| PN1 |
| Yes | No | BENEFITSAMPLE |
| PN26301 |
| Streamlined Medicaid (en) |
| No | Yes | |
| PN26302 |
| Children Health Insurance Program (en) |
| No | Yes | |
| PN26303 |
| State Basic Health Plan (en) |
| No | Yes | |
| PN26304 |
| Insurance Assistance (en) |
| No | Yes | |
| PN26305 |
| Unassisted Qualified Health Plan (en) |
| No | Yes | |
| PN26306 |
| Employer Sponsored Insurance (en) |
| No | Yes | |
| PN26307 |
| No | Yes | |
| PN26308 |
| No | Yes | |
| PN34 |
| Low Income Families with Children (en) |
| No | Yes | LIFC |
| PN35 |
| Aged, Blind and Disabled (en) |
| No | Yes | ABD |
| PN36 |
| Qualified Medicare Beneficiaries (en) |
| No | Yes | QMB |
| PN37 |
| Specified Low-Income Medicare Beneficiaries (en) |
| No | Yes | SLIMB |
| PN38 |
| Qualified Individual (QI-1) (en) |
| No | Yes | QI |
| PN39 |
| Qualified Disabled Working Individuals (en) |
| No | Yes | QDWI |
| PN40 |
| No | Yes | PREGNANTWOMAN |
| PN41 |
| No | Yes | CHILDREN |
| PN42 |
| No | Yes | NEWBORN |
| PN43 |
| No | Yes | TITLEIVEADOPTION |
| PN44 |
| Title IV-E Foster Care (en) |
| No | Yes | TITLEIVEFOSTERCARE |
| PN45 |
| Medically Needy Children (en) |
| No | Yes | MEDICALLYNEEDYCHILDREN |
| PN46 |
| Medically Needy Children with Spend Down (en) |
| No | Yes | MEDICALLYNEEDYCHILDRENWITHSPENDDOWN |
| PN47 |
| Medically Needy Pregnant Woman (en) |
| No | Yes | MEDICALLYNEEDYPREGNANTWOMAN |
| PN48 |
| Medically Needy Pregnant Woman with Spend Down (en) |
| No | Yes | MEDICALLYNEEDYPREGNANTWOMANWITHSPENDDOWN |
| PN70 |
| Children's Health Insurance Program (en) |
| No | Yes | CHIP |
| PN71 |
| Children's Health Insurance Program Premiums (en) |
| No | Yes | CHIPPREMIUMS |
| PN72 |
| No | Yes | TB |
| PN73 |
| Breast and Cervical Cancer Program (en) |
| No | Yes | BREASTANDCERVICALCANCER |
| PN49 |
| Long Term Care Institutional (en) |
| No | Yes | LTCINSTITUTIONAL |
| PN50 |
| No | Yes | REFUGEE |
| PN52 |
| No | Yes | EMERGENCYABD |
| PN53 |
| No | Yes | EMERGENCYLIFC |
| PN54 |
| Emergency Pregnant Woman (en) |
| No | Yes | EMERGENCYPREGWOMAN |
| PN55 |
| No | Yes | EMERGENCYNEWBORN |
| PN56 |
| No | Yes | EMERGENCYCHILDREN |
| PN57 |
| Emergency Title IV-E Foster Care (en) |
| No | Yes | EMERGENCYFOSTERCARE |
| PN58 |
| Emergency Title IV-E Adoption (en) |
| No | Yes | EMERGENCYADOPTION |
| PN59 |
| Emergency Medically Needy Pregnant Woman (en) |
| No | Yes | EMERGENCYMEDNEEDYPREGWOMAN |
| PN60 |
| Emergency Medically Needy Children (en) |
| No | Yes | EMERGENCYMEDNEEDYCHILDREN |
| PN61 |
| Emergency Medically Needy Pregnant Woman with Spend Down (en) |
| No | Yes | EMERGENCYMEDNEEDYPREGWWOMANSPENDDOWN |
| PN62 |
| Emergency Medically Needy Children with Spend Down (en) |
