Ì € 2
main
[mnemonic]
&(G)GGMB[ggmb]
Field Name Len Dat Typ J DPM Offset/Local/VAL
mnemonic 10 FREE L ggmb
active 1 YN L &(G)GGMB[ggmb]|0
conflicts 1 YN L &(G)GGMB[ggmb]|2
name 30 FREE L &(G)GGMB[ggmb]|1
product.type 3 CHOICE L &(G)GGMB[ggmb]|3
Ì € 2
eff.dt
[mnemonic, effective.date]
&(G)GGMB[ggmb]D[eD]
Field Name Len Dat Typ J DPM Offset/Local/VAL
effective.date 8 DATE L eD
effective.date.expiration 8 DATE L &(G)GGMB[ggmb]D[eD]|0
Ì € 2
facs
[mnemonic,effective.date, facility]
&(G)GGMB[ggmb]D[eD]F[gqb]
Field Name Len Dat Typ J DPM Offset/Local/VAL
facility 10 FREE L MIS.FACILITY gqb
anniv.date 5 FREE L &(G)GGMB[ggmb]D[eD]F[gqb]L|1
bene.services 10 FREE L MIS.INS.BEN.SVC&(G)GGMB[ggmb]D[eD]F[gqb]S|3
bene.services.no.auth 10 FREE L MIS.INS.BEN.SVC&(G)GGMB[ggmb]D[eD]F[gqb]S|4
bene.year.basis 17 CHOICE L &(G)GGMB[ggmb]D[eD]F[gqb]L|0
carry.over 2 INT R &(G)GGMB[ggmb]D[eD]F[gqb]L|2
ded.edit 1 YN L VAL=LOCAL
max.tot.pt.resp 9 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]S|2
min.tot.pt.resp 9 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]S|1
oop.exclude.list 10 FREE L MIS.SVC.GRP.SET&(G)GGMB[ggmb]D[eD]F[gqb]L|3
pha.copay.charge 6 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]PHA|5
pha.copay.charge.2 6 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]PHA|7
pha.copay.percent 5 DEC R &(G)GGMB[ggmb]D[eD]F[gqb]PHA|6
pha.copay.percent.2 5 DEC R &(G)GGMB[ggmb]D[eD]F[gqb]PHA|8
pha.database 12 FREE L MIS.APPL.DB &(G)GGMB[ggmb]D[eD]F[gqb]PHADB
pha.generic.req 1 YN L &(G)GGMB[ggmb]D[eD]F[gqb]PHA|10
pha.max.charge 9 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]PHA|9
pha.max.days 5 INT R &(G)GGMB[ggmb]D[eD]F[gqb]PHA|1
pha.max.qty 6 INT R &(G)GGMB[ggmb]D[eD]F[gqb]PHA|3
pha.max.refills 2 INT R &(G)GGMB[ggmb]D[eD]F[gqb]PHA|4
pha.min.days 5 INT R &(G)GGMB[ggmb]D[eD]F[gqb]PHA|0
pha.min.qty 6 INT R &(G)GGMB[ggmb]D[eD]F[gqb]PHA|2
visit.copay 9 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]S|0
Ì € 2
deductibles.and.limits
[mnemonic,effective.date,facility, in.out.network]
&(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]
Field Name Len Dat Typ J DPM Offset/Local/VAL
in.out.network 1 FREE L ggmbI
family.ded 9 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|4
family.ded.formula 1 PINT R &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|5
family.ded.inc.both 1 YN L &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|6
family.oop.max 9 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|12
family.oop.max.formula 17 CHOICE L &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|13
family.oop.max.inc.both 1 YN L &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|14
individ.ded 9 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|0
individ.ded.formula 17 CHOICE L &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|1
individ.ded.inc.both 1 YN L &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|2
individ.max.bene 11 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|16
individ.max.bene.inc.both 1 YN L &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|17
individ.oop.max 9 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|8
individ.oop.max.formula 17 CHOICE L &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|9
individ.oop.max.inc.both 1 YN L &(G)GGMB[ggmb]D[eD]F[gqb]L[ggmbI]|10
