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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

NO_COORDINATION

10

RESOURCE_LINK

20

REFER_TO_CENTRAL_COORDINATOR

30

COORDINATED

40

COORDINATED_PLUS_FOLLOWUP

Relationship Codes

Code

Relationship

18

Self (subscriber)

01

Spouse

19

Child

23

Covered Dependent

09

Adopted Child

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