VALIDITY
EDITS
|
1-066-01V
|
MUST BE A VALID HCC MEMBER
CATEGORY CODE (REFER TO Section 2.5)
|
Relational
Edits
|
1-066-01R
|
IF HCC MEMBER RELATIONSHIP
CODE =
|
A
|
SELF
|
|
THEN HCC MEMBER
CATEGORY CODE MUST ≠
|
A
|
ACTIVE DUTY OR
|
|
|
G
|
NATIONAL GUARD MEMBER (MOBILIZED
OR ON ACTIVE DUTY FOR 31 DAYS OR MORE) OR
|
|
|
J
|
ACADEMY STUDENT OR
|
|
|
N
|
NATIONAL GUARD (NOT ON ACTIVE
DUTY OR ON ACTIVE DUTY FOR 30 DAYS OR LESS) OR
|
|
|
S
|
RESERVE MEMBER (MOBILIZED OR
ON ACTIVE DUTY FOR 31 DAYS OR MORE) OR
|
|
|
T
|
FOREIGN MILITARY MEMBER OR
|
|
|
V
|
RESERVE MEMBER (NOT ON ACTIVE
DUTY OR ON ACTIVE DUTY FOR 30 DAYS OR
LESS)
|
|
UNLESS ENROLLMENT/HEALTH
PLAN
CODE =
|
W
|
TPR SERVICE MEMBER
- USA OR
|
|
|
X
|
FOREIGN SERVICE MEMBER OR
|
|
|
Y
|
CHCBP - NON-NETWORK OR
|
|
|
AA
|
CHCBP - NETWORK OR
|
|
|
SN
|
SHCP - NON-MTF/eMSM-REFERRED
CARE OR
|
|
|
SO
|
SHCP - NON-TRICARE ELIGIBLE OR
|
|
|
SR
|
SHCP - MTF/eMSM REFERRED CARE OR
|
|
|
ST
|
SHCP - TRICARE ELIGIBLE OR
|
|
|
WA
|
TPR FOREIGN SERVICE MEMBER OR
|
|
|
WO
|
TPR FOREIGN ADFM
|
|
OR ANY OCCURRENCE
OF SPECIAL PROCESSING CODE =
|
SC
|
SHCP - NON-TRICARE ELIGIBLE OR
|
|
|
SE
|
SHCP - TRICARE ELIGIBLE OR
|
|
|
SM
|
SHCP - EMERGENCY
|
|
OR HCDP PLAN COVERAGE
CODE =
|
306
|
TRICARE SELECT - RESERVE SELECT
SPONSORS AND FAMILY MEMBERS OR
|
|
|
307
|
TRICARE SELECT - RETIRED RESERVE
SPONSORS AND FAMILY MEMBERS OR
|
|
|
401
|
TRS TIER 1 MEMBER-ONLY COVERAGE
(CONTINGENCY OPERATIONS) OR
|
|
|
402
|
TRS TIER 1 MEMBER AND FAMILY
COVERAGE (CONTINGENCY OPERATIONS) OR
|
|
|
405
|
TRS TIER 2 MEMBER-ONLY COVERAGE
(CERTIFIED QUALIFICATIONS) OR
|
|
|
406
|
TRS TIER 2 MEMBER AND FAMILY
COVERAGE (CERTIFIED QUALIFICATIONS) OR
|
|
|
407
|
TRS TIER 3 MEMBER-ONLY COVERAGE
(SERVICE AGREEMENT) OR
|
|
|
408
|
TRS TIER 3 MEMBER AND FAMILY
COVERAGE (SERVICE AGREEMENT) OR
|
|
|
409
|
TRS SURVIVOR CONTINUING WITH
INDIVIDUAL COVERAGE OR
|
|
|
410
|
TRS SURVIVOR CONTINUING WITH
FAMILY COVERAGE OR
|
|
|
411
|
TRS SURVIVOR NEW INDIVIDUAL
COVERAGE OR
|
|
|
412
|
TRS SURVIVOR NEW FAMILY COVERAGE OR
|
|
|
413
|
TRS MEMBER-ONLY COVERAGE OR
|
|
|
414
|
TRS MEMBER AND FAMILY COVERAGE OR
|
|
|
418
|
TRR MEMBER-ONLY COVERAGE OR
|
|
|
419
|
TRR MEMBER AND FAMILY COVERAGE OR
|
|
|
420
|
TRR SURVIVOR INDIVIDUAL COVERAGE OR
|
|
|
421
|
TRR SURVIVOR FAMILY COVERAGE
|
1-066-02R
|
IF ANY OCCURRENCE OF SPECIAL PROCESSING
CODE =
|
PF
|
ECHO
|
|
THEN HCC MEMBER
CATEGORY CODE MUST =
|
A
|
ACTIVE DUTY OR
|
|
|
G
|
NATIONAL GUARD MEMBER (MOBILIZED
OR ON ACTIVE DUTY FOR 31 DAYS OR MORE) OR
|
|
|
J
|
ACADEMY STUDENT OR
|
|
|
P
|
TAMP MEMBER OR
|
|
|
S
|
RESERVE MEMBER (MOBILIZED OR
ON ACTIVE DUTY FOR 31 DAYS OR MORE)
|
1-066-03R
|
IF HCC MEMBER CATEGORY CODE
=
|
T
|
FOREIGN MILITARY MEMBER
|
|
THEN ONE OCCURRENCE
OF OVERRIDE CODE =
|
M
|
NATO
|