Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 F.20 NoRx File This file contains records identifying those enrollees with no current 4Rx information stored in CMS files. A Detail Record Type containing a value of “NRX” in positions 1 – 3 of the file layout indicates that this record requests the organization to send CMS 4Rx information for the Beneficiary. The NoRx File is in the same format as the 4Rx Notification File and contains records identifying those enrollees who do not currently have 4Rx information stored in CMS. The only distinction between the two files is that the NoRx file detail record shows blanks, or no information, in fields such as REC TYPE, DATE OF BIRTH, RX BIN, etc. The following records are included in this file: Header Record Detail Record Trailer Record F.20.1 Header Record Note: A “Critical Field” must contain a value. A “Not Critical Field” may contain a value or all spaces. Field Size Position Form at Valid Values File ID Name 8 1-8 X(8) “CMSNRX 0H” Sending Entity 8 9-16 X(8) “MBD “ (MBD + 5 spaces) File Creation Date 8 17-24 X(8) YYYYMM DD Description Critical Field This field is always set to the value "CMSNRX0H." This code allows recognition of the record as the Header Record of a NoRx File. Critical Field This field is always set to the value “MBD “. The value specifically is “MBD” followed by five spaces. Critical Field The date on which the NoRx file was created by CMS. This value is formulated as YYYYMMDD. File Control Number 9 25-33 X(9) Spaces No meaningful values are supplied in this field. This field is set to SPACES and is not referenced for meaningful information. Filler 717 34-750 X(71 7 ) Total Length = 750 Spaces No meaningful values are supplied in this field. This field is set to SPACES and is not referenced for meaningful information. December 28, 2012 F-102 NoRx File
Plan Communications User Guide Appendices, Version 6.3 F.20.2 Detail Record Note: A “Critical Field” must contain a value. A “Not Critical Field” may contain a value or all spaces. Field Size Position Format Valid Values Description Record Type 3 1-3 X(3) “NRX” Critical Field This field is set to the value "NRX," indicating that this detail record is a NoRx record. This code allows recognition of the detail record as a No Rx record from CMS. Record Type from Original Detail HICN or RRB Number 5 4-8 X(5) Spaces No meaningful values are supplied in this field. This field is set to SPACES and is not referenced for meaningful information. 12 9-20 X(9) HICN or RRB Critical Field This field contains either the HICN or the RRB Number of the Beneficiary without 4Rx data. SSN 9 21-29 X(9) SSN from CMS Not a Critical Field This field may contain the SSN of the Beneficiary that does not have 4Rx data. Beneficiary Date of Birth from Original Detail Beneficiary Gender Code from Original Detail Rx BIN from Original Detail Rx PCN from Original Detail Rx ID Number from Original Detail Rx Group from Original Detail 8 30-37 X(8) Spaces No meaningful values are supplied in this field. This field is set to SPACES and is not referenced for meaningful information. 1 38 X(1) Spaces No meaningful values are supplied in this field. This field is set to SPACES and is not referenced for meaningful information. 6 39-44 X(6) Spaces No meaningful values are supplied in this field. This field is set to SPACES and is not referenced for meaningful information. 10 45-54 X(10) Spaces No meaningful values are supplied in this field. This field is set to SPACES and is not referenced for meaningful information. 20 55-74 X(20) Spaces No meaningful values are supplied in this field. This field is set to SPACES and is not referenced for meaningful information. 15 75-89 X(15) Spaces No meaningful values are supplied in this field. This field is set to SPACES and is not referenced for meaningful information. Contract Number 5 90- 94 X(5) Contract Number from CMS PBP Number 3 95- 97 X(3) PBP Number from CMS PBP Enrollment Effective Date from Original Detail Critical Field This field contains the Contract Number of the beneficiary that does not have 4Rx data. Critical Field This field contains the beneficiary PBP number but does not have 4Rx data. 8 98-105 X(8) Spaces No meaningful values are supplied in this field. This field is set to SPACES and is not referenced for meaningful information. December 28, 2012 F-103 NoRx File
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I.3 Obsolete Transaction Reply Code
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Medicare Advantage and Prescription Drug Plans December 28 ...

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