Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 F.25.8 Payment Balance Carried Forward Item # Data Element Position Length Type Description 93 Contract Number 94 Record Identification Code 95 Table ID Number 96 Part A Amount Carry Forward to Next Cycle 97 Part B Amount Carry Forward to Next Cycle 98 Part D Amount Carry Forward to Next Cycle 99 Part C Premium Withholding Amount Carry Forward to Next Cycle 100 Part D Premium Withholding Amount Carry Forward to Next Cycle 101 Part D Low Income Premium Subsidy Amount Carry Forward to Next Cycle 102 Part D Late Enrollment Penalty Amount Carry Forward to Next Cycle 103 Education User Fee Amount Carry Forward to Next Cycle 104 Part D COB User Fee Amount Carry Forward to Next Cycle 1 – 5 5 Character Contract Number 6 – 6 1 Character Record Type Identifier N = Balance Carried Forward to Next Cycle. Amounts carried forward (and not paid) to next month from this month 7 – 7 1 Character 5 8 – 20 13 Numeric Part A Amount Carry Forward from Table 5 ** - Balance Forward Column. Format