Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 Field Size Position Format Valid Values Description Deemed / LIS End Date (Occurrence 1) Co-payment Level Identifier (Occurrence 1) 8 282-289 X(8) CCYYMMDD The end date of the Deemed period or LIS (most recent or presently active). 1 290 X(1) Deemed: This field indicates the Beneficiary copayment level. Part D Premium Subsidy Percent (Occurrence 1) Deemed/Low Income Subsidy Effective Date (Occurrence 2) Deemed/ Low Income Subsidy End Date (Occurrence2) Co-payment Level Identifier (Occurrence 2) Part D Premium Subsidy Percent (Occurrence 2) RDS/Part D Indicator (Occurrence 1 for date fields beginning in position 81) RDS/Part D Indicator (Occurrence 2 for date fields beginning in position 97) RDS/Part D Indicator (Occurrence 3 for date fields beginning in position 113) RDS/Part D Indicator (Occurrence 4 for date fields beginning in position 129) RDS/Part D Indicator 3 291-293 X(3) ‘100’, ‘075’, ‘050’, ‘025’ or ‘000’ If beneficiary is Deemed, subsidy is 100 percent. If beneficiary is LIS, this field identifies the portion of Part D Premium subsidized. 8 294-301 X(8) CCYYMMDD Effective start date of the Deeming period or LIS. This is the first day of the month in which the Deeming was made or the start date of the LIS (second most recent). 8 302-309 X(8) CCYYMMDD The end date of the Deemed period or LIS (second most recent). 1 310 X(1) Deemed: This field indicates the Beneficiary’s copayment level. 3 311-313 X(3) ‘100’, ‘075’, ‘050’, ‘025’ or ‘000’ 1 314 X(1) R = RDS D = Part D 1 315 X(1) R = RDS D = Part D 1 316 X(1) R = RDS D = Part D 1 317 X(1) R = RDS D = Part D 1 318 X(1) R = RDS D = Part D If beneficiary is Deemed, subsidy is 100 percent. If beneficiary is LIS, this field identifies the portion of Part D Premium subsidized. December 28, 2012 F-114 BEQ Response File
Plan Communications User Guide Appendices, Version 6.3 Field Size Position Format Valid Values Description (Occurrence 5 for date fields beginning in position 145) RDS/Part D Indicator (Occurrence 6 for date fields beginning in position 161) RDS/Part D Indicator (Occurrence 7 for date fields beginning in position 177) RDS/Part D Indicator (Occurrence 8 for date fields beginning in position 193) RDS/Part D Indicator (Occurrence 9 for date fields beginning in position 209) RDS/Part D Indicator (Occurrence 10 for date fields beginning in position 225) Start Date (Occurrence 1) Number of Uncovered Months (NUNCMO) (Occurrence 1) NUNCMO Indicator (Occurrence 1) NUNCMO (Occurrence 1) Start Date (Occurrence 2) NUNCMO (Occurrence 2) NUNCMO Status Indicator 1 319 X(1) R = RDS D = Part D 1 320 X(1) R = RDS D = Part D 1 321 X(1) R = RDS D = Part D 1 322 X(1) R = RDS D = Part D 1 323 X(1) R = RDS D = Part D 8 324-331 X(8) CCYYMMDD 3 332-334 9(3) Right justified with leading zeros. 1 335 X(1) Right justified with leading zeros. 3 336-338 9(3) Right justified with leading zeros. 8 339-346 X(8) CCYYMMDD 3 347-349 9(3) Right justified with leading zeros. 1 350 X(1) Right justified with leading zeros. December 28, 2012 F-115 BEQ Response File
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Medicare Advantage and Prescription
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Plan Communications User Guide Appe
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F.10.3 Trailer Record Plan Communic
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I.3 Obsolete Transaction Reply Code
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CMS Transmittals to the Plans Plan
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ID# Transmittal Monthly Transmittal
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ID# Transmittal Monthly Transmittal
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Medicare Advantage and Prescription Drug Plans December 28 ...

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