ME040 Value suffix definitions - Aetna
- Kenley Money
Number | 0113 |
|---|---|
Submitting Entity (SE) | 60054A |
Add Date | Jun 7, 2022 |
Update Date | Jun 14, 2022 Jul 11, 2024 |
Update | Included in June 2022 Data Tips email. Included in the July 2024 Data Tips email |
Description | 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. |
Active/Resolved | Active |
Action / Resolution |
|
Category 1 | Product Identifier |
Category 2 | Member |
Tip / Issue | Tip |