PPS EDB Data Element Definition

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System Number: EDB0696

User Access Name: 0696-7

Programming Name: FCB_ENRL_REAS_CODE IN PPPFCB

Revision Date: 07/01/05

Comments

Location(s):


Name: ENROLLMENT REASON CODE

Type: ALPHANUMERIC

Length: 2

Format

N/A

General Description

Code indicating the reason for changing the benefits coverage data.

Code Interpretation


User Enterable Reason Codes:
ER - Error correction
DR - HMO Provider Disruption
HI - HIPAA enrollment (medical only)
LV - Reinstatement on return from
leave of absence
OE - Open Enrollment
OR - Other Reason
PI - Enrollment because of a PIE
(other than new hire)

System Derived Reason Codes:

AD - Administrative De-enrollment due to
ineligible dependent
BE - Enrollment due to BELI change
CV - Coverage level change
because of adding/deleting
dependent
DE - De-enrolled due to suspension
of premiums
IE - New hire initial enrollment
OT - One-time process
RT - Rehire enrollment
UN - Unknown/unspecified reason