DMG

Member Demographics

Pos: 080	Max: 1
Detail - Optional
Loop: 2100A	Elements: 6

Ref

Id

Element Name

Req

Type

Min/Max

Usage

DMG01

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

C

ID

2/3

Required

Code

Name

D8

Date Expressed in Format CCYYMMDD

DMG02

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Member Birth Date

C

AN

1/35

Required

DMG03

1068

Gender Code
Description: Code indicating the sex of the individual

O

ID

1/1

Required

Code

Name

F

Female

M

Male

U

Unknown

This code is to be used when the gender is unknown or when it can not be report for any other reason. Unknown should only be used when there is no way of obtaining the gender of the member. This may cause problems in some systems and should be avoided.

DMG04

1067

Marital Status Code
Description: Code defining the marital status of a person
This data should only be transmitted when such transmission is required under the insurance contract between the sponsor and payer and allowed by federal and state regulations. This element is NOT USED when the member identified in the related INS segment is not the subscriber. See section 2.7, “Coverage Levels and Dependents”, for additional information.

O

ID

1/1

Situational

Code

Name

B

Registered Domestic Partner

D

Divorced

I

Single

M

Married

R

Unreported

S

Separated

U

Unmarried (Single or Divorced or Widowed)

This code should be used if the previous status is unknown.

W

Widowed

X

Legally Separated

DMG05

1109

Race or Ethnicity Code
Description: Code indicating the racial or ethnic background of a person; it is normally self-reported; Under certain circumstances this information is collected for United States Government statistical purposes
This data should only be transmitted when such transmission is required under the insurance contract between the sponsor and payer and allowed by federal and state regulations. This element is NOT USED when the member identified in the related INS segment is not the subscriber. See section 2.7, “Coverage Levels and Dependents”, for additional information.
All valid standard codes are used.

O

ID

1/1

Situational

DMG06

1066

Citizenship Status Code
Description: Code indicating citizenship status
This data should only be transmitted when such transmission is required under the insurance contract between the sponsor and payer and allowed by federal and state regulations. This element isNOT USED when the member identified in the rela ted INS segment is not the subscriber. See section 2.7, “Coverage Levels and Dependents”, for additional information.

O

ID

1/2

Situational

Code

Name

1

U.S. Citizen

2

Non-Resident Alien

3

Resident Alien

4

Illegal Alien

5

Alien

6

U.S. Citizen - Non-Resident

7

U.S. Citizen - Resident

1.

P0102 - If either DMG01,DMG02 is present, then all are required

1.

DMG02 is the date of birth.

2.

DMG07 is the country of citizenship.

3.

DMG09 is the age in years.

Notes:

1. REQUIRED when enrolling a new member, changing a member's demographic information, or terminating a member.
2. This segment is REQUIRED for dependent changes records until the National Individual Identifier is mandated.

Example:

DMG*D8*19450915*F*M~