ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQ
1
12345678910111213141516171819202122232425262728293031323334353637383940414243
2
Account_Employer_Name__c
Name
First_Name__c
Middle_Initial__c
Last_Name__c
Gender__c
Relationship_to_Member__c
Dependent_Status__c
Enrollment_Date__c
IUA_Chosen__c
Billing/Mailing Street
Billing/Mailing City
Billing/Mailing State
Billing/Mailing PostalCode
Primary_Email_Address__c
Personal_Email__c
Date_of_Birth__c
Work_Phone__c
Primary_Phone_Number__c
Home_Phone__c
Tobacco_Use__c
App_Signature_Signs__c
X5_Year_Pre_ex__c
Principles_Signed_On__c
Demographics_Completed_On__c
Primary_Health_Completed_On__c
Dependents_Added_On__c
Dependent_Health_Completed_On__c
Ancillary_Flow_Completed_On__c
MCS_Completed_On__c
Primary_Member_Principles__c
Primary_Demographics__c
Primary_Health_History__c
Adding_Dependents__c
Dependent_Health_History__c
Ancillary_Flow__c
MCS_Summary_Flow__c
Membership_Stage__c
Unique_Partner_ID__c
Contact_Partner_Id__c
Liberty_Rx__cMember_MEC_Product__c
Member_Discount_Tier_Manual__c
3
0011N00001dfEqS
Joseph Smith
JosephRSmithMSelfEF2018-11-01500
132 Fontainbleu Ct., Apt #203
MILPITASCA95035
name@domain.com
name@domain.com
1970-10-235552225432555111432155500012341
sharing_initials_Chronic_Conditions
sharing_initials_Genetic_Defects
2018-08-152018-08-152018-08-152018-08-152018-08-152018-08-152018-08-15COMPLETEDCOMPLETEDCOMPLETEDCOMPLETEDCOMPLETEDCOMPLETEDCOMPLETED
New Enrollment - Complete
1234567899876543211
[ask Sedera Member Services]
T3
4
0011N00001dfEqS
Joseph Smith
SuzyTSmithFSpouse1972-11-23
sharing_initials_prior_treatment
New Enrollment - Complete
[example: NO MEC ]
5
0011N00001dfEqS
Joseph Smith
BillyFSmithMChild2002-02-03
[example: APEX HDHP MEC ]
6
Domestic Partner
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100