member_eligibility_view
Materialized: false
Definition
SELECT DISTINCT ON (me.member_eligibility_id) me.member_eligibility_id,
me.subscriber_member_eligibility_id,
s.trading_partner_submission_id,
s.trading_partner_id,
s.reference_number,
s.submit_time,
s.receive_time,
s.file_name,
e.eligibility_id,
e.eligibility_plan_sponsor_name,
e.plan_sponsor_tax_id,
e.plan_sponsor_other_id,
e.is_subscriber,
e.relationship_to_subscriber,
e.benefit_status,
e.medicare_plan,
e.medicare_eligibility_reason,
e.cobra_qualifying_event,
e.employment_status,
e.student_status,
e.handicap_status,
e.death_date,
e.confidential_access,
e.eligibility_client_reporting_category,
e.client_number,
e.case_number,
e.pin_number,
e.cross_reference_number,
e.personal_id_number,
e.ncpdp_pharmacy_number,
e.department_or_agency_number,
e.health_insurance_claim_number,
e."position",
e.unit,
e.eligibility_mutually_defined_id,
e.enrollment_application_received,
e.retirement,
e.initial_disability_period_return_to_work,
e.initial_disability_period_last_day_worked,
e.enrollment_signature_date,
e.cobra_qualifying_event_date,
e.employment_begin,
e.employment_end,
e.medicare_begin,
e.medicare_end,
e.cobra_begin,
e.cobra_end,
e.education_begin,
e.education_end,
e.eligibility_begin,
e.eligibility_end,
e.adjusted_hire,
e.credited_service_begin,
e.credited_service_end,
e.plan_participation_suspension,
e.rehire,
e.medicaid_begin,
e.medicaid_end,
e.marital_status,
e.citizenship_status,
e.health_situation,
e.height,
e.weight,
e.disability_status,
e.disability_begin,
e.disability_end,
e.eligibility_hash,
me.prior_id_number,
me.eligibility_maintenance_type,
me.eligibility_maintenance_reason,
me.eligibility_maintenance_effective_date,
ms.member_seen_id,
ms.name_last,
ms.name_first,
ms.name_middle,
ms.name_prefix,
ms.name_suffix,
ms.date_of_birth,
ms.gender_or_sex,
ms.member_ssn,
ms.member_identification_code,
ms.family_identification_code,
ms.person_code,
ms.address_id,
ms.alternate_phone_number_id,
ms.beeper_number_id,
ms.cell_phone_number_id,
ms.email_address_id,
ms.fax_number_id,
ms.home_phone_number_id,
ms.phone_number_id,
ms.work_phone_number_id,
ms.phone_extension,
ms.member_canonical_id_chosen,
ms.member_canonical_id_chosen_at,
ms.member_canonical_id_chosen_by,
ms.member_match_status,
a.canonical_address_id,
a.canonical_primary_address_only_id,
a.is_invalid_address,
a.address1,
a.address2,
a.city,
a.state_or_province,
a.postal_code,
a.country_code,
a.country_subdivision,
home.phone_number AS home_phone_number,
cell.phone_number AS cell_phone_number,
work.phone_number AS work_phone_number,
ph.phone_number,
alt.phone_number AS alternate_phone_number,
fax.fax_number,
email.email_address,
me.prior_incorrect_member_seen_id,
ps.external_plan_sponsor_id,
ps.plan_sponsor_name
FROM claims.member_coverage mc
JOIN claims.member_eligibility me ON me.member_eligibility_id = mc.member_eligibility_id
JOIN claims.trading_partner_submission s ON s.trading_partner_submission_id = me.trading_partner_submission_id
JOIN claims.eligibility e ON e.eligibility_id = me.eligibility_id
JOIN claims.member_seen ms ON ms.member_seen_id = me.member_seen_id
LEFT JOIN claims.address_seen a ON a.address_id = ms.address_id
LEFT JOIN claims.phone home ON home.phone_id = ms.home_phone_number_id
LEFT JOIN claims.phone cell ON cell.phone_id = ms.cell_phone_number_id
LEFT JOIN claims.phone work ON work.phone_id = ms.work_phone_number_id
LEFT JOIN claims.phone ph ON ph.phone_id = ms.phone_number_id
LEFT JOIN claims.phone alt ON alt.phone_id = ms.alternate_phone_number_id
LEFT JOIN claims.fax ON fax.fax_id = ms.fax_number_id
LEFT JOIN claims.email email ON email.email_id = ms.email_address_id
JOIN claims.plan_sponsor_match m ON mc.coverage_group_or_plan_id = m.coverage_group_or_plan_id AND s.trading_partner_id = m.trading_partner_id
JOIN claims.plan_sponsor ps ON ps.plan_sponsor_id = m.plan_sponsor_id;
| Column | Data Type | Indexed |
|---|---|---|
member_eligibility_id | bigint | No |
subscriber_member_eligibility_id | bigint | No |
trading_partner_submission_id | bigint | No |
