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 Status Indicator (Occurrence 13) NUNCMO (Occurrence 13) Start Date (Occurrence 14) NUNCMO (Occurrence 14) NUNCMO Status Indicator (Occurrence 14) NUNCMO (Occurrence 14) Start Date (Occurrence 15) NUNCMO (Occurrence 15) NUNCMO Status Indicator (Occurrence 15) NUNCMO (Occurrence 15) Start Date (Occurrence 16) NUNCMO (Occurrence 16) NUNCMO Status Indicator (Occurrence 16) NUNCMO (Occurrence 16) Start Date (Occurrence 17) 3 516-518 9(3) Right justified with leading zeros. 8 519-526 X(8) CCYYMMDD 3 527-529 9(3) Right justified with leading zeros. 1 530 X(1) Right justified with leading zeros. 3 531-533 9(3) Right justified with leading zeros. 8 534-541 X(8) CCYYMMDD 3 542-544 9(3) Right justified with leading zeros. 1 545 X(1) Right justified with leading zeros. 3 546-548 9(3) Right justified with leading zeros. 8 549-556 X(8) CCYYMMDD 3 557-559 9(3) Right justified with leading zeros. 1 560 X(1) Right justified with leading zeros. 3 561-563 9(3) Right justified with leading zeros. 8 564-571 X(8) CCYYMMDD NUNCMO Status Indicator (Occurrence 17) NUNCMO (Occurrence 17) Start Date (Occurrence 18) NUNCMO (Occurrence 18) NUNCMO Status Indicator (Occurrence 18) Total Number of Uncovered Months 1 575 X(1) Right justified with leading zeros. 3 576-578 9(3) Right justified with leading zeros. 8 579-586 X(8) CCYYMMDD 3 587-589 9(3) Right justified with leading zeros. 1 590 X(1) Right justified with leading zeros. 3 591-593 9(3) Right justified with leading zeros. December 28, 2012 F-118 BEQ Response File
Plan Communications User Guide Appendices, Version 6.3 Field Size Position Format Valid Values Description (Occurrence 18) Start Date (Occurrence 19) NUNCMO (Occurrence 19) NUNCMO Status Indicator (Occurrence 19) NUNCMO (Occurrence 19) Start Date (Occurrence 20) NUNCMO (Occurrence 20) NUNCMO Status Indicator (Occurrence 20) NUNCMO (Occurrence 20) Beneficiary’s Retrieved Date of Birth Beneficiary’s Retrieved Gender Code 8 594-601 X(8) CCYYMMDD 3 602-604 9(3) Right justified with leading zeros. 1 605 X(1) Right justified with leading zeros. 3 606-608 9(3) Right justified with leading zeros. 8 609-616 X(8) CCYYMMDD 3 617-619 9(3) Right justified with leading zeros. 1 620 X(1) Right justified with leading zeros. 3 621-623 9(3) Right justified with leading zeros. 8 624-631 X(8) CCYYMMDD Beneficiary’s Retrieved Date of Birth (as retrieved from CMS database for matching beneficiary). 1 632 X(1) 0 = Unknown 1 = Male 2 = Female Beneficiary’s Retrieved Gender Code (as retrieved from CMS database for matching beneficiary). Last Name 40 633-672 X(40) CHAR Beneficiary’s Last Name First Name 30 673-702 X(30) CHAR Beneficiary’s First Name Middle Initial 1 703 X(1) CHAR First Initial of Beneficiary’s Middle Name Current State Code 2 704-705 X(2) CHAR Current County 3 706-708 X(3) CHAR Code Date of Death 8 709-716 X(8) CCYYMMDD format Part C/D Contract Number (if available) Part C/D Enrollment Start Date (if available) 5 717-721 X(5) CHAR 8 722-729 X(8) CHAR Part D Indicator 1 730 X(1) CHAR Y = yes; N = no; space Part C Contract Number Part C Enrollment Start Date (if available) 5 731-735 X(5) CHAR 8 736-743 X(8) CHAR Part C Indicator 1 744 X(1) CHAR N = no; space December 28, 2012 F-119 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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F.11.2 Record Type 2 Plan Communica
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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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