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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 />

91<br />

92<br />

93<br />

94<br />

95<br />

96<br />

97<br />

98<br />

99<br />

100<br />

101<br />

102<br />

103<br />

104<br />

105<br />

Disease<br />

Coefficients<br />

RXHCC100<br />

Disease<br />

Coefficients<br />

RXHCC101<br />

Disease<br />

Coefficients<br />

RXHCC103<br />

Disease<br />

Coefficients<br />

RXHCC104<br />

Disease<br />

Coefficients<br />

RXHCC105<br />

Disease<br />

Coefficients<br />

RXHCC106<br />

Disease<br />

Coefficients<br />

RXHCC111<br />

Disease<br />

Coefficients<br />

RXHCC113<br />

Disease<br />

Coefficients<br />

RXHCC120<br />

Disease<br />

Coefficients<br />

RXHCC121<br />

Disease<br />

Coefficients<br />

RXHCC122<br />

Disease<br />

Coefficients<br />

RXHCC123<br />

Disease<br />

Coefficients<br />

RXHCC124<br />

Disease<br />

Coefficients<br />

RXHCC125<br />

Disease<br />

Coefficients<br />

RXHCC126<br />

1 134<br />

1 135<br />

1 136<br />

1 137<br />

1 138<br />

1 139<br />

1 140<br />

1 141<br />

1 142<br />

1 143<br />

1 144<br />

1 145<br />

1 146<br />

1 147<br />

1 148<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 />

Venous Thromboembolism<br />

Peripheral Vascular Disease<br />

Cystic Fibrosis<br />

Chronic Obstructive Pulmonary Disease <strong>and</strong> Asthma<br />

Pulmonary Fibrosis <strong>and</strong> Other Chronic Lung Disorders<br />

Gram-Negative/Staphylococcus Pneumonia <strong>and</strong> Other<br />

Lung Infections<br />

Diabetic Retinopathy<br />

Open-Angle Glaucoma<br />

Kidney Transplant Status<br />

Dialysis Status<br />

Chronic Kidney Disease Stage 5<br />

Chronic Kidney Disease Stage 4<br />

Chronic Kidney Disease Stage 3<br />

Chronic Kidney Disease Stage 1, 2, or Unspecified<br />

Nephritis<br />

<strong>December</strong> <strong>28</strong>, 2012 F-78 RAS RxHCC Model Output<br />

Data File

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