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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 />

Field Size Position Format Valid Values Description<br />

Date<br />

(Occurrence 8)<br />

Part D<br />

Enrollment<br />

Effective Date/<br />

Employer<br />

Subsidy Start<br />

Date<br />

(Occurrence 9)<br />

Part D<br />

Disenrollment<br />

Date / Employer<br />

Subsidy End<br />

Date<br />

(Occurrence 9)<br />

Part D<br />

Enrollment<br />

Effective Date /<br />

Employer<br />

Subsidy Start<br />

Date<br />

(Occurrence 10)<br />

Part D<br />

Disenrollment<br />

Date / Employer<br />

Subsidy End<br />

Date<br />

(Occurrence 10)<br />

Data Not Found.<br />

8 209-216 X(8) CCYYMMDD<br />

Spaces = No <strong>Drug</strong><br />

Coverage Period for<br />

this occurrence or<br />

Data Not Found.<br />

8 217-224 X(8) CCYYMMDD<br />

Spaces = No <strong>Drug</strong><br />

Coverage Period for<br />

this occurrence or<br />

Data Not Found.<br />

8 225-232 X(8) CCYYMMDD<br />

Spaces = No <strong>Drug</strong><br />

Coverage Period for<br />

this occurrence or<br />

Data Not Found.<br />

8 233-240 X(8) CCYYMMDD<br />

Spaces = No <strong>Drug</strong><br />

Coverage Period for<br />

this occurrence or<br />

Data Not Found.<br />

Sending Entity 8 241-248 X(8) Sending Part D<br />

Organization (left<br />

justified space<br />

filled)<br />

Acceptable Values:<br />

5-position Contract<br />

Identifier + 3<br />

Spaces. 3 Spaces for<br />

Future Use.<br />

File Control<br />

Number<br />

File Creation<br />

Date<br />

Part D Eligibility<br />

Start Date<br />

Deemed / LIS<br />

Effective Date<br />

(occurrence 1)<br />

9 249-257 X(9) Assigned by<br />

Sending Entity<br />

Effective start date of the Part D Plan or the<br />

Start Date of the Employer Subsidy coverage<br />

for the beneficiary (ninth most recent).<br />

Effective disenrollment date of the Part D<br />

Plan or the End Date of the Employer<br />

Subsidy coverage for the beneficiary (ninth<br />

most recent)<br />

Effective start date of the Part D Plan or the<br />

Start Date of the Employer Subsidy coverage<br />

for the beneficiary (tenth most recent).<br />

Effective disenrollment date of the Part D<br />

Plan or the End Date of the Employer<br />

Subsidy coverage for the beneficiary (tenth<br />

most recent).<br />

The Sending Entity provided on the Header<br />

Record of the BEQ Request File in which<br />

the Transaction (Detail Record) was found.<br />

The Sending Entity may participate in Part<br />

D.<br />

The File Control Number provided by the<br />

Sending Entity on the Header record of the<br />

BEQ Request File in which the Transaction<br />

(Detail Record) was found.<br />

8 258-265 X(8) CCYYMMDD The File Creation Date provided on the<br />

Header Record of the BEQ Request File in<br />

which the Transaction (Detail Record) was<br />

found.<br />

8 266-273 X(8) CCYYMMDD This field identifies the date the beneficiary<br />

became eligible for Part D Benefits.<br />

8 274-<strong>28</strong>1 X(8) CCYYMMDD Effective start date of the Deeming period or<br />

LIS. This is the first day of the month in<br />

which the Deeming was made or the start<br />

date of the LIS (most recent or presently<br />

active).<br />

<strong>December</strong> <strong>28</strong>, 2012 F-113 BEQ Response File

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