Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

SOP Roster Pop-Up
Item #:

TSOPTEXT
Cheshire Name:
Field Type:
Type Name:
Answers Allowed:
Drop Down List:
Lookup File:
Lookup File Name:

SOP1005

TEMP

String

TTSOPText

1

No
No

Number Label
1 [Continuous answer.]

9:51:01 AM Thursday, December 20, 2007

FieldSize:
Min Value:

Max Value:
Mask:

30

Route
SOPRoster - TSOPISHI ( SOP1010 )

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SOP Roster Pop-Up
Item #:

TSOPISHI
Cheshire Name:

Field Type:

Type Name:

Answers Allowed:

Drop Down List:

Lookup File:

Lookup File Name:

TEMP
Enumerated
TTsopishi
1
No
No

Number Label
1 Medicaid

2

3

4

5

6

7

8

9

10

SOP1010

FieldSize:
Min Value:
Max Value:
Mask:

Route

Exit Pop-Up Window.
English text: MEDICAID/MEDICAID MANAGED CARE PLAN
PublicPlan
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English text: OTHER PUBLIC PLAN (OTHER THAN MEDICAID)
PrivatePlan
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English text: PRIVATE HEALTH INSURANCE
NotHIPlanVA
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English text: NOT A HEALTH INSURANCE PLAN (INCLUDING V.A.)
MilitaryPlanNotVA
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English text: MILITARY PLAN (NOT INCLUDING V.A. OR TRICARE)
NotSpsPlan
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English text: NOT SP'S INSURANCE PLAN (PLAN BELONGS TO SOMEONE ELSE)
MHMO
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English text: MEDICARE ADVANTAGE PLAN
DM
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English text: DISCOUNT/SAVINGS MEMBERSHIP
Tricare
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English text: TRICARE
MedicarePartD
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English text: MEDICARE PRESCRIPTION DRUG PLAN

Attribute
Don't know

Route
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9:51:08 AM Thursday, December 20, 2007

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SOP Roster Pop-Up
Refusal
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9:51:08 AM Thursday, December 20, 2007

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