14_Attachment_J-4_M2_Data_Dictionary.xlsx
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Table of Contents The M2 Data Dictionary is organized using tabs that generally correspond to the object classes as named in the M2. The tabs are arranged in the order their data is presented on the M2. Appendices information is presented last, with the tabs in alphabetical order. To move to a specific tab, click on the tab name. Names in blue are for organizational purposes only and are not tabs.
| Eligibility | Appendices | ||
| Population Summary | AD Strength Accounting Codes | ||
| DEERS Person Detail | AHFS Summary Therapeutic Class | ||
| Longitudinal Eligibility | AHFS Therapeutic Class | ||
| Ill, Injured, and Wounded (IIW) Cohort | APC Grouper Codes | ||
| Reservists | APG Grouper Codes | ||
| APC/RVU Conversion Factors | |||
| TRICARE Enrollment | CCS Cat Dx Single Level | ||
| TRICARE Relationship Summary | CCS Cat Dx Multi Level | ||
| TRICARE Relationship Detail | CCS Cat ICD Proc Single Level | ||
| CCS Cat ICD Proc Multi Level | |||
| Healthcare Services | CCS HCPCS Single-Level | ||
| Case Management | Case Management Acuity levels | ||
| DC Dental Encounter | CDA Site Identifier | ||
| Purchased Care Dental | Change Edit Flag | ||
| DC Laboratory Ancillary Summary | CHCS Provider Specialty | ||
| DC Laboratory Ancillary Detail | Commands | ||
| DC Rad Ancillary Summary | Country Codes | ||
| DC Rad Ancillary Detail | CPT Codes Designated Facility | ||
| Appointment | CPT Modifiers | ||
| DC CDR Vitals | DC Dental Encounter Type | ||
| DC Inpatient Admissions Summary | Dental HCDP Codes | ||
| DC Inpatient Admissions Detail | DC Dental Provider Type | ||
| DC Professional Encounters (CAPER) Summary | Diagnosis Related Groups | ||
| DC Professional Encounters (CAPER) | DMHRSi Org ID | ||
| Purchased Care Institutional Summary | DMIS ID Information | ||
| Purchased Care Institutional Detail | DoD Extenders | ||
| Purchased Care Non-Institutional Summary | Enrollment Status | ||
| Purchased Care Non-Institutional Detail | FIPS County Codes | ||
| PDTS Summary | HCDP Codes | ||
| PDTS | HIPAA Institutional Provider Taxonomy | ||
| Referrals | HIPAA Taxonomy to CMAC Provider Class Mapping | ||
| Injury Codes | |||
| System Production Data | Institution Type | ||
| MEPRS | Major Diagnostic Categories | ||
| MEPRS Personnel Detail | Medicare Severity DRG (MS-DRG) | ||
| WWR | MEPRS Codes 2 | ||
| MEPRS Codes 3 | |||
| Data Status | MEPRS DoD Occupation Codes | ||
| Data Status | OPPS Payment Status Indicators | ||
| Patient Categories | |||
| Reference Tables | Pay Grade | ||
| APC Codes | Pay Plan Codes | ||
| APG Codes | Personnel Entitlement Condition | ||
| CPT/HCPCS Codes | Place of Service | ||
| DMIS ID Table | Product Form Codes | ||
| DRG Codes | Provider Specialty Codes for Direct Care | ||
| HIPAA HCP Taxonomy | Provider Specialty, HIPAA Taxonomy | ||
| ICD-9-CM Diagnosis Codes | Provider Specialty Codes for Purchased Care | ||
| ICD-9-CM Procedure Codes | Special Processing Codes | ||
| ICD-10-CM Diagnosis Codes and Backmaps | Sponsor Status | ||
| ICD-10-PCS Procedures and Backmaps | DEERS DoD Occupation Codes | ||
| Market Area Table | DEERS State Codes | ||
| MEPRS3 Codes | DEERS Country Codes | ||
| MEPRS4 Codes | State and Country Codes for Direct Care | ||
| MS-DRG Codes | State and Country Codes for Purchased Care | ||
| Occupation Codes | |||
| Pharmacy ID (NCPDP) | |||
| Purchased Care Providers | |||
| Skill Type Codes |
&"MS Sans Serif,Bold"M2 Data Dictionary Table of Contents
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Summary of Changes
| The April 2014 edition of the M2 Data Dictionary reflects modifications made since the March 2014 version. | ||
| M2 Blasters can be access at: | http://tricare.mil/tma/dhcape/data/fs.aspx |
Summary of Changes
Specific Changes (other than those listed above)
| Tab | Change Made |
| DC Laboratory Ancillary Summary | Source System and Record Description modified. |
| DC Laboratory Ancillary Detail | Source System and Record Description modified. |
| DC Rad Ancillary Summary | Source System and Record Description modified. |
| DC Rad Ancillary Detail | Source System and Record Description modified. |
| DEERS Person Detail | Objects: Replaced DDS with High Cost User Flag |
| DMIS ID | Monthly Update |
| DoD Extenders | Removed FY10 from Title and deleted "Status" column |
| TRICARE Relationship Summary | Objects: Replaced PMPM Equivalent Lives with Risk Score, no Truncation and PPS Lives with Risk Score, 100K Truncation |
| TRICARE Relationship Detail | Objects: Replaced DDS with High Cost User Flag and PMPM Equivalent Lives with Risk Score, no Truncation |
Definition & Notes: Risk Score, 100K Truncation
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Return to the Table of Contents /xl/drawings/drawing2.xml#'Table%20of%20Contents'!A1http://tricare.mil/tma/dhcape/data/fs.aspx Population Summary
| POPULATION SUMMARY (DEERS) | |||||
| Common File Name: n/a | |||||
| Object Class Location: Eligibility (DEERS/MCFAS) / Population Summary | |||||
| Update Frequency: Most recent six months updated monthly; | |||||
| previous months updated on an ad hoc basis, generally annually | Source System: DEERS | ||||
| Record Description: Aggregate population demographic information, as reported by DEERS. | |||||
| Object | Definition | Format | Values | Notes | |
| MEASURES | |||||
| Beneficiary Count | The count of the population chosen in particular query. | Integer | This only Includes eligible beneficiaries. | ||
| DIMENSIONS | |||||
| Age Group Code | Standard Age Group Codes. | Char (1) | A-H, Z | A=0-4 |
B=5-14 C=15-17 D=18-24 E=25-34 F=35-44 G=45-64 H=65+ Z=Unknown Ben Cat Common Broadest category of beneficiaries. Char (1) 1, 2, 3, 4 1 = Dependents of Active Duty or Guard/Reserve on Active Duty 2 = Retired 3 = All Others 4 = Active Duty and Guard/Reserve on Active Duty Beneficiary Category Category of beneficiary. Char (3) ACT, RET, GRD, IGR, DA, DR, DS, DGR, IDG, OTH, Z ACT=Active Duty RET=Retirees GRD=Guard/Reserve on Active Duty IGR=Inactive Guard/Reserve DA=Dependents of Active Duty DR=Dependents of Retiree DS=Dependent Survivor DGR=Dependent of Guard/Reserve on Active Duty IDG=Dependent of Inactive Guard/Reserve OTH=Other Z=Unknown
| Beneficiary Country Code | Code representing the country of the person's residence. | Char(2) | See DEERS Country Codes. | |
| Beneficiary HSSC Region | Health Services and Support Contract region of the Beneficiary Zip Code. | Char(1) | N, S, W, O, A | N = North |
S = South W = West
O = OCONUS
A = Alaska Blank = All other, or not defined Beneficiary Region Code indicating region of residence for non-active duty/guard; region of assigned unit for active duty/guard. Char (2) 01-16, AK, XX, UK, 00 01=Northeast 02=Mid-Atlantic 03=Southeast 04=Gulf South 05=Heartland 06=Southwest 07,08=TRICARE Central 09=Southern California 10=Golden Gate 11=Northwest 12=Hawaii 13=Europe 14=TRICARE Pacific 15=TRICARE Latin America 16, XX, 00, UK =Unknown AK=Alaska
| Beneficiary Zip Code | Zip code of residence for non-active duty/guard, zip code of assigned unit for AD/Guard. | Char (5) | e.g., 03245 | |
| BPA Catchment Area ID | The BPA Catchment Areas are based on a 40-mile radius around bedded inpatient facilities; as in the year prior to implementation of TRICARE. | Char (4) | e.g., 0039 | Populated through FY05; not available FY06 and forward. See DMIS ID Information for IDs and names. Note that this field will not be consistent with BPA settlement data, due to differences in timing. |
| BPA Catchment Area Name | DMIS ID name of corresponding to the DMIS ID listed in the BPA Catchment Area ID field. | Char (40) | Populated through FY05; not available FY06 and forward. |
See DMIS ID Information for IDs and names.
