Medicare Advantage and Prescription Drug Plans December 28 ...

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F.22.2 Detail Record (Transaction) Plan Communications User Guide Appendices, Version 6.3 Field Size Position Format Valid Values Description Record Type 3 1-3 X(3) "DTL" This field is set to the value "DTL," indicating that this is a detail record. Original Detail Record 42 4-45 X(42) The first 42 positions of the original Transaction or Detail Record as supplied by the Sending Entity. Processed Flag 1 46 X(1) "Y" = Detail record accepted for processing. "N" = Detail record not accepted for processing. Beneficiary Match Flag Medicare Part A Entitlement Start Date Medicare Part A Entitlement End Date 1 47 X(1) "Y" = Beneficiary matched (located) successfully. "N" = Beneficiary not matched (located) successfully. " " (SPACE) = Beneficiary Match not attempted due to an Invalid condition in the Transaction 8 48-55 X(8) CCYYMMDD Spaces = Not currently enrolled or Data Not Found. 8 56-63 X(8) CCYYMMDD Spaces = Not currently enrolled or Data Not Found. This field provides the meaningfully populated area of the BEQ Request File Transaction provided by the Sending Entity. The breakdown includes: Record Type X95) position 4 … 8 Bene. HICN / RRB # X(12) position 9 … 20 Filler position 21 … 29 Beneficiary DOB X(8) position 30 … 37 Beneficiary Gender Code X(1) position 38 Detail Record Sequence # 9(7) pos 39 … 45 A flag that indicates if the Transaction (Detail Record) was accepted for processing. A Transaction is accepted for processing if all critical fields contain valid values. A flag that indicates whether or not the Beneficiary in the Transaction successfully matched to a Beneficiary on the CMS MBD. The Entitlement Start Date of the beneficiary's most recent or active Medicare Part A entitlement period. The Entitlement End Date of the beneficiary's most recent or active Medicare Part A entitlement period. Medicare Part B Entitlement Start Date Medicare Part B Entitlement End Date Medicaid Indicator 8 64-71 X(8) CCYYMMDD Spaces = Not currently enrolled or Data Not Found. 8 72-79 X(8) CCYYMMDD Spaces = Not currently enrolled or Data Not Found. 1 80 X(1) "0" = Beneficiary with no current or active Medicaid The Entitlement Start Date of the beneficiary's most recent or active Medicare Part B entitlement period. The Entitlement End Date of the beneficiary's most recent or active Medicare Part B entitlement period. An indicator of the presence of current Medicaid coverage for the beneficiary. The value for this field is based upon the December 28, 2012 F-110 BEQ Response File
Plan Communications User Guide Appendices, Version 6.3 Field Size Position Format Valid Values Description Part D Enrollment Effective Date /Employer Subsidy Start Date (Occurrence 1) Part D Disenrollment Date/ Employer Subsidy End Date (Occurrence 1) Part D Enrollment Effective Date/ Employer Subsidy Start Date (Occurrence 2) Part D Disenrollment Date/ Employer Subsidy End Date (Occurrence 2) Part D Enrollment Effective Date/ Employer Subsidy Start Date (Occurrence 3) Part D Disenrollment Date/ Employer Subsidy End Date (Occurrence 3) Part D Enrollment Effective Date/ Employer Subsidy Start Date (Occurrence 4) Part D Disenrollment Date / Employer coverage; "1" = Beneficiary has current or active Medicaid coverage. 8 81-88 X(8) CCYYMMDD Spaces = No Drug coverage period for this occurrence or Data Not Found. 8 89-96 X(8) CCYYMMDD Spaces = No Drug Coverage Period for this occurrence or Data Not Found. 8 97-104 X(8) CCYYMMDD Spaces = No Drug Coverage Period for this occurrence or Data Not Found. 8 105-112 X(8) CCYYMMDD Spaces = No Drug Coverage Period for this occurrence or Data Not Found. 8 113-120 X(8) CCYYMMDD Spaces = No Drug Coverage Period for this occurrence or Data Not Found. 8 121-128 X(8) CCYYMMDD Spaces = No Drug Coverage Period for this occurrence or Data Not Found. 8 129-136 X(8) CCYYMMDD Spaces = No Drug Coverage Period for this occurrence or Data Not Found. 8 137-144 X(8) CCYYMMDD Spaces = No Drug Coverage Period for presence of Medicaid reported for the beneficiary by states in the previous calendar month via the MMA State Files. Effective start date of the Part D Plan or the Start Date of the Employer Subsidy coverage for the beneficiary;(most recent or presently active. Effective disenrollment date of the Part D Plan or the End Date of the Employer Subsidy coverage for the beneficiary;(most recent or presently active. Effective start date of the Part D Plan or the Start Date of the Employer Subsidy coverage for the beneficiary; second most recent. Effective disenrollment date of the Part D Plan or the End Date of the Employer Subsidy coverage for the beneficiary; second most recent. Effective start date of the Part D Plan or the Start Date of the Employer Subsidy coverage for the beneficiary; third most recent. Effective disenrollment date of the Part D Plan or the End Date of the Employer Subsidy coverage for the beneficiary; third most recent. Effective start date of the Part D Plan or the Start Date of the Employer Subsidy coverage for the beneficiary; fourth most recent. Effective disenrollment date of the Part D Plan or the End Date of the Employer Subsidy coverage for the beneficiary (fourth December 28, 2012 F-111 BEQ Response File
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I.3 Obsolete Transaction Reply Code
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CMS Transmittals to the Plans Plan
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Medicare Advantage and Prescription Drug Plans December 28 ...

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