Tip: Identifying Subscribers





Number

0010

Submitting Entities

ALL

Add Date

Mar 1, 2019

Update Date

 

Update

 

Description

Subscriber data and Member data are is carried in separate fields. Where the carrier specific unique subscriber ID does not exist as a carrier specific unique member ID for a carrier, the following approach can be used to identify the subscriber among the member records.Group by carrier specific unique subscriber ID and carrier specific unique member ID. Then when the subscriber and member ages matches, review the relationship code and/or the member suffix/person code. When these ages matches and relationship codes indicate“self”or “employee”, and/or the person code matches the last two or three digits in the carrier specific unique subscriber ID,you probably have the subscriber.

Action / Resolution

 

Category 1

DSG

Category 2

Member/Subscriber IDs

Tip / Issue

Tip