| Catchment | ||||
| Area ID | Assigned by the M2, the catchment area surrounding an MTF or noncatchment area based on beneficiary zip code, sponsor service, FY and FM. | Char(4) | e.g., 0039 | Catchment Area ID derived in M2 processing by linking to the Market Area Table. |
See DMIS ID Information for IDs and names.
| Catchment Area Name | DMIS ID name of corresponding to the DMIS ID listed in the Catchment Area ID (M2 derived) field. | Char(40) | See DMIS ID Information for IDs and names. | ||
| Catchment Area Command | Major command or intermediate command to which a catchment area has been assigned. | e.g., AETC | See Commands for meanings and values. | ||
| Catchment Area Military Service | Military service responsible for that catchment area. | Char (1) | A, F, N, S, | ||
| Blank | A = Army |
F = Air Force N = Navy P = National Capital Region Medical Directorate (NCRMD) S = No affiliated Service (e.g., Non-Catchment Areas) Blank = Unknown (e.g., No Catchment Area found) Catchment Area MSMA Code indicating multi-service market to which this Catchment Area is assigned. The “e” in the value (eg, 01e) indicates this market is an enhanced Multi-Service Market (eMSM). Char(2) 01e, 02e, 03-06, 07e, 08e, 09, 10e, 11e, 12-14 01e = National Capital Region 02e = Tidewater 03 = Fort Bragg 04 = Charleston 05 = Ft Jackson/Shaw 06 = Mississippi Delta 07e = San Antonio 08e = Colorado Springs 09 = San Diego 10e = Puget Sound 11e = Hawaii 12 = Anchorage, AK 13 = Fairbanks, AK 14 = Jacksonville
Catchment Area ID of Record Assigned in MDR processing, the catchment area surrounding an MTF or noncatchment area based on beneficiary zip code, sponsor service, FY, and FM. Char (4) For historical data, Catchment Area ID derived in MHS Data Repository (MDR) processing by linking to the Catchment Area Directory (CAD).
Results do NOT incorporate any updates/retrofits of data.
See DMIS ID Information for IDs and names.
CM Calendar Month: The numeric code to identify the calendar month in which the data were extracted. Integer 1-12 1 = January 7 = July 2 = February 8 = August 3 = March 9 = September 4 = April 10 = October 5 = May 11 = November 6 = June 12 = December
| CY | Calendar year in which the data were extracted for historical data. | char(4) | 1996 forward | |
| FM | Fiscal Month: The numeric code to identify the DoD fiscal month in which the data were extracted. Prior to FY01, files were quarterly. | Integer | 1-12 | 1 = October 7 = April |
2 = November 8 = May 3 = December 9 = June 4 = January 10 = July 5 = February 11 = August 6 = March* 12 = September*
| FY | Fiscal year in which the data were extracted for historical data. Fiscal year of projection for future year's data. | char(4) | 1997 forward | |
| Gender | Gender of the beneficiary. | Char (1) | M, F, Z | M =Male |
F =Female Z =Unknown
| MTF Service Area | The MTF Service Areas are based on a 40-mile radius around bedded and unbedded Authorized TRICARE Enrollment Sites. | Char (4) | e.g., 0039 | Populated FY06 and forward. See DMIS ID Information for IDs and names. Note that this field will not be consistent with BPA settlement data, due to differences in timing. |
| MTF Service Area Name | DMIS ID name corresponding to the DMIS ID listed in the MTF Service Area ID field. | Char (40) | Populated FY06 and forward. |
See DMIS ID Information for IDs and names.
Market Area ID TRO-defined market area based on Beneficiary ZIP code. Use in conjunction with Beneficiary Region. Char (3) 001-999 See Regional Staff for more information.
Note: populated October 2002 and later.
| Prime Service Area | Code indicating whether or not beneficiary resides in a Tnex Prime Service Area. | Char(1) | Y,N | Y=lives in a PSA, N=does not live in a PSA |
| PRISM Area ID | Assigned by the M2, the code indicating PRISM (Provider Requirement Integrated Specialty Model) Area of residence. The PRISM area represents roughly a 20-mile area surrounding stand-alone MTFs. Records area assigned to PRISM areas based on beneficiary zip code, sponsor service, FY, and FM. | Char (4) | e.g., 0039 | PRISM Area ID derived in M2 processing by linking to the Market Area Table. |
See DMIS ID Information for IDs and names.
| PRISM Area Name | DMIS ID name of corresponding to the DMIS ID listed in the PRISM Area ID (M2 derived) field. | Char (40) | See DMIS ID Information for IDs and names. | |
| PRISM Area Command | Major command or intermediate command to which a PRISM area has been assigned. | e.g., AETC | See Commands for meanings and values. | |
| PRISM Area Military Service | Military service of the PRISM Area DMISID. | Char (1) | A, F, N, S, Blank | A = Army |
F = Air Force N = Navy P = National Capital Region Medical Directorate (NCRMD) S = No affiliated Service (e.g., Non-Catchment Areas) Blank = Unknown (e.g., No Catchment Area found) PRISM Area MSMA Code indicating multi-service market to which this PRISM Area is assigned. The “e” in the value (eg, 01e) indicates this market is an enhanced Multi-Service Market (eMSM). Char(2) 01e, 02e, 03-06, 07e, 08e, 09, 10e, 11e, 12-14 01e = National Capital Region 02e = Tidewater 03 = Fort Bragg 04 = Charleston 05 = Ft Jackson/Shaw 06 = Mississippi Delta 07e = San Antonio 08e = Colorado Springs 09 = San Diego 10e = Puget Sound 11e = Hawaii 12 = Anchorage, AK 13 = Fairbanks, AK 14 = Jacksonville
PRISM Area ID of Record Assigned in MDR processing, the code indicating PRISM (Provider Requirement Integrated Specialty Model) Area of residence. The PRISM area represents roughly a 20-mile area surrounding stand-alone MTFs. Records area assigned to PRISM areas based on beneficiary zip code, sponsor service, FY, and FM. Char (4) e.g., 0039 PRISM Area ID derived in MHS Data Repository (MDR) processing by linking to the Catchment Area Directory (CAD).