| No | Yes | EMERGENCYMEDNEEDYCHILDRENSPENDDOWN |
| PN64 |
| Long Term Care Elderly Waiver (en) |
| No | Yes | LTCELDERLYWAIVER |
| PN65 |
| Long Term Care Physical Disability Waiver (en) |
| No | Yes | LTCPHYCICALDISABILITYWAIVER |
| PN66 |
| Long Term Care Brain Injury Waiver (en) |
| No | Yes | LTCBRAININJURYWAIVER |
| PN79 |
| Long Term Care Mental Retarded/Dev Disability Waiver (en) |
| No | Yes | LTCMENTRETARTDEVDISABWAIVER |
| PN77 |
| No | Yes | LTCSANCTIONS |
| PN68 |
| Long Term Care Institutional with Spend Down (en) |
| No | Yes | LTCINSTITUTIONALWITHSPENDDOWN |
| PN69 |
| Long Term Care Elderly Waiver with Spend Down (en) |
| No | Yes | LTCELDERLYWAIVERWITHSPENDDOWN |
| PN74 |
| Long Term Care Physical Disability Waiver with Spend Down (en) |
| No | Yes | LTCPHYSICALDISABILITYWAIVERWITHSPENDDOWN |
| PN75 |
| Long Term Care Brain Injury Waiver with Spend Down (en) |
| No | Yes | LTCBRAININJURYWAIVERWITHSPENDDOWN |
| PN76 |
| Long Term Care Mental Retarded/Dev Disability Waiver with Spend Down (en) |
| No | Yes | LTCRETARDEDDEVDISABILITYWAIVERWITHSPENDDOWN |
| PN78 |
| Long Term Care Spousal Impoverishment Assessment (en) |
| No | Yes | LTCSPOUSALIMPOVERISHMENTASSESSMENT |
| PN80 |
| Long Term Care Categorical Eligibility Assessment (en) |
| No | Yes | LTCCATEGORICALELIGIBILITYASSESSMENT |
| PN81 |
| Long Term Care Thirty Consecutive Day Assessment (en) |
| No | Yes | LTCTHIRTYDAYASSESSMENT |
| PN82 |
| Non Financial Requirement Assessment (en) |
| No | Yes | NONFINANCIALREQASSESSMENT |
| PN4200 |
| No | Yes | FOODASSISTANCECREOLE |
| PN4100 |
| No | Yes | CASHASSISTANCECREOLE |
| PN4300 |
| No | Yes | MEDICALASSISTANCECREOLE |
| PN4301 |
| Low Income Families with Children (en) |
| No | Yes | LIFCCREOLE |
| PN4302 |
| No | Yes | PREGNANTWOMANCREOLE |
| PN4303 |
| No | Yes | CHILDRENCREOLE |
| PN4304 |
| Medically Needy Children (en) |
| No | Yes | MNCHILDRENCREOLE |
| PN4305 |
| No | Yes | NEWBORNCREOLE |
| PN4306 |
| Medically Needy Pregnant Woman (en) |
| No | Yes | MNPREGNANTWOMANCREOLE |
| PN4307 |
| Aged, Blind and Disabled (en) |
| No | Yes | ABDCREOLE |
| PN4308 |
| Qualified Disabled Working Individuals (en) |
| No | Yes | QDWICREOLE |
| PN4309 |
| Specified Low-Income Medicare Beneficiaries (en) |
| No | Yes | SLMBCREOLE |
| PN4310 |
| Qualified Medicare Beneficiaries (en) |
| No | Yes | QMBCREOLE |
| PN4311 |
| Qualified Individual (en) |
| No | Yes | QICREOLE |
| PN4312 |
| Medically Needy Long Term Care (en) |
| No | Yes | LTCCREOLE |
| PN4313 |
| Title IV E Foster Care (en) |
| No | Yes | TITLEIVEFCCREOLE |
| PN4314 |
| No | Yes | TITLEIVEADCREOLE |
| PN4315 |
| No | Yes | REFUGEECREOLE |