trading_partner_id | bigint | No |
reference_number | text | No |
submit_time | timestamp | No |
receive_time | timestamp | No |
file_name | text | No |
eligibility_id | bigint | No |
eligibility_plan_sponsor_name | text | No |
plan_sponsor_tax_id | text | No |
plan_sponsor_other_id | text | No |
is_subscriber | boolean | No |
relationship_to_subscriber | individual_relationship_type | No |
benefit_status | benefit_status_type | No |
medicare_plan | medicare_plan_type | No |
medicare_eligibility_reason | medicare_eligibility_reason_type | No |
cobra_qualifying_event | cobra_qualifying_event_type | No |
employment_status | employment_status_type | No |
student_status | student_status_type | No |
handicap_status | yes_no_response_type | No |
death_date | date | No |
confidential_access | confidential_access_type | No |
eligibility_client_reporting_category | text | No |
client_number | text | No |
case_number | text | No |
pin_number | text | No |
cross_reference_number | text | No |
personal_id_number | text | No |
ncpdp_pharmacy_number | text | No |
department_or_agency_number | text | No |
health_insurance_claim_number | text | No |
position | text | No |
unit | text | No |
eligibility_mutually_defined_id | text | No |
enrollment_application_received | date | No |
retirement | date | No |
initial_disability_period_return_to_work | date | No |
initial_disability_period_last_day_worked | date | No |
enrollment_signature_date | date | No |
cobra_qualifying_event_date | date | No |
employment_begin | date | No |
employment_end | date | No |
medicare_begin | date | No |
medicare_end | date | No |
cobra_begin | date | No |
cobra_end | date | No |
education_begin | date | No |
education_end | date | No |
eligibility_begin | date | No |
eligibility_end | date | No |
adjusted_hire | date | No |
credited_service_begin | date | No |
credited_service_end | date | No |
plan_participation_suspension | date | No |
rehire | date | No |
medicaid_begin | date | No |
medicaid_end | date | No |
marital_status | marital_status_type | No |
citizenship_status | citizenship_status_type | No |
health_situation | health_situation_type | No |
height | numeric | No |
weight | numeric | No |
disability_status | disability_status_type | No |
disability_begin | date | No |
disability_end | date | No |
eligibility_hash | uuid | No |
prior_id_number | text | No |
eligibility_maintenance_type | maintenance_type | No |
eligibility_maintenance_reason | maintenance_reason_type | No |
eligibility_maintenance_effective_date | date | No |
member_seen_id | bigint | No |
name_last | text | No |
name_first | text | No |
name_middle | text | No |
name_prefix | text | No |
name_suffix | text | No |
date_of_birth | date | No |
gender_or_sex | gender_or_sex_type | No |
member_ssn | text | No |
member_identification_code | text | No |
family_identification_code | text | No |
person_code | text | No |
address_id | bigint | No |
alternate_phone_number_id | bigint | No |
beeper_number_id | bigint | No |
cell_phone_number_id | bigint | No |
email_address_id | bigint | No |
fax_number_id | bigint | No |
home_phone_number_id | bigint | No |
phone_number_id | bigint | No |
work_phone_number_id | bigint | No |
phone_extension | text | No |
member_canonical_id_chosen | bigint | No |
member_canonical_id_chosen_at | timestamptz | No |
member_canonical_id_chosen_by | bigint | No |
member_match_status | match_status_type | No |
canonical_address_id | bigint | No |
canonical_primary_address_only_id | bigint | No |
is_invalid_address | boolean | No |
address1 | text | No |
address2 | text | No |
city | text | No |
state_or_province | text | No |
postal_code | text | No |
country_code | text | No |
country_subdivision | text | No |
home_phone_number | text | No |
cell_phone_number | text | No |
work_phone_number | text | No |
phone_number | text | No |
alternate_phone_number | text | No |
fax_number | text | No |
email_address | text | No |
prior_incorrect_member_seen_id | bigint | No |
external_plan_sponsor_id | text | No |
plan_sponsor_name | text | No |