See DMIS ID Information for IDs and names.
Privilege Code Code indicating type of eligibility for medical benefits. Char (1) 1, 2, 4, 5, 6, 7, A, B, C, M, U 1=Direct Care Only 2=Direct Care and MHS Purchased Care 4=Transitional Direct Care Only 5=Transitional Direct Care and MHS Purchased Care 6=Transitional Direct Care and Medicare A, not MHS Purchased Care Eligible 7=Direct Care and Medicare A, not MHS Purchased Care Eligible A=Direct Care and MHS Purchased Care and Medicare A B=Transitional Direct Care and MHS Purchased Care and Medicare A C=MHS Purchased Care Only M=Medicare A Only U=USFHP/USTF Enrollee R=TRICARE Reserve Select Sponsor Service, Aggregate The military branch of service of the sponsor. Char (1) A, C, F, M, N, V, X, Z A=Army C=Coast Guard F=Air Force M=Marine Corps N=Navy V=Navy Afloat X=Other Z=Unknown TPR Flag Indicates whether the Beneficiary Zip Code is in a TRICARE Prime Remote area. Char(1) N=No Y=Yes
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Return to the Table of Contents /xl/drawings/drawing3.xml#'Table%20of%20Contents'!A1 DEERS Person Detail
| DEERS Person Detail | ||||
| Common File Name: DEERS VSAM MDR 2006 (VM6) | ||||
| Object Class Locations: Eligibility/FY04 End of Year Eligibles and Eligibility/FY** DEERS Person Detail | ||||
| Update Frequency: Most recent six months updated monthly; previous months updated on an ad hoc basis, generally annually | Source System: DEERS | |||
| Record Description: Person-level demographic information, as reported by DEERS | ||||
| Object | Definition | Format | Values | Notes |
| MEASURES | ||||
| Beneficiary Count | The count of the population chosen in particular query. | Integer | This only Includes eligible beneficiaries. | |
| Days Since Most Recent OCO Depl | As of the event date, the number of days since beneficiary returned from overseas deployment. | Num or blank | Blank (null) for persons who have never been deployed as of the event date. Zero if currently deployed on the event date. | |
| Dependent Quantity | The number of dependents for sponsors chosen in a particular query. | Integer | ||
| DIMENSIONS | ||||
| ACV | Code indicating type of enrollment of beneficiary at the time of the extract (ACVs of A, D, E represent TRICARE Prime). | Char (1) | A, B, C, D, E, F, G, H, J, L, M, N, P, Q, R, S, U, V, W, Z | Enrollment data was problematic, but matured to be the official data by February 2004. It will not agree with the official enrollment data of the Enrollment file from all earlier months. |
A=Active Duty TRICARE Prime B=TRICARE Global Remote Overseas Prime Active Duty C=CHAMPUS Eligible D=TRICARE Senior Prime E=CHAMPUS Eligible TRICARE Prime F=TRICARE Global Remote Overseas Prime Active Duty Family Member G=TRICARE Plus (with civilian healthcare) H=TRICARE Overseas Prime Active Duty J=TRICARE Overseas Prime Active Duty Family Member L=TRICARE Plus, DC Entitlement Only (No Private Sector Coverage, No TFL) M=AD not reported as enrolled N=Not CHAMPUS Eligible
P=CRI
Q=Active Duty enrolled to Op Forces R=TRICARE Reserve Select
S=CHCBP
U=USFHP/USTF
V=TRICARE Retired Reserve W=TRICARE Senior Supplement Z=Not enrolled in an alternate care program/unknown ACV Group Alternate Care Value Group: based on the ACV, indicates the enrollment status of the beneficiary. Char(10) Prime, Overseas, Plus, Reliant, Desig Prov, Other Prime = ACV A, E, H, or J Overseas Remote = ACV B or F Plus = ACV G or L Desig Prov = ACV U Reliant = ACV M or Q; or ACV is any other value (including blanks) and Ben Cat Common = 4 then Reliant Other = All others
| AD Strength Accounting Code | The code that represents the accounting and programming categories used by the DoD to classify active strength positions and personnel. | Char(3) | See AD Strength Accounting Codes | |
| Age | Age of beneficiary. | Char (3) | ||
| Age Group Code | Standard Age Group Codes. | Char (1) | A, B, C, D, E, F, G, H, Z | A=0 to 4 |
B=5 to 14 C=15 to 17 D=18 to 24 E=25 to 34 F=35 to 44 G=45 to 64 H=65 and over Z=Unknown AGR Service Legal Authority The code that represents the source of the legal authority for Active Guard and Reserve service. Char (1) 1,2,3,9,A,B,C,D,E,F,G,H,I,J,K,L,X,Z 1=6-year obligation (10 USC 651) 2=Other obligation (not 10 USC 651) 3=8-year obligation (10 USC 651) 9=Unknown A=AGR under 10 USC 10301 (reference (b)) B=AGR under 10 USC 10211 (reference (b)) C=AGR under 10 USC 12301(d) (reference (b)) D=AGR under 10 USC 12310 (reference (b)) E=AGR under 10 USC 12501 (reference (b)) F=AGR under 10 USC 3015/3019/8019 (reference (b)) G=AGR under 10 USC 3033/8033 (reference (b)) H=AGR under 10 USC 3496/8496 (reference (b))
I=AGR:14 USC 276
J=AGR under 32 USC 502(f) (reference (m)) K=AGR under 32 USC 503 (reference (m)) L=AGR under 32 USC 708 (reference (m)) X=AGR: Other Z=Unknown/Not Applicable Assigned UIC Code indicating sponsor's unit of assignment. Char (8) The following UIC conventions are used by the Service branches:
Army: WPPPDDZZ, where:
W - Service Designator (nearly always W for Army UICs);
PPP - Parent Unit Designator;
DD - Descriptive Designator (e.g., these positions could be used to distinguish companies having the same Parent Unit Designator); and ZZ - Major Command.
