Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 F.25.2 Capitated Payment – Current Activity Item Field Position Length Type Description 7 Contract Number 1-5 5 Contract Number 8 Record Identification Code 9 Table ID Number 10 Adjustment Reason Code 6 1 Record Type Identifier C = Capitated Payment 7 1 1 8-9 2 Blank = for prospective pay For list of adjustment reasons codes consult section H.3 of the Medicare Advantage and Prescription Drug Plan Communication Guide. 11 Part A Total Members 12 Part B Total Members 13 Part D Total Members 14 Part A Payment Amount 10-17 8 Numeric Number of beneficiaries Part A payments is being made prospectively. Format: ZZZZZZZ9 18-25 8 Numeric Number of beneficiaries Part B payments is being made prospectively. Format: ZZZZZZZ9 26-33 8 Numeric Number of beneficiaries Part D payments is being made prospectively. Format: ZZZZZZZ9 34-46 13 Numeric Total Part A Amount Format: SSSSSSSSS9.99 15 Part B Payment Amount 47-59 13 Numeric Total Part B Amount Format: SSSSSSSSS9.99 16 Part D Payment Amount 60-72 13 Numeric Total Part D Amount Format: SSSSSSSSS9.99 17 Coverage Gap Discount Amount 73-85 13 Numeric The Coverage Gap Discount included in Part D Payment. Format: SSSSSSSSS9.99 18 Total Payment 86- 98 13 Numeric Total Payment Format: SSSSSSSSS9.99 19 Filler 99-200 102 Character Spaces Total Length = 200 December 28, 2012 F-130 PPR/IPPR Data File
Plan Communications User Guide Appendices, Version 6.3 F.25.3 Premium Settlement Item Field Position Length Type Description 20 Contract Number 1-5 5 Character Contract Number 21 Record 6 1 Character Record Type Identifier Identification P = Premium Settlement Code 22 Table ID Number 7 1 Character 2 23 Part C Premium 8-20 13 Numeric Total Part C Premium Amount Withholding Format: SSSSSSSSS9.99 Amount 24 Part D Premium 21-33 13 Numeric Total Part D Premium Amount Withholding Format: SSSSSSSSS9.99 Amount 25 Part D Low Income 34-46 13 Numeric Total Low Income Premium Subsidy Format: SSSSSSSSS9.99 Premium Subsidy 26 Part D Late 47-59 13 Numeric Total Late Enrollment Penalty Enrollment Format: SSSSSSSSS9.99 Penalty 27 Total Premium Settlement 60-72 13 Numeric Total Premium Settlement Format: SSSSSSSSS9.99 Amount 28 Filler 73-200 128 Character Spaces Total Length = 200 F.25.4 Fees Leng Item Field Position Type Description th 29 Contract 1-5 5 Character Contract Number Number 30 Record 6 1 Character Record Type Identifier Identification F = FEES Code 31 Table ID 7 1 Character 3 Number 32 NMEC Part A Subject to Fee 33 NMEC Part A Rate 34 Part A Fee Amount 35 NMEC Part B Subject to Fee 36 NMEC Part B Rate 8-20 13 Numeric Part A amount subject to National Medicare Educational Campaign fees. Format:ZZZZZZZZZ9.99 21-27 7 Numeric Rate used to calculate the fees for Part A. Format: 0.99999 28-40 13 Numeric Fee Assessed for Part A Format:SSSSSSSSS9.99 41-53 13 Numeric Part B amount subject to National Medicare Educational Campaign fees. Format: ZZZZZZZZZ9.99 54-60 7 Numeric Rate used to calculate the fees for Part B. Format: 0.99999 December 28, 2012 F-131 PPR/IPPR Data File
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Medicare Advantage and Prescription
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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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Medicare Advantage and Prescription Drug Plans December 28 ...

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