Fields

Definitions

View Accumulations hyperlink

Left-click to open the insured's Accumulations screen.

Demographics & Statistics

Definitions are only provided for those fields whose meaning isn't self-explanatory.

Name

First name Last Name format

Date of Birth

Indicates the member's date of birth.

Member ID

Identifies the member by combining the member's:

• underwriter code

• group code

• patient SSN

• sequence number

Format: UUUGGG-123456789-00

Current Status

Indicates the patient's current coverage status.

SSN

Indicates the member's social security number.

Certificate Number

Indicates the HP4-specific, internal ID assigned to the member.

Alternate ID 1

Each member record now includes Alternate ID 1 and Alternate ID 2 fields. Once an alternate ID has been created for the member, you can use it  to search for the member's record instead of the Member ID.

Up 20 alphanumeric characters are allowed, including hyphens. It doesn't include spaces.

Alternate ID 2

See preceding description.

Address

Indicates the member's street address or PO Box.

Effective Date

This is the member's initial effective date. For example,  If the employee is terminated and later rehired, the first effective date reflects the first coverage effective date following the rehiring.

City

Indicates the List(s) the name of the municipality that the employee is located in.

Spc/Exp

• SPC (special ) field entries categorize employees for the purpose of generating targeted mailings through the Bulk Mail to Employees program and capturing employee and dependent paid claims in the Paid Claims Detail report. They are also useful for Actuate reporting purposes.

• EXP (Expedited Flag) field applies only to firms working with the third-party vendor, ABF. Options are: Yes or No. If Yes, expedited checks and EOBs are processed separately and more quickly than standard, non-ABF prepared check files.

State

List(s) the state postal code of the member.

Hired Date

Indicates the member's official date of hiring. The hire date is instrumental in defining eligibility dates and may be used when creating HIPAA certificates.

Zip

Indicates the ZIP code of the member's address.

Marital Status

Options are: Married or Single.

County

Indicates the name of the county that the member is located in.

Gender

Indicates the member's gender.

Home Phone

Indicates the member's primary contact number at home (or away from the member's place of employment).

Age

Indicates the member's age based on the listed date of birth

Work Phone

Indicates the member's primary contact number at a place of employment (or away from the member's home).

Number of Dependents

Indicates the total number of employee dependents.

Email

Indicates the member's preferred email address, if available.  

Remarks

Remarks are user-defined in HEALTHpac.

Coverage Information As Of

Effective Date

This is the member's initial effective date. For example,  If the employee is terminated and later rehired, the first effective date reflects the first coverage effective date following the rehiring.

Termination Date

Indicates the employee’s termination date or effective date of COBRA coverage from the Employee Master Eligibility record, if applicable.

Product

Lists system standard products.

COV

Indicates whether the adjacent coverage is currently in force using either a (Y)es or a (N)o.

Plan ID

Each of the options shown in the Plan ID column are also hyperlinks. Left-click the desired option to view the corresponding Benefit Plans screen (live link) for the listed member.

DEP/Family COV

Indicates the applicable coverage type for the adjacent product.

COB

Indicates whether coordination of benefits applies to the listed member.

Product

Lists supplemental products selected by the group, if applicable.

COV

Indicates whether the adjacent supplemental product was also selected by the member, if applicable, and is in force using either a (Y)es or a (N)o.

Volume

Indicates the applicable volume of coverage (e.g., 10000 = $10,000 of coverage).