KY MMIS 834 Companion Guide - Kymmis.com

Commonwealth of Kentucky – MMISKY MMIS 834 Companion Guide834 Benefit Enrollment and Maintenance49 2000 INS INS04 - Maintenance ReasonCode‘07’ Termination of Benefits’25’ – Change in IdentifyingData Elements‘28’ – Initial Enrollment‘33’ – Personnel Data‘AI’ – No Reason Given‘XN’ Notification Only51 2000 INS INS05 – Benefit Status Code ‘A’ - Active51 2000 INS INS06-1 - Medicare Plan Code ‘A’ – Medicare Part A‘B’ – Medicare Part B‘C’ – Medicare Part A andMedicare Part B‘ E‘ – No Medicare52 2000 INS INS08 - Employment Status Code 'FT' - Fulltime‘TE’ - Temporary53 2000 INS INS10 - Handicap Indicator ‘N’ – No53 2000 INS INS11 – Date/Time Period FormatQualifier‘D8’ - Date Expressed inFormat CCYYMMDD54 2000 INS INS12 - Member Individual Death Member date of deathDate55 2000 REF REF01 – Reference IdentificationQualifier‘0F’ – Member Number55 2000 REF REF02 - Member Identifier Members current Medicaid IDDMS Approved 12/02/2011 Page 11