| PN4316 |
| Medically Needy Children with Spend Down (en) |
| No | Yes | MNCHILDRENSPENDDOWNCREOLE |
| PN4317 |
| Medically Needy Pregnant Woman with Spend Down (en) |
| No | Yes | MNPREGNANTWOMANSPENDDOWNCREOLE |
| PN4318 |
| Breast and Cervical Cancer Program (en) |
| No | Yes | BCCCREOLE |
| PN5000 |
| No | Yes | CHIPCREOLE |
| PN4319 |
| Emergency Title IV-E Adoption (en) |
| No | Yes | EMERGENCYADOPTIONCREOLE |
| PN4322 |
| Emergency Title IV-E Foster Care (en) |
| No | Yes | EMERGENCYFOSTERCARECREOLE |
| PN4323 |
| Emergency Medically Needy Children (en) |
| No | Yes | EMERGENCYMNCHILDRENCREOLE |
| PN4324 |
| No | Yes | EMERGENCYCHILDRENCREOLE |
| PN4320 |
| No | Yes | SILLTCCREOLE |
| PN4321 |
| Medically Needy Long Term Care with Spend Down (en) |
| No | Yes | MNSLTCCREOLE |
| PN4325 |
| Emergency Pregnant Woman (en) |
| No | Yes | EMERGENCYPREGNANTWOMANCREOLE |
| PN4326 |
| No | Yes | EMERGENCYNEWBORNCREOLE |
| PN4327 |
| No | Yes | EMERGENCYABDCREOLE |
| PN4328 |
| No | Yes | EMERGENCYLIFCCREOLE |
| PN10101 |
| Mileage Reimbursement (en) |
| No | Yes | MILEAGEREIMBURSEMENT |
| PN501 |
| No | Yes | PROVIDERINVOICE |
| PN502 |
| No | Yes | PROVIDERPLACEMENT |
| PN503 |
| No | Yes | PROVIDERCONTRACT |
| PN3004 |
| No | Yes | PROVIDERATTENDANCE |
| PN2 |
| No | No | TRAINING |
| PN3 |
| Contribution Liability (en) |
| No | No | CONTRIBUTIONLIABILITY |
| PN4 |
| No | Yes | BENEFITOVERPAYMENT |
| PN5 |
| Liability Overpayment (en) |
| No | No | LIABILITYOVERPAYMENT |
| PN17 |
| Liability Overbilling (en) |
| No | Yes | LIABILITYOVERBILLING |
| PN6 |
| Contribution Training (en) |
| No | No | CONTRIBUTIONTRAINING |
| PN7 |
| No | No | LIABILITYSAMPLE |
| PN8 |
| Class A Contribution (en) |
| No | No | CLASSACONTRIBUTION |
| PN9 |
| Class B Contribution (en) |
| No | No | CLASSBCONTRIBUTION |
| PN10 |
| Class C Contribution (en) |
| No | No | CLASSCCONTRIBUTION |
| PN11 |
| Unemployment Benefit (en) |
| No | No | UNEMPLOYMENTBENEFIT |
| PN12 |
| No | No | HEALTHGRANT |
| PN13 |
| No | Yes | FOODSTAMPS |
| PN14 |
| No | Yes | MEDICAID |
| PN15 |
| No | Yes | TANF |
| PN16 |
| Disaster Unemployment Assistance (en) |
| No | No | DUA |
| PN20 |
| No | No | SIMPLEPRODUCT |
| PN21 |
| Simple Liability Product (en) |
| No | No | SIMPLELIABILITY |
| PN22 |
| Integrated Case Benefit Sample (en) |
| No | No | INTEGRATEDCASEBENEFITSAMPLE |
| PN23 |
| No | Yes | CASHASSISTANCE |
| PN25 |
| Benefit Underpayment (en) |
| No | Yes | BENEFITUNDERPAYMENT |
| PN67 |
| No | Yes | ICBENEFITUNDERPAYMENT |
| PN111 |
| Integrated Case Sporting Grant Sample (en) |
| No | No | ICSPORTINGGRANTSAMPLE |
| PN2000 |
| No | Yes | PAYMENTCORRECTION |
