Appendix
See the Referral Tier Mappings table to view the mapping between the REFERRAL column in the 98point6 eligibility file and referralTier fields in the RTE API.
See the Relationship Codes table to view the relationship descriptions based on the assigned code.
Referral Tier Mappings
Eligibility File Referral Code | referralTier Value |
---|---|
0 |
|
10 |
|
20 |
|
30 |
|
40 |
|
Relationship Codes
Code | Relationship |
---|---|
18 | Self (subscriber) |
01 | Spouse |
19 | Child |
23 | Covered Dependent |
09 | Adopted Child |