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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 />

F.25 Plan Payment Report (PPR)/Interim Plan Payment Report (IPPR) Data<br />

File<br />

Also known as the APPS Payment Letter, this data file itemizes the final monthly payment to the<br />

MCO. This data file <strong>and</strong> subsequent report is produced by the APPS when final payments are<br />

calculated. CMS makes this report available to MCOs as part of month-end processing.<br />

The IPPR is provided when a Plan is approved for an interim payment outside of the normal<br />

monthly process. The data file/report contains the amount <strong>and</strong> reason for the interim payment to<br />

the Plan.<br />

F.25.1<br />

Header Record<br />

Item Field Position Length Type Definition<br />

1 Contract<br />

Number<br />

1-5 5 Character Contract Number<br />

2 Record<br />

Identification<br />

Code<br />

6-6 1 Character Record Type Identifier<br />

H = Header Record<br />

3 Contract Name 7-56 50 Character Name of the Contract<br />

4 Payment Cycle<br />

Date<br />

57-62 6 Character Identified the month <strong>and</strong> year of payment:<br />

Format = YYYYMM<br />

5 Run Date 63-70 8 Character Identifies the date file was created:<br />

Format = YYYYMMDD<br />

6 Filler 71-200 130 Character Spaces<br />

Total Length = 200<br />

<strong>December</strong> <strong>28</strong>, 2012 F-129 PPR/IPPR Data File

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