The Aetna entity 60054A utilizes a trailing character in the value for Product identifier (ME040) to represent which type of plan benefit the Eligibility line is reporting: B = Behavioral Health D = Dental M = Medical P = Pharmacy V = Vision (note, the Arkansas APCD does not include vision insurance claims) X = Default for benefits we weren’t able to map initially (older files, no longer used) For example: ME040 = ‘0010000 DM’ represents a plan with medical coverage. |