Navy: NnnnnXCC, where:
N - Service Designator (nearly always N for Navy UICs);
nnnnX - Unit Designator (n positions are numeric, X position is alphanumeric); and CC - Command Code.
Marine Corps: rrrrrCCC, where:
rrrrr - Reporting Unit Code (RUC) (this is the unit designator); and CCC - Monitored Command Code (MCC).
Air Force: BBCCXXXX; where:
BB - Consolidated Base Personnel Office (CBPO);
CC - Command Code;
XXXX - Personnel Accounting Symbol (PAS) (alphanumeric - this is the unit designator) Coast Guard: DDPPPPPB, where:
DD - District Code;
PPPPP - unit code (also called OPFAC); and B - Blank Attached UIC Code indicating unit that sponsor is attached to. Char (8) The following UIC conventions are used by the Service branches:
Army: WPPPDDZZ, where:
W - Service Designator (nearly always W for Army UICs); PPP - Parent Unit Designator;
DD - Descriptive Designator (e.g., these positions could be used to distinguish companies having the same Parent Unit Designator); and ZZ - Major Command.
Navy: NnnnnXCC, where: N - Service Designator (nearly always N for Navy UICs);
nnnnX - Unit Designator (n positions are numeric, X position is alphanumeric); and CC - Command Code.
Marine Corps: rrrrrCCC, where:
rrrrr - Reporting Unit Code (RUC) (this is the unit designator); and CCC - Monitored Command Code (MCC).
Air Force: BBCCXXXX; where:
BB - Consolidated Base Personnel Office (CBPO);
CC - Command Code;
XXXX - Personnel Accounting Symbol (PAS) (alphanumeric - this is the unit designator) Coast Guard: DDPPPPPB, where:
DD - District Code;
PPPPP - unit code (also called OPFAC); and B - Blank Ben Cat Common Broadest category of beneficiaries. Char (1) 1, 2, 3, 4 1 = Dependents of Active Duty or Guard/Reserve on Active Duty 2 = Retired 3 = All Others 4 = Active Duty and Guard/Reserve on Active Duty
| Beneficiary Category | Category of beneficiary. | Char (3) | ACT, RET,GRD, IGR, DA, DR, DS, DGR, IDG | |
| OTH, Z | ACT=Active Duty |
RET=Retirees GRD=Guard/Reserve on Active Duty IGR=Inactive Guard/Reserve DA=Dependents of Active Duty DR=Dependents of Retiree DS=Dependent Survivor DGR=Dependent of Guard/Reserve on Active Duty IDG=Dependent of Inactive Guard/Reserve OTH=Other Z=Unknown
| Beneficiary Country Code | Code indicating the country of the person's residence. | Char (2) | See DEERS Country Codes. | |
| Beneficiary HSSC Region | Health Services and Support Contract region of the Beneficiary Zip Code. | Char (1) | N, S, W, O, A, Blank | N = North |
S = South W = West
O = OCONUS
A = Alaska Blank = All other, or not defined Beneficiary ID Type Code The code that represents a specific kind of person identifier. Char (1) D, F, I, M, N, P, R, S, T D=Special 9-digit created for individuals (i.e. babies) who do not have or have not provided an SSN when the record is added to DEERS (dependents only). Known as a TIN, Temporary Identifier Number.
F=Special 9-digit code created for foreign military and nationals. Known as a FIN, Foreign Identifier Number.
I=Tax identification number M=Patient Identifier N=9-digit code that looks like a Social Security Number, but is not in a valid SSN range P=Special 9-digit code created for U.S. military personnel from Service Numbers before the switch to Social Security Numbers R=Special 9-digit code created for a DoD contractor who refused to give his or her SSN to RAPIDS. The associated PN_ID will begin with 99 S=Social Security Number T=Test (858 series)
| Beneficiary ID | Beneficiary SSN. | Char (9) | Available in the restricted universe only. | |
| Beneficiary Last Name | The last name of the beneficiary. | Char (15) | Available in the restricted universe only. | |
| Beneficiary First Name | The first name of the beneficiary. | Char (6) | Available in the restricted universe only. | |
| Beneficiary Name | The first and last name of the beneficiary. | Char (22) | Available in the restricted universe only. | |
| Beneficiary Region | Code indicating region of residence for non-active duty/guard; region of assigned unit for active duty/guard. | Char (2) | 01-16, AK, XX, UK, 00 | 01=Northeast |
02=Mid-Atlantic 03=Southeast 04=Gulf South 05=Heartland 06=Southwest 07,08=TRICARE Central 09=Southern California 10=Golden Gate 11=Northwest 12=Hawaii 13=Europe 14=TRICARE Pacific 15=TRICARE Latin America 16, XX, 00, UK =Unknown AK=Alaska
| Beneficiary State | Code representing the state of the person's residence. | Char (2) | See DEERS State Codes. | |
| Beneficiary Type Code | The code that represents a specific kind of person. | Char (1) | B, D, O, S, X, Y | B=Both dependent and sponsor |
D=Dependent O=Other S=Sponsor X=Prior Sponsor Y=Prior Dependent
| Beneficiary Zip Code | Zip code of residence for non-active duty/guard, zip code of assigned unit for AD/GRD. | Char (5) | e.g., 03245 | |
| Blood Type Code | Code indicating beneficiary's blood type. | Char (1) | 1, 2, 3, 4, 5, 6, 7, 8, 9 | 1=A+ |
2=A- 3=B+ 4=B-
5=AB+
6=AB-
7=O+ 8=O- 9=Unknown
| BPA Catchment Area ID | The BPA Catchment Areas are based on a 40-mile radius around bedded inpatient facilities; as in the year prior to implementation of TRICARE. | Char (4) | e.g., 0039 | Populated through FY05; not available FY06 and forward. See DMIS ID Information for IDs and names. Note that this field will not be consistent with BPA settlement data, due to differences in timing. |
| BPA Catchment Area Name | DMIS ID name of corresponding to the DMIS ID listed in the BPA Catchment Area ID field. | Char (40) | Populated through FY05; not available FY06 and forward. |
See DMIS ID Information for IDs and names.
| Case Management Acuity Level | Acuity level of patient. | Char (1) | 1,2,3,4,5, | See Case Management Acuity Tab |
| Case Management DMIS ID | MTF where case manager is located. | Char (4) | e.g. 0001 | See DMISID Information |
| Case Manager ID 1 | Identifier of primary care manager. | Char (9) | ||
| Case Manager ID 2 | Identifier of additional case manager. | Char (9) | ||
| Case Manager ID 3 | Identifier of additional case manager. | Char (9) | ||
| Catchment Area ID | Assigned by the M2, the catchment area surrounding an MTF or noncatchment area based on beneficiary zip code, sponsor service, FY and FM. | Char (4) | e.g., 0039 | Catchment Area ID derived in M2 processing by linking to the Market Area Table. . |
See DMIS ID Information for IDs and names.
