BN_834_PLAN

(SQL Table)
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HIPAA 834 Stage Plan Table

Stores the data required for the HIPAA 834 EDI file plan (level 3) segments.

  • Parent record: BN_834_MEMBER
  • # 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 PLAN_TYPE Character(2) VARCHAR2(2) NOT NULL Identifies a category of benefit plan, such as Medical, Dental, and Life (Insurance). A set of plan type codes, as well as rules for creating new codes, is provided by PeopleSoft. Plan Type codes determine how the system processes and defines eligibility for the various benefit plans.
    11 COVERAGE_ELECT Character(1) VARCHAR2(1) NOT NULL Coverage Election
    E=Elect
    T=Terminate
    W=Waive
    12 BENEFIT_PLAN Character(6) VARCHAR2(6) NOT NULL Benefit Plan
    13 COVRG_CD Character(2) VARCHAR2(2) NOT NULL Coverage Code
    14 ENROLLMENT_DT Date(10) DATE Original Enrollment Date
    15 COVERAGE_BEGIN_DT Date(10) DATE Coverage Begin Date
    16 COVERAGE_ELECT_DT Date(10) DATE Coverage Elect Date
    17 DEDUCTION_BEGIN_DT Date(10) DATE Deduction Begin Date
    18 ASOFDATE Date(10) DATE As of Date
    19 GROUP_NBR Character(30) VARCHAR2(30) NOT NULL Group Number
    20 BN_834_GRP_NBR Character(30) VARCHAR2(30) NOT NULL Stores the Group Number for Loop 2000 and 2300 in HIPAA EDI file
    21 HLTH_PROVIDER_ID Character(30) VARCHAR2(30) NOT NULL Health Provider ID
    22 PREVIOUSLY_SEEN Character(1) VARCHAR2(1) NOT NULL Previously Seen
    23 BN_834_PLAN_TYPE Character(3) VARCHAR2(3) NOT NULL Stores the mapped value of the Insurance Line Code (plan type) used on the HIPAA 834 EDI file.
    24 BN_834_PLN_CVG_DSC Character(50) VARCHAR2(50) NOT NULL Stores the Plan Coverage Description used on the HIPAA 834 EDI file. It is populated on the Benefits Plan table. This field is not mandatory.
    25 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

    26 BN_834_COVRG_CD Character(3) VARCHAR2(3) NOT NULL Stores the mapped value of the Coverage Level Code used on the HIPAA 834 EDI file.
    27 BN_834_DATE_QUAL Character(3) VARCHAR2(3) NOT NULL Stores the Date Time Qualifier used on the HIPAA 834 EDI file.

    Default Value: 348

    28 BN_834_PREV_SEEN Character(2) VARCHAR2(2) NOT NULL Stores the mapped value of the Entity Relationship Code (Previously Seen Provider) used on the HIPAA 834 EDI file.

    Default Value: 26

    29 BN_EDI_SEP_SEGMENT Character(1) VARCHAR2(1) NOT NULL Delimiter used to separate segments on the Benefits EDI transactions.
    30 BN_EDI_SEP_FIELD Character(1) VARCHAR2(1) NOT NULL Delimiter used to separate fields on the Benefits EDI transactions.
    31 BN_834_PLN_SEG_HD Character(62) VARCHAR2(62) NOT NULL Stores the concatenation of the HD02 to HD05 plan segment fields on the HIPAA 834 EDI file. Required to eliminate empty spaces and trailing empty fields.
    32 ORIG_ENROLL_DT Date(10) DATE Original enrollment date