Ì € 2
pha.drug.class.exclusions
[mnemonic,effective.date,facility, pha.drug.class]
&(G)GGMB[ggmb]D[eD]F[gqb]PHA["CL",tdc]
Field Name Len Dat Typ J DPM Offset/Local/VAL
pha.drug.class 10 FREE L PHA.CLASS tdc
Ì € 2
svc.groups
[mnemonic,effective.date,facility, svc.grp]
&(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]
Field Name Len Dat Typ J DPM Offset/Local/VAL
svc.grp 10 FREE L MIS.SVC.GRP gsh
ffs.dollar.amt 9 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]|1
ffs.percentage 5 PDEC R &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]|2
per.visit.or.service 1 CHOICE L &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]|0
Ì € 2
svc.pcp.lims
[mnemonic,effective.date,facility,svc.grp, svc.pcp.lim.queue]
&(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]L[gpcpL]
Field Name Len Dat Typ J DPM Offset/Local/VAL
svc.pcp.lim.queue 3 PINT R gpcpL
svc.pcp.lim.period 10 FREE L MIS.SVC.PER &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]L[gpcpL]|1
svc.pcp.lim.qty 5 PINT R &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]L[gpcpL]|0
Ì € 2
svc.pcp.copays
[mnemonic,effective.date,facility,svc.grp,svc.pcp.lim.queue, svc.pcp.lim.copay.qty]
&(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]L[gpcpL]C[gpcpC]
Field Name Len Dat Typ J DPM Offset/Local/VAL
svc.pcp.lim.copay.qty 5 PINT R gpcpC
svc.pcp.lim.copay.dol 9 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]L[gpcpL]C[gpcpC]|0
svc.pcp.lim.copay.per 5 PDEC R &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]L[gpcpL]C[gpcpC]|1
Ì € 2
svc.specs
[mnemonic,effective.date,facility,svc.grp, svc.spec]
&(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]S[gsd]
Field Name Len Dat Typ J DPM Offset/Local/VAL
svc.spec 10 FREE L MIS.ABS.SVC gsd
svc.spec.fee.dol 9 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]S[gsd]|1
svc.spec.fee.per 5 PDEC R &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]S[gsd]|2
svc.spec.per.vis.or.svc 1 CHOICE L &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]S[gsd]|0
Ì € 2
ss.lim
[mnemonic,effective.date,facility,svc.grp,svc.spec, svc.spec.lim.queue]
&(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]S[gsd]L[gsdL]
Field Name Len Dat Typ J DPM Offset/Local/VAL
svc.spec.lim.queue 3 PINT R gsdL
svc.spec.lim.period 10 FREE L MIS.SVC.PER &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]S[gsd]L[gsdL]|1
svc.spec.lim.qty 5 PINT R &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]S[gsd]L[gsdL]|0
Ì € 2
ss.copay
[mnemonic,effective.date,facility,svc.grp,svc.spec,svc.spec.lim.queue, svc.spec.lim.copay.qty]
&(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]S[gsd]L[gsdL]C[gsdC]
Field Name Len Dat Typ J DPM Offset/Local/VAL
svc.spec.lim.copay.qty 5 PINT R gsdC
svc.spec.lim.copay.dol 9 MONEY R &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]S[gsd]L[gsdL]C[gsdC]|0
svc.spec.lim.copay.per 5 PDEC R &(G)GGMB[ggmb]D[eD]F[gqb]S[gsh]S[gsd]L[gsdL]C[gsdC]|1
Ì € 2
locs
[mnemonic,effective.date, location]
&(G)GGMB[ggmb]D[eD]L[ggn]
Field Name Len Dat Typ J DPM Offset/Local/VAL
location 10 FREE L MIS.LOCN ggn
loc.bene.services 10 FREE L MIS.INS.BEN.SVC&(G)GGMB[ggmb]D[eD]L[ggn]|0
loc.bene.services.no.auth 10 FREE L MIS.INS.BEN.SVC&(G)GGMB[ggmb]D[eD]L[ggn]|1
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