| Catchment Area Name | DMIS ID name of corresponding to the DMIS ID listed in the Catchment Area ID (M2 derived) field. | Char (40) | See DMIS ID Information for values and their meanings. | |
| Catchment Area Command | Major command or intermediate command to which a catchment area has been assigned. | e.g., AETC | See Commands for meanings and values. | |
| Catchment Area Military Service | Military service responsible for that catchment area. | Char (1) | A, F, N, P, S, Blank | A = Army |
F = Air Force N = Navy P = National Capital Region Medical Directorate (NCRMD) S = No affiliated Service (e.g., Non-Catchment Areas) Blank = Unknown (e.g., No Catchment Area found) Catchment Area MSMA Code indicating multi-service market to which this Catchment Area is assigned. The “e” in the value (eg, 01e) indicates this market is an enhanced Multi-Service Market (eMSM). Char(2) 01e, 02e, 03-06, 07e, 08e, 09, 10e, 11e, 12-14 01e = National Capital Region 02e = Tidewater 03 = Fort Bragg 04 = Charleston 05 = Ft Jackson/Shaw 06 = Mississippi Delta 07e = San Antonio 08e = Colorado Springs 09 = San Diego 10e = Puget Sound 11e = Hawaii 12 = Anchorage, AK 13 = Fairbanks, AK 14 = Jacksonville
Catchment Area ID of Record Assigned in MDR processing, the catchment area surrounding an MTF or noncatchment area based on beneficiary zip code, sponsor service, FY and FM. Char (4) e.g., 0039 Catchment Area ID derived in MHS Data Repository (MDR) processing by linking to the Catchment Area Directory (CAD). Results do NOT incorporate any updates/retrofits of data.
See DMIS ID Information for IDs and names.
Civilian Health Care Benefit Code Code indicating civilian health care entitlement. Char (1) F, M, T F=Outpatient Only/ Reimbursable (Foreign military)
M=CHAMPUS
T=TRICARE for Life Empty=Not eligible for MHS Purchased Care benefits solely by virtue of status, but may have purchased the benefits (e.g., through TRICARE Reserve Select -- see ACV), and thus be eligible.
CM Calendar Month: Numeric code to identify the calendar month. Derived from the service date. Char(2) 1-12 1 = January 7 = July 2 = February 8 = August 3 = March 9 = September 4 = April 10 = October 5 = May 11 = November 6 = June 12 = December
| CY | Calendar Year: Numeric Code representing the 12 month calendar year. Derived from the service date. | Char(4) | 2004 - current year | |
| Cumulative OCO Days Deployed | Total number of days that this member has been deployed for OCO operations in all deployments, up to but not including the event date. | Num or blank | Blank (null) for persons who have never been deployed as of the event date. | |
| Date of Birth | Beneficiary's date of birth. | Date |
mm/dd/yyyy
| Days Since Return from OCO Depl | As of the event date, the number of days since beneficiary returned from overseas deployment. | Num or blank | Blank (null) for persons who have never been deployed as of the event date. Zero if currently deployed on the event date. | |
| Dental HCDP Code | The code that represents the plan coverage a family member or sponsor has within a health care delivery program type. | Char(3) | See Dental HCDP Codes | |
| Direct Care Benefit Type Code | Code indicating direct care eligibility. | Char (1) | D,E, F, L, N, O, P, R, S | D=Designation for Presidential Appointees and other designated civilian officials within the DoD and the Military Departments. |
F=Outpatient at no charge & inpatient care at full reimbursable E = Early Alert for Guard/Reserve Service Members L=Limited direct care based on documentation empty=Not eligible for Direct Care benefits solely by virtue of status, but may have purchased the benefits (e.g., through TRICARE Reserve Select -- see ACV), and thus be eligible.
O=Outpatient only P=Outpatient only reimbursable R=Reimbursable direct care S=Direct care
| DoD Occupation Code | DoD Occupation code. Based on Service unique occupation codes. | Char (4) | See DEERS DoD Occupancy Codes for values and meanings | |
| Eligibility Indicator | Code indicating whether the beneficiary is eligible for any medical benefits. | Char (1) | 0,1 | This field will always have the value of 1 in M2. |
0=Ineligible 1=Eligible Enrollment MEPRS Code Assigned MEPRS code of Primary Care Manager. Char(4) e. g AAAA Currently blank. Data expected to be available in Dec12/Jan13.
Populated FY11+.
Enrollment Site The DMIS ID of the facility where the member is enrolled. Char (4) e.g., 0036 Enrollment data was problematic, but matured to be the official data by February 2004. It will not agree with the official enrollment data of the Enrollment file from all earlier months.
See DMIS ID Information for IDs and names.
| Enrollment Site Name | The name of the facility that corresponds with the Enrollment Site. | Char (40) | See DMIS ID Information for IDs and names. | |
| Enrollment Site Command | Represents the intermediate service command of a military medical treatment facility. Derived from DMIS Table based on enrollment DMIS ID. | Char (1) | e.g., AETC | See Commands for meanings and values. |
| Enrollment Site DHP Code | Char(1) | N, Y | N = the Enrollment Site is not a Defense Health Program DMISID |
Y = the Enrollment Site is a Defense Health Program DMISID Enrollment Site HSSC Region Health Services and Support Contract region of the Enrollment Site. Char(1) N, S, W, A, O, Blank N = North S = South W = West
O = OCONUS
A = Alaska Blank = All other, or not defined Enrollment Site Military Service Enrollment Military Department: military service performing the enrollment function. Derived from the DMIS Table, based on the enrollment DMIS ID. Char (1) A, B, C, D, F, G, I, J, L, M, N, O,P, Q, R, S, T, V, X, Blank A = Army DHP B = Army Civilian Resource Sharing C = Coast Guard D = Army Line Unit F = Air Force DHP G = AF Civilian Resource Sharing I = Inactive J = US Defense Attaché Office (USDAO) L = AF Line Unit M = Managed Care Support Contractor N = Navy DHP P = National Capital Region Medical Directorate (NCRMD) O = Other Q = Navy Line Unit R = Navy Civilian Resource Sharing S = Non-catchment T = US Family Health Plan (USFHP), FY 1998-2001, 2007-2009 U = US Family Health Plan (USFHP), FY 2002-2006 V = Veterans Admin X = Administrative Blank = Unknown Enrollment Site MSMA Code indicating multi-service market to which this enrollment site is assigned. The “e” in the value (eg, 01e) indicates this market is an enhanced Multi-Service Market (eMSM). Char(2) 01e, 02e, 03-06, 07e, 08e, 09, 10e, 11e, 12-14 01e = National Capital Region 02e = Tidewater 03 = Fort Bragg 04 = Charleston 05 = Ft Jackson/Shaw 06 = Mississippi Delta 07e = San Antonio 08e = Colorado Springs 09 = San Diego 10e = Puget Sound 11e = Hawaii 12 = Anchorage, AK 13 = Fairbanks, AK 14 = Jacksonville Enrollment Site Region Code that identifies the DoD Region associated with the enrollment site. Char (2) 01-15, AK, 16, 00, UK, XX 01=Northeast 02=Mid-Atlantic 03=Southeast 04=Gulf South 05=Heartland 06=Southwest 07,08=TRICARE Central 09=Southern California 10=Golden Gate 11=Northwest 12=Hawaii 13=TRICARE Europe 14=TRICARE Pacific 15=TRICARE Latin America AK=Alaska UK, XX, 00, 16=Unknown
