to accomodate 30 Characters to facilitate the accomodation of all 17 elements from INS01 to INS17.
    69 BN_834_MBR_SEG_NM1 Character(122) VARCHAR2(122) NOT NULL Stores the concatenation of the NM103 to NM109 member segment fields on the HIPAA 834 EDI file. Required to eliminate empty spaces and trailing empty fields.
    70 BN_834_MBR_SEG_N3H Character(111) VARCHAR2(111) NOT NULL Stores the concatenation of the N301 to N302 (home address) member segment fields on the HIPAA 834 EDI file. Required to eliminate empty spaces and trailing empty fields.
    71 BN_834_MBR_SEG_N4H Character(60) VARCHAR2(60) NOT NULL Stores the concatenation of the N401 to N404 (home address) member segment fields on the HIPAA 834 EDI file. Required to eliminate empty spaces and trailing empty fields.
    72 BN_834_MBR_SEG_N3O Character(111) VARCHAR2(111) NOT NULL Stores the concatenation of the N301 to N302 (mailing address) member segment fields on the HIPAA 834 EDI file. Required to eliminate empty spaces and trailing empty fields.
    73 BN_834_MBR_SEG_N4O Character(60) VARCHAR2(60) NOT NULL Stores the concatenation of the N401 to N404 (mailing address) member segment fields on the HIPAA 834 EDI file. Required to eliminate empty spaces and trailing empty fields.
    74 BN_834_MBR_SEG_DMG Character(15) VARCHAR2(15) NOT NULL Stores the concatenation of the DMG01 to DMG04 member segment fields on the HIPAA 834 EDI file. Required to eliminate empty spaces and trailing empty fields.
    75 BN_834_MBR_EC01 Character(3) VARCHAR2(3) NOT NULL HIPAA Loop 2100A EC Employment Code