Medicare Advantage and Prescription Drug Plans December 28 ...

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