| Enrollment Site Parent | Parent DMIS ID of the Enrollment Site. | Char (4) | See DMIS ID Information for IDs and names. | |
| Enrollment Site Parent Name | The name of the facility that corresponds with the Enrollment Site Parent. | Char (30) | See DMIS ID Information for IDs and names. | |
| Equivalent Lives Age Group | Equivalent Lives Age Group is used to classify beneficiaries into iso-resource groups. | Char (1) | 1,2,3,4,5,6,7,8,9 | 1=0-1 |
2=2-11 3=12-17 4=18-44 for single females or 18-37 single males 5=18-44 married females or 18-37 married males 6=45-54 females or 38-54 male 7=55-64 8=65-74 9=75 and up Ethnicity The code that represents the ethnic group or national origin of the person. Char (1) 0-9, D, E, G, H, J, K, L, Q, S, V, W, X, Y, Z 1=Other Hispanic 2=US or Canadian Indian Tribe 3=Other Asian 4=Puerto Rican 5=Filipino 6=Mexican 7=Eskimo 8=Aleut 9=Cuban D=Indian E=Melanesian G=Chinese H=Guamanian J=Japanese K=Korean L=Polynesian Q=Pacific Islander NEC S=Latin American with Hispanic descent V=Vietnamese W=Micronesian X=Other Y=None Z=Unknown
| Ever Deployed Flag (OCO) | Indicates whether the member has ever been deployed as of the event date. | Y,N | |
| FM | Fiscal Month: The numeric code to identify the DoD fiscal month in which the data were extracted. Prior to FY01, files were quarterly. Some months not available in FY00. | 1-12 | 1 = October 7 = April |
2 = November 8 = May 3 = December 9 = June 4 = January 10 = July 5 = February 11 = August 6 = March 12 = September
| FY | Fiscal year in which the data were extracted. | |||
| Gender | Gender of beneficiary. | Char (1) | M, F, Z | M=Male |
F=Female Z=Unknown HCDP Code The Health Care Delivery Program Plan Coverage Code: the code that represents the plan coverage a family member or sponsor has within a health care delivery program type. Char (3) e.g., 108 See HCDP Codes for list of values and meanings.
| High Cost User Flag | The code indicating whether the person is a high cost user (>$100K), based on their risk score. | Char (2) | B, T, N |
| Ultimately, populated for FY 2008 and forward. |
B = The person was flagged as a high cost user on both the Rolling 12-month basis and on the Fiscal Year to Date basis T = The person was flagged as a high cost user only on the Rolling 12-month basis N = The person was not flagged as a high cost user
IIW Flag Indicates whether the member was identified as potentially having a war related medical condition. Char(1) Y, N Y = Yes N = No Marital Status Code indicating the marital status of the sponsor. Char (1) A, D, I, L, M, N, W, Z, blank A=Annulled D=Divorced I=Interlocutory Decree L=Legally Separated M=Married N=Never married W=Widow or Widower Z=Unknown blank=unknown Market Area ID TRO-defined market area based on Beneficiary ZIP code. Use in conjunction with Beneficiary Region. Char (3) 001-999 See Regional Staff for more information.
Note: Only populated for FY 2002 and later.
Medicare Eligibility Code Medicare Eligibility Code. Char (1) A, B A=Medicare A only B=Medicare B only C=Medicare A and B N=No Medicare Medicare Pharmacy Indicator A flag indicating whether the person has Medicare Pharmacy eligibility. Char(1) N, Y N=No Y=Yes
Populated FY06 forward.
Medical Home Flag Indicates if the patient is enrolled in medical home. Char(1) Y, N Currently blank. Data expected to be available in Dec12/Jan13.
Populated FY11+.
| MTF Service Area | The MTF Service Areas are based on a 40-mile radius around bedded and unbedded Authorized TRICARE Enrollment Sites. | Char (4) | e.g., 0039 | Populated FY06 and forward. See DMIS ID Information for IDs and names. Note that this field will not be consistent with BPA settlement data, due to differences in timing. |
| MTF Service Area Name | DMIS ID name corresponding to the DMIS ID listed in the MTF Service Area ID field. | Char (40) | Populated FY06 and forward. See DMIS ID Information for values and their meanings. | |
| OCO Deployed Flag | Indicates whether the member is currently deployed on the event date. | Char(1) | Y,N | Caution: Inclusion as a condition will cause the counts of some people who meet the condition being null (uncounted). |
| OHI Dental Flag | The code that indicates whether or not dental care is covered by the Other Health Insurance (OHI) policy (derived). | Char (1) | N, Y | N=No |
Y=Yes OHI Medical Flag The code that indicates whether or not medical care is covered by the Other Health Insurance (OHI) policy (derived). Char (1) N, Y N=No Y=Yes OHI Mental Health Flag The code that indicates whether or not mental health care is covered by the Other Health Insurance (OHI) policy (derived). Char (1) N, Y N=No Y=Yes OHI Pharmacy Flag The code that indicates whether or not pharmacy care is covered by the Other Health Insurance (OHI) policy (derived). Char (1) N, Y N=No Y=Yes
| Pay Plan | Code indicating pay plan of sponsor. Use in conjunction with sponsor pay grade for sponsor rank. | Char (5) | GS, MC, ME, MO, MW, ZZ | See Pay Plan Codes. |
| PCM ID | Primary Care Manager ID. | Char (18) | Enrollment data was problematic, but matured to be the official data by February 2004. It will not agree with the official enrollment data of the Enrollment file from all earlier months. | |
| PCM ID Type Code | The code that represents the type of PCM identifier. | Char (1) | C, D, E, H, L, P, S, T | C= MCSC Internal Provider Number |
D=DEA Number E=DoD Electronic Data Interchange Person Identifier (EDI_PN) H=HIPAA Provider ID L=Legacy Value P=CHCS created Pseudo PCM Identifier
S=SSN
T=Tax ID Number Enrollment data was problematic, but matured to be the official data by February 2004. It will not agree with the official enrollment data of the Enrollment file from all earlier months.
