Appendix%207.15%20Simplified%20Wellness%20Activity%20Layout.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
Third Party Administrator Services for the State's Public Sector Health Plans
Solicitation number
RFP 31786-00190
Issued by
Davidson County, Tennessee

About this file

This is a data file layout specification document for the State of Tennessee's Third Party Administrator Services for the State's Public Sector Health Plans, outlining the required format for submitting wellness activity completion data from worksite health programs. The document establishes a fixed-width or CSV file format for reporting member health challenge completions, with each row representing one member per completion event. The specification requires that initial data transmissions contain only the latest member responses, with subsequent submissions including only new or changed responses since the previous submission. Production files must follow a standardized naming convention (Client_HRA_YYYYMMDD.csv) and include specific data elements positioned at defined column locations, including member demographic information (sex, date of birth, first and last names), Social Security numbers for both members and subscribers, data type classification, custom data descriptions (such as WELLNESS_ACTIVITY1, WELLNESS_ACTIVITY2, or WELLNESS_ACTIVITY3), and completion date stamps in YYYY-MM-DD format.

The file layout specifies 18 distinct data fields distributed across 318 total character positions, with designated blank columns interspersed throughout the fixed-width format to maintain structural consistency. Member sex must be recorded as a single character (M/F), date of birth in YYYYMMDD format, and the data description field indicates completion by its presence in the file, with descriptions assigned by designated administrators. The document includes a sample data file demonstrating proper formatting with three example records showing different wellness activity types completed on specified dates. This specification ensures standardized data collection and reporting for tracking member participation in employer-sponsored wellness initiatives across Tennessee's public sector health plans.

View the file

Other files

File Type Posted
Appendix%207.13%20Supplier%20Direct%20Deposit%20Authorization.pdf PDF
Appendix%207.3%20Provider%20Disruption%20Analysis%20Instructions%20and%20Template.xlsx XLSX spreadsheet
Appendix%207.9%20Benefits%20Administration%20834%20Guidance%20Manual_v6.pdf PDF
31786-00190%20Digital%20Submission%20Instructions.docx DOCX document
Appendix%207.18%20Written%20Questions%20%20Comments%20Template.xlsx XLSX spreadsheet
Appendix%207.11%20HIPAA%20Business%20Associate%20Assessment.xlsx XLSX spreadsheet
Appendix%207.10%20Decision%20Support%20System%20File%20Format.xlsx XLSX spreadsheet
Appendix%207.4%20Quest%20Analytics%20Sample%20Reports.pdf PDF
Appendix%207.2%20Network%20Access%20Analysis%20Instructions.docx DOCX document
31786-00190%20TPA%20RFP%20for%20posting.docx DOCX document
Appendix%207.7%20Enrollment%20by%20Plan.xlsx XLSX spreadsheet
Appendix%207.17%20ASP%20Reconciliation%20Template.xlsx XLSX spreadsheet
TPA%20Cost%20Proposal%20for%20posting.xlsx XLSX spreadsheet
Appendix%207.12%20Bank%20Draft%20Report%20Template.xlsx XLSX spreadsheet
Appendix%207.1%20Discount%20Data%20Specifications.pdf PDF
Appendix%207.14%20Process%20for%20Subrogation%20and%20Other%20Recoveries.pdf PDF
Appendix%207.16%20Implementation%20and%20Account%20team%20Surveys.xlsx XLSX spreadsheet
Appendix%207.8%20Claims%20and%20Utilization%20History.xlsx XLSX spreadsheet
Appendix%207.5%202026%20TN%20Zip%20Code%20Enrollment%20Counts.xlsx XLSX spreadsheet
Appendix%207.6%20Enrollment%20by%20Plan%20Group.xlsx XLSX spreadsheet
Show all 20

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

File Layout Client Data Format For Worksite Data

1.) Data should be provided in the following fixed-width format. A CSV file is acceptable.
2.) The data file will contain one row per member per completion. See sample data file tab for mockup of data in Excel format.
3.) When preparing a completion data file:

- The initial transmission should only contain the latest member responses

- Each subsequent data file should only contain new or changed responses since the last data file was sent.

4.) When production files are created, please adhere to the following naming convention, which captures the following elements:
Client_HRA_20131015.csv
PositionDescriptionLenFormatNotes
1Blank column20
21Member Sex1CharacterMember gender: M/F
22Member DOB8yyyymmddMember date of birth
30Member First Name35CharacterMember first name
65Blank column1
66Member Last Name35CharacterMember last name
101Member SSN9CharacterMember SSN (optional)
110Subscriber SSN9CharacterSubscriber SSN
119Data Type10CharacterQA
129Blank column20
149Data Description (data_desc)30Charactercustom data_desc, could be WELLNESS_ACTIVITY1

(presence of this data description indicates yes for completion) (assigned by Irina/Dan)

179Blank column14
193Blank column18
211Blank column30
241Blank column30
271Blank column1
272Completion date stamp23YYYY-MM-DDDate challenge completed (2013-07-30)
295Blank column23
318Blank column1

Appendix 7.17

&"Calibri"&11&K000000&D_x000D_&1#&"Calibri"&8&K414141Proprietary Page &P/&N

Sample File

Blank ColumnMember SexMember DOBMember First NameBlank ColumnMember Last NameMember SSNSubscriber SSNData TypeBlank ColumnData Description (data_desc)Blank ColumnBlank ColumnBlank ColumnBlank ColumnBlank ColumnDate challenge completedBlank Column
M19600202DOUGROSS123456789QAWELLNESS_ACTIVITY12015-10-15
M19670219MARKGREENE123456789QAWELLNESS_ACTIVITY22015-11-03
F19750630CAROLHATHAWAY123456789QAWELLNESS_ACTIVITY32015-09-29
Note: The complete column heading isn't required to reference each column. Only the names inside the parenthesis is necessary.

Return to File Layout

&1#&"Calibri"&8&K414141Proprietary

File details come from the government source that posted it. Updated .