Plan Identifiers

Datasets

Part of the Payer Plans group of the Drug Formulary feed, built to Da Vinci PDex US Drug Formulary STU 2.1.0. The feed's data conventions apply.

Dataset	US Drug Formulary STU 2.1.0 target element	Cardinality
`plan_identifiers`	`identifier` of the Payer Insurance Plan	1..*

The profile requires at least one identifier per plan. plan_id on the root row is always the first; this dataset carries every other identifier the plan is known by, each with the namespace it belongs to.

plan_identifiers

One row per additional identifier of a plan.

Column	Required	Format / values	Example
`plan_id`	Yes	key from `payer_plans`	`PLAN-DSNP`
`identifier_value`	Yes	the identifier as issued	`H6776-001-000`
`identifier_system`	Yes	URI of the namespace that issued it	`http://cms.gov/medicare/ma-plan-id`
`is_deleted`	If retracting	`true` retracts this row	`true`

A row is identified by plan_id, identifier_system and identifier_value together; there is no separate key.
The CMS contract-plan-segment (H#####-###-###) is the identifier every Medicare Advantage plan should carry here. Use one namespace URI for it consistently across plans and across the Provider Directory feed, so the two feeds' InsurancePlans match on it.
plan_id itself is not repeated here. It is published as the first identifier automatically.

These resources are served by Patient Access.