| Column | Field | Description | Data Type | Edit Type | Length | Decimals | SQL Create Statement |
---|
| 1 | XBAN8 | Address Number | Numeric | Generic Edit | 8 | 0 | Allow NULL? |
| 2 | XBPAN8 | Participant Address Number | Numeric | Generic Edit | 8 | 0 | Allow NULL? |
| 3 | XBMLNM | Name - Mailing | String | Generic Edit | 40 | 0 | Allow NULL? |
| 4 | XBDBEN | Dependent/Beneficiary | Character | UDC (08 DC) | 1 | 0 | Allow NULL? |
| 5 | XBRELA | Dependent/Beneficiary Relationship | Character | UDC (08 RL) | 1 | 0 | Allow NULL? |
| 6 | XBPLAN | Plan ID | String | Generic Edit | 8 | 0 | Allow NULL? |
| 7 | XBAOPT | Plan Additional Option | String | Generic Edit | 3 | 0 | Allow NULL? |
| 8 | XBEFT | Date - Effective | Date | Generic Edit | 6 | 0 | |
| 9 | XBEFTE | Date - Ending Effective | Date | Generic Edit | 6 | 0 | |
| 10 | XBPCP# | Primary Care Physician Number | String | Generic Edit | 20 | 0 | Allow NULL? |
| 11 | XBPERC | Percentage - Beneficiary | Numeric | Generic Edit | 5 | 0 | Allow NULL? |
| 12 | XBSECPERC | Percentage - Secondary Beneficiary | Numeric | Generic Edit | 5 | 0 | Allow NULL? |
| 13 | XBNEWPERC | New Percentage - Beneficiary | Numeric | Generic Edit | 5 | 0 | Allow NULL? |
| 14 | XBNSECPERC | New Percentage - Secondary Beneficiary | Numeric | Generic Edit | 5 | 0 | Allow NULL? |
| 15 | XBPCPVST | PCP Visited Previously | Character | UDC (00 ZO) | 1 | 0 | Allow NULL? |
| 16 | XBUSER | User ID | String | Generic Edit | 10 | 0 | Allow NULL? |
| 17 | XBPID | Program ID | String | Generic Edit | 10 | 0 | Allow NULL? |
| 18 | XBJOBN | Work Station ID | String | Generic Edit | 10 | 0 | Allow NULL? |
| 19 | XBUPMJ | Date - Updated | Date | Generic Edit | 6 | 0 | |
| 20 | XBUPMT | Time - Last Updated | Numeric | Generic Edit | 6 | 0 | Allow NULL? |
| 21 | XBCCAI | Active/Inactive Flag | Character | UDC (11 AI) | 1 | 0 | Allow NULL? |