Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
F.23 MA Full Dual Auto Assignment Notification File
This cumulative monthly file identifies organizations’ enrollees who are full-benefit dual eligible.
The following records are included in this file:
Header Record This first record of the file only occurs once.
Detail Record (Transaction) This record contains Beneficiary information and
may occur multiple times.
Trailer Record This last record of the file only occurs once.
F.23.1 Header Record
Field Size Position Format Valid Values Description
File ID
Name
Sending
Entity:
MBD
File
Creatio
n Date
File
Control
Number
Filler
8 1-8 X(8) “MMAADUAH”
8 9-16 X(8)
“MBD ”
(MBD + 5
Spaces)
8 17-24 X(8) YYYYMMDD
9 25-33 X(9)
67 34-100 X(67) Spaces
Total Length = 100
Assigned by
Sending Entity
(MBD)
This field is always set to the value "MMAADUAH.”
This code identifies the record as the Header Record of an
Auto Assignment Full Dual Notification File.
This is always set to the value "MBD .” The value
specifically is MBD + 5 following Spaces. This value
agrees with the corresponding value in the Trailer Record.
The date on which the Full Dual File was created by
CMS. This value is in the format of YYYYMMDD. For
example, January 3, 2010 is the value 20100103. This
value agrees with the corresponding value in the Trailer
Record.
The specific Control Number assigned by CMS to the Full
Dual Notification File. CMS utilizes this value to track the
Full Dual Notification File through CMS processing and
archive. This value agrees with the corresponding value in
the Trailer Record.
No meaningful values are supplied in this field. This field
is set to SPACES and is not referenced for or used to store
meaningful information, unless specifically documented
otherwise.
December 28, 2012 F-122 MA Full Dual Auto Assignment
Notification File