Records/Locator
Numbers
|
Record Name
|
Locator#
|
Occurrences
|
Required
|
Institutional
Non-Institutional
|
1-110
2-300
|
1
Up to 99
|
Yes
Yes
|
Primary Picture (Format)
|
Two (2) alphanumeric characters.
|
Definition
|
Code indicating whether the
patient is enrolled with the contractor (Prime) or not (non-Prime)
or a special care program.
|
Code/Value Specifications
|
T
|
TRICARE Standard Program (Terminated
12/31/2017)
|
|
U
|
TRICARE Prime, Civilian PCM
|
|
V
|
TRICARE Extra (Terminated 12/31/2017)
|
|
W
|
TPR Service Member - USA
|
|
X
|
Foreign Service Member
|
|
Y
|
CHCBP - Non-Network
|
|
Z
|
TRICARE Prime, Market/MTF/PCM
|
|
AA
|
CHCBP - Network
|
|
AS
|
TRICARE Select - Active Duty
Survivors (Effective 01/01/2018)
|
|
AT
|
TRICARE Select - Active Duty
Transitional Survivors (Effective 01/01/2018)
|
|
BB
|
TSP (Effective 10/01/1998 through
12/31/2001)
|
|
FE
|
TFL - Network (Effective 10/01/2001)
|
|
FS
|
TFL - Non-Network (Effective
10/01/2001)
|
|
GS
|
TRICARE Select - Guard/Reserve
Survivors (Effective 01/01/2018)
|
|
GT
|
TRICARE Select - Guard/Reserve
Transitional Survivors (Effective
01/01/2018)
|
|
ME
|
Medicare/TRICARE Dual Eligible
Under 65/Network
|
|
MS
|
Medicare/TRICARE Dual Eligible
Under 65/Non-Network
|
|
PS
|
TSRx (Effective 04/01/2001)
- Non-Institutional Only
|
|
SN
|
SHCP - Non-MTF/Market-Referred
Care (Effective 10/01/1999)
|
|
SO
|
SHCP - Non-TRICARE Eligible
(Effective 10/01/1999 through 05/31/2004)
|
|
SR
|
SHCP - MTF/Market Referred
Care (Effective 10/01/1999)
|
|
ST
|
SHCP - TRICARE Eligible (Effective
10/01/1999 through 05/31/2004)
|
|
SU
|
SHCP - Referral Designation
Unknown (Effective 03/01/2002) - for Non-Institutional Pharmacy
claims only
|
|
TS
|
TSS Demonstration Program (Effective
04/01/2000 through 12/31/2002)
|
|
TV
|
TRICARE Select (Effective 01/01/2018)
|
|
WA
|
TPR Foreign Service Member
(Effective 09/01/2003)
|
|
WF
|
TPR for enrolled ADFM residing
with a TPR Eligible Service Member (Effective 09/01/2002)
|
|
WO
|
Includes Transitional Survivors
who do not relocate TPR Foreign ADFM (Effective 09/01/2003)
|
|
XF
|
Foreign ADFM (Effective 09/01/2003)
|
Algorithm
|
N/A
|
Subordinate And/Or Group Elements
|
Subordinate
|
Group
|
N/A
|
N/A
|