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Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3<br />

Item Field Size Position Comment Description<br />

31<br />

32<br />

33<br />

34<br />

35<br />

36<br />

37<br />

38<br />

39<br />

40<br />

41<br />

42<br />

43<br />

44<br />

45<br />

Age Group<br />

Male90_94<br />

Age Group<br />

Male95_GT<br />

Originally<br />

Disabled Female<br />

Originally<br />

Disabled Male<br />

Disease<br />

Coefficients<br />

RXHCC1<br />

Disease<br />

Coefficients<br />

RXHCC5<br />

Disease<br />

Coefficients<br />

RXHCC8<br />

Disease<br />

Coefficients<br />

RXHCC9<br />

Disease<br />

Coefficients<br />

RXHCC10<br />

Disease<br />

Coefficients<br />

RXHCC11<br />

Disease<br />

Coefficients<br />

RXHCC14<br />

Disease<br />

Coefficients<br />

RXHCC15<br />

Disease<br />

Coefficients<br />

RXHCC18<br />

Disease<br />

Coefficients<br />

RXHCC19<br />

Disease<br />

Coefficients<br />

RXHCC20<br />

1 74<br />

1 75<br />

1 76<br />

1 77<br />

1 78<br />

1 79<br />

1 80<br />

1 81<br />

1 82<br />

1 83<br />

1 84<br />

1 85<br />

1 86<br />

1 87<br />

1 88<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

Set to "1" if<br />

applicable,<br />

otherwise "0"<br />

The sex <strong>and</strong> age group for the beneficiary based on a<br />

given as of date. Male between ages of 90 <strong>and</strong> 94,<br />

inclusive.<br />

The sex <strong>and</strong> age group for the beneficiary based on a<br />

given as of date. Male, age 95 <strong>and</strong> greater.<br />

Beneficiary is a female <strong>and</strong> original <strong>Medicare</strong><br />

entitlement was due to disability.<br />

Beneficiary is a male <strong>and</strong> original <strong>Medicare</strong> entitlement<br />

was due to disability.<br />

HIV/AIDS<br />

Opportunistic Infections<br />

Chronic Myeloid Leukemia<br />

Multiple Myeloma <strong>and</strong> Other Neoplastic Disorders<br />

Breast, Lung, <strong>and</strong> Other Cancers <strong>and</strong> Tumors<br />

Prostate <strong>and</strong> Other Cancers <strong>and</strong> Tumors<br />

Diabetes with Complications<br />

Diabetes without Complication<br />

Diabetes Insipidus <strong>and</strong> Other Endocrine <strong>and</strong> Metabolic<br />

Disorders<br />

Pituitary, Adrenal Gl<strong>and</strong>, <strong>and</strong> Other Endocrine <strong>and</strong><br />

Metabolic Disorders<br />

Thyroid Disorders<br />

<strong>December</strong> <strong>28</strong>, 2012 F-74 RAS RxHCC Model Output<br />

Data File

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