PCM Provider Type The code identifying the type of network provider. Char(1) C, D, N, R, U C=Civilian network D=Direct Care network N=None R=Resource Sharing network U=Uniformed Services Family Health Plan (USFHP)
| PCM Specialty | The code that represents a specialty of a primary care manager. | Char(3) | See Provider Specialty Codes for Direct Care | ||
| Person ID | A unique identifier of a person, as assigned by DEERS. This is sometimes, under HIPAA, called the Electronic Data Interchange - Patient Identifier (EDI-PN). | Char (10) | Available in the restricted universe only. | ||
| Person Association Reason Code | The code that represents the underlying basis of an association of one person to another person. For example, a person is a child of another person. | Char(2) | AA, AB, AC, AD, | ||
| AE, AF, AH, AI, AX, BB, BC, BD, BE, BF, BG, CA, ZZ | AA=Spouse |
AB=Child AC=Foster Child AD=Parent AE=Parent-in-law AF=Stepchild AH=Stepparent AI=In loco parentis AX=Emergency Contact BB=Ward BC=Former Spouse (not assignable after RAPIDS 6.3) BD=Self (i.e., the person and the other person are the same person) BE=Joint marriage spouse BF=Other health insurance subscriber BG=Pre-adoptive child CA=Member of household headed by sponsor's former spouse (child, stepchild, or ward only) ZZ=Unknown
| Personnel Entitlement Condition | The code that represents the type of condition that occurred while a sponsor was in a personnel category and organization that affected the entitlements of the sponsor and/or the sponsor’s dependents. | Char(2) | See Personnel Entitlement Condition Codes | |
| Pharmacy Coverage Code | Pharmacy Coverage Code. | Char (3) | 000, 602, 603, 604 | This element reflects the DEERS field Pharmacy Coverage Code and has valid values: |
000=No coverage 602=Direct Care and TRICARE Mail Order Pharmacy (TMOP) and Retail Pharmacies 603=Direct Care only 604=TRICARE Mail Order Pharmacy Population Sector Represents the broad population class to which the person belongs. Char (1) 1, 2, 3, 4, Z 1=Active Duty 2=Active Duty Dependents less than 65 3=Non Active Duty Dependent less than 65 4=Non Active Duty Greater than 65 (includes all beneficiary categories other than Active Duty who are age 65+) Z=Unknown Prime Service Area Code indicating whether or not beneficiary resides in a Tnex Prime Service Area. Char(1) Y, N Y=lives in a PSA N=does not live in a PSA PRISM Area ID Assigned by the M2, the code indicating PRISM (Provider Requirement Integrated Specialty Model) Area of residence. The PRISM area represents roughly a 20-mile area surrounding stand-alone MTFs. Records area assigned to PRISM areas based on beneficiary zip code, sponsor service, FY, and FM. Char (4) e.g., 0039 PRISM Area ID derived in M2 processing by linking to the Market Area Table.
See DMIS ID Information for IDs and names.
| PRISM Area Name | DMIS ID name of corresponding to the DMIS ID listed in the PRISM Area ID (M2 derived) field. | Char (40) | See DMIS ID Information for IDs and names. | |
| PRISM Area Command | Major command or intermediate command to which a PRISM area has been assigned. | See Commands for meanings and values. | ||
| PRISM Area Military Service | Military service of the PRISM Area DMISID. | Char (1) | A, F, N, P, S, Blank | A = Army |
F = Air Force N = Navy P = National Capital Region Medical Directorate (NCRMD) S = No affiliated Service (e.g., Non-Catchment Areas) Blank = Unknown (e.g., No Catchment Area found) PRISM Area MSMA Code indicating multi-service market to which this PRISM Area is assigned. The “e” in the value (eg, 01e) indicates this market is an enhanced Multi-Service Market (eMSM). Char(2) 01e, 02e, 03-06, 07e, 08e, 09, 10e, 11e, 12-14 01e = National Capital Region 02e = Tidewater 03 = Fort Bragg 04 = Charleston 05 = Ft Jackson/Shaw 06 = Mississippi Delta 07e = San Antonio 08e = Colorado Springs 09 = San Diego 10e = Puget Sound 11e = Hawaii 12 = Anchorage, AK 13 = Fairbanks, AK 14 = Jacksonville
PRISM Area ID of Record Assigned in MDR processing, the code indicating PRISM (Provider Requirement Integrated Specialty Model) Area of residence. The PRISM area represents roughly a 20-mile area surrounding stand-alone MTFs. Records area assigned to PRISM areas based on beneficiary zip code, sponsor service, FY, and FM. Char (4) e.g., 0039 PRISM Area ID derived in MHS Data Repository (MDR) processing by linking to the Catchment Area Directory (CAD). Results do NOT incorporate any updates/retrofits of data.
See DMIS ID Information for IDs and names.
Privilege Code Code indicating type of eligibility for medical benefits. Char (1) 1, 2, 4, 5, 6, 7, A, B, C, M, U 1=Direct Care Only 2=Direct Care and MHS Purchased Care 4=Transitional Direct Care Only 5=Transitional Direct Care and MHS Purchased Care 6=Transitional Direct Care and Medicare A, not MHS Purchased Care Eligible 7=Direct Care and Medicare A, not MHS Purchased Care Eligible A=Direct Care and MHS Purchased Care and Medicare A B=Transitional Direct Care and MHS Purchased Care and Medicare A C=MHS Purchased Care Only M=Medicare A Only U=USFHP/USTF Enrollee
| Pseudo Beneficiary ID | The encrypted identifier that represents a beneficiary. Encrypting is consistent across all M2 files. | Char (9) | ||
| Pseudo Person ID | The encrypted Person ID (EDIPN). Encrypting is consistent across all M2 files. | |||
| Pseudo Sponsor ID | The encrypted sponsor identifier (SSN). Encrypting is consistent across all M2 files. | Char (9) | ||
| Race | Race of beneficiary. | Char (1) | C, M, N, R, X, Z | C=White |
M=Asian or Pacific Islander N=Black R=American Indian or Alaskan native X=Other Z=Unknown Race / Ethnicity Race and ethnicity of beneficiary. Char (1) A, B, C, D, E, X, Z A=American Indian/Alaskan Native B=Asian or Pacific Islander C=Black, not Hispanic D=white, not Hispanic E=Hispanic X=Other Z=Unknown Reservist Status Code Code indicating status of guard/reserve member. Char(1) A, E, O, M, T, I, L A = Early Alert for Guard/Reserve E = TAMP extended for Guard/Reserve O = TAMP original for Guard/Reserve M = Mobilization for Guard/Reserve T = TAMP for Guard/Reserve I = TAMP for involuntary separation from Active Duty L = TAMP for stop/loss from Active Duty Special HCDP Code The code describing the special insured health care delivery program plan coverage a family member or sponsor has. Char(3) 400, 403, 404, 415, 416 Populated FY06 forward.
