Generated Narrative: Coverage

SubscriberId Encrypted: p58299i3-3t5z-2hyg-7256-g2un4f887e08

Age and Gender Groups: Males 20-24 yr (Age and Gender Group Codes#7)

Snapshot Age In Years: 21

Employee Age In Years: 21

Benefit Status: Active (HIPAA Benefit Status Codes#A)

Cobra Indicator: N

Coverage Month: 2000-06-01

Dual Eligibility Indicator: N

Employee Average Scheduled Hours: 35.5

Employee Birth Date: 1990

Employee Business Unit: EmpBusUnit (local-employee-business-unit#EmpBusUnit)

Employee Company: LocalEmpCompany (local-employee-company#LocalEmpCompany)

Employee Cost Center: LocalEmpCostCenter (local-employee-cost-center#LocalEmpCostCenter)

Employee Department: LocalEmpDepartment (local-employee-department#LocalEmpDepartment)

Employee Division: LocalEmpDivision (local-employee-division#LocalEmpDivision)

Employee Education Level: Some College (Payer Education Level Codes#D; local-employee-education-level#AttendedCollege)

Employee Exempt Indicator: N

Employee Family Size: 2

Employee Gender: Male (Payer Gender Codes#M)

Employee Hire Date: 2000-01-01

Employee Id: id: 555555

Employee Job Family: LocalEmpJobFamilyCd (local-employee-job-family#LocalEmpJobFamilyCd)

Employee Job Grade: LocalEmpJobGradeCd (local-employee-job-grade#LocalEmpJobGradeCd)

Employee Job Location: EmpJobLocationCd (local-physical-job-location#EmpJobLocationCd; local-geographic-job-location#CardingtonOhio)

Employee Job Title: SoftwareEngineer (local-employee-job-title#SoftwareEngineer; unknown#15-1131)

Employee Labor Union: LocalTeams377 (local-employee-labor-union#LocalTeams377)

Employee Pay Frequency: Monthly (local-employee-pay-frequency#Monthly)

Employee Performance Rating: Meets (local-employee-performance-rating#Meets)

Employee Retirement Date: 2099-12-31

Employee Shift: Day (local-employee-shift#Day)

Employee Status: LocalEmpStatus (local-employee-status#LocalEmpStatus; payer Employee Status Codes#1; HIPAA Employee Status Codes#AC)

Employee Sub Business Unit: LocalEmpSubBusinessUnit (local-employee-sub-business-unit#LocalEmpSubBusinessUnit)

Employee Termination Date: 2099-12-31

Employee Termination Reason: NotTermed (local-termination-reason#NotTermed)

Employee Wage Amount: 46500

Employee Wage Basis: Annual (local-employee-wage-basis#Annual)

Employee Year Of Service: 1

Employee Union Id: MemberUnionId-407

Enrollment PCP Name On Enrollment: Dr Kelly

Enrollment PCP Zip On Enrollment: 75014

Enrollment PCP: EnrollmentPCP1

Employer: LocalEmployerCode (local-employer#LocalEmployerCode)

Family Income Level: 26500 (local-income-level#26500)

Job Class Code: jobclass (local-job-class-code#jobclass)

Job Location Zipcode: 43315

Long Term Disability Benefit Rate: 10

Medicare Coverage: Not Eligible for Medicare (Payer Medicare Coverage Codes#N)

Medicare Indicator: N

Member Employee Indicator: MemberEmployee (local-member-employee-indicator#MemberEmployee)

Restricted Benefits: LocalRestrictedBenefits (local-restricted-benefits#LocalRestrictedBenefits)

Salary Indicator: Y

Short Term Disability Benefit Rate: 30

SSI Indicator: N

SSI Status: Unknown (Payer SSI Status Codes#999)

TANF Benefits: TANF status is unknown (Payer TANF Benefit codes#9)

Total Dependent Count: 1

Union Worker Indicator: N

identifier: Source System Row Identifier: c35466d6-0d2b-4efa-8265-b9ac3f887e08(use: OFFICIAL)

status: active

subscriberId: FamilyId_0001

beneficiary: Patient/CDMPatientInstance " MCLASTNAME"

relationship: Self (SubscriberPolicyholder Relationship Codes#self; local-subscriber-relationship#LocalRelationship; HIPAA Relationship Codes#18)

period: 2000-01-01 --> 2000-10-31

payor:

class

type: Election Tier (Payer Coverage Class Codes#election-tier)

value: Family

class

type: Election Tier (Payer Coverage Class Codes#election-tier)

value: dental employee only

class

type: Election Tier (Payer Coverage Class Codes#election-tier)

value: vision employee only

class

type: Group Type (Payer Coverage Class Codes#group-type)

value: HMO

class

type: Group (Coverage Class Codes#group)

value: GR12345