400 = TRICARE Extended Care Health Option (ECHO) Program 403 = Tobacco Cessation Demonstration Program 404 = Weight Management Demonstration Program 415 = Warrior Transition Unit 416 = Community Based Healthcare Organization Special Operations Code Indicates the contingency operation for which a Guard or Reserve member is activated or receiving TAMP benefits through at the time of care. Populated on both sponsor and family member records. This data element does not indicate that the guard or reserve member went to theater, rather, that the orders that activated the member indicated a contingency operation. Use with Reservist Status Code to indicate the status of the Guard/Reserve member. Char(2) 00= Not Applicable 01= Operation Desert Storm 02= Los Angeles Riots 03=Haiti 04=Somalia 05=Bosnia 06=Kosovo 07=Southern Watch 08=Noble Eagle 09=Enduring Freedom 10=Iraqi Freedom 98=Not a special operation 99=Other (Take caution with these values. It is often evident that Iraqi Freedom records are miscoded as 08 or 09.)
| Sponsor ID | Sponsor Identifier; usually a social security number. | Char (9) | Available in the restricted universe only. | |
| Sponsor Pay Grade | Code indicating the level of pay. | Char (2) | 00-15, WW | 00 = Unknown |
WW=N/A
Other numeric codes indicate grade associated with pay plan.
Available in the restricted universe only.
Sponsor ID Type Code The code that represents the type of sponsor person identifier. Char (1) D, F, I, P, R, S, T D=Special 9-digit code created for individuals (i.e., babies) who do not have or have not provided an SSN when the record is added to DEERS (dependents only) F=Special 9-digit code created for foreign military and nationals. Known as FIN, Foreign Identifier Number.
I=Tax identification number P=Special 9-digit code created for U.S. military personnel before the switch to Social Security Numbers R=Special 9-digit code created for a DoD contractor who refused to give his or her SSN to RAPIDS. The associated PN_ID will begin with 99.
S=Social Security Number T=Test (858 series) Sponsor Rank Group Sponsor Pay Grade mapped to a more generic level. Char (2) EJ, ES, OJ, OS, WO, XX CD = Cadets EJ = Enlisted, Junior (E1-E4) ES = Enlisted, Senior (E5-E9) OJ = Officer, Junior (O1-O3) OS = Officer, Senior (O4-O9, 10, 11) WO = Warrant Officer (W1-W5) XX = All Others See Pay Plan Codes Sponsor Service DEERS Specific code indicating service of sponsor. Char (1) A, C, D, F, H, M, N, O, X, Z, 1, 2, 3, 4 A=Army C=Coast Guard D=Office of the Secretary of Defense F=Air Force H=The Commissioned Corps of the Public Health Service M=Marine Corps N=Navy O=The Commissioned Corps of the National Oceanic and Atmospheric Administration X=Not Applicable Z=Unknown 1=Foreign Army 2=Foreign Navy 3=Foreign Marine Corps 4=Foreign Air Force Sponsor Service, Aggregate Code indicating service of sponsor. Char (1) A, C, F, M, N, V, X, Z A=Army C=Coast Guard F=Air Force M=Marine Corps N=Navy V=Navy Afloat X=Other Z=Unknown Sponsor Status The code that represents how the DoD personnel and/or finance center views the sponsor based on accountability and reporting strengths. Char (1) A, B, C, D, E, F, H, I, J, K, L, M, N, O, Q, R, T, U, V, W, Z A=Active duty member B=Presidential Appointee C=DoD civil service employee, except Presidential appointee D=Disabled American veteran E=DoD contract employee F=Former member (Reserve service, discharged from the Ready Reserve or Standby Reserve following notification of retirement eligibility) H=Medal of Honor recipient I=Non-DoD civil service employee, except Presidential appointee J=Academy student K=Non-Appropriated Fund DoD employees L=Lighthouse service M=Non-government agency personnel N=National Guard member O=Non-DoD contract employee Q=Reserve retiree not yet eligible for retired pay ( gray area retiree ) R=Retired military member eligible for retired pay T=Foreign military U=Authorized foreign national civilian V=Reserve member W=DoD Beneficiary, a person who receives benefits from the DoD based on prior association, condition or authorization, an example is a former spouse Z=Unknown TPR Eligibility Flag The code that identifies whether the beneficiary is located in a TRICARE Prime Remote ZIP code and generally meets the basic demographic requirements for TPR Eligibility (e.g., sponsors are Active Duty/ Guard/ Reserve, dependents are Active Duty/Guard/ Reserve Family Members and located in same ZIP Code as sponsor's residence. Note that not all criteria for TPR are reflected in the algorithm for this flag (e.g., family member residence at time of Guard/Reserve activation. Char(1) Y, N Y=TPR Eligible N=Not TPR Eligible TPR Flag Indicates whether the Beneficiary Zip Code is in a TRICARE Prime Remote area. Char (1) N=No Y=Yes Underwritten Region Code indicating whether contractor is at risk. (Not yet populated for FY2005 and FY2006 data). Char (1) N, S, W, blank Populated starting in FY04.
N, S, W: CONUS Managed Care Support contractor (North, South, West) at risk for the payments Blank: No contractor is at risk.
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Return to the Table of Contents /xl/drawings/drawing4.xml#'Table%20of%20Contents'!A1 Longitudinal Eligibility
| LONGITUDINAL ELIGIBILITY | |||||
| Common File Name: n/a | |||||
| Object Class Location: Eligibility/Longitudinal Eligibility | |||||
| Update Frequency: Current FY updated monthly; previous FY updated monthly for first | |||||
| six months of succeeding FY; on an ad hoc basis afterward, but generally annually | Source System: DEERS | ||||
| Record Description: Person-level longitudinal TRICARE relationship information, as reported by DEERS | |||||
| Object | Definition | Format | Values | Notes | |
| MEASURES | |||||
| Beneficiary Count | Total number of eligible beneficiaries in the given month. Use in association with ACV or Enrollment DMISID. | Integer | |||
| DIMENSIONS | |||||
| ACV October | Alternate Care Value: Code that indicates the enrollment status of the beneficiary, as reported in DEERS at the time of the extract, for October. | Char (1) | A, B, D, E, F, G, H, J, L, M, Q, R, U, V | A=Active Duty Prime |
B=TRICARE Global Remote Overseas Prime Active Duty D=TRICARE Senior Prime E=Non-Active Duty Prime F=TRICARE Global Remote Overseas Prime Active Duty Family Member G=TRICARE Plus, (Includes Private Sector Coverage, TFL) H=TRICARE Overseas Prime Active Duty J=TRICARE Overseas Prime Active Duty Family Member L=TRICARE Plus, DC Entitlement Only (No Private Sector Coverage, No TFL) M=AD not reported enrolled (added FY05) Q=AD enrolled to Op Forces R=TRICARE Reserve Select
U=USTF/USFHP
V=TRICARE Retired Reserve ACV November Alternate Care Value: Code that indicates the enrollment status of the beneficiary, as reported in DEERS at the time of the extract, for November. Char (1) A, B, D, E, F, G, H, J, L, M, Q, R, U, V A=Active Duty Prime B=TRICARE Global Remote Overseas Prime Active Duty D=TRICARE Senior Prime E=Non-Active Duty Prime F=TRICARE Global Remote Overseas Prime Active Duty Family Member G=TRICARE Plus, (Includes Private Sector Coverage, TFL) H=TRICARE Overseas Prime Active Duty J=TRICARE Overseas Prime Active Duty Family Member L=TRICARE Plus, DC Entitlement Only (No Private Sector Coverage, No TFL) M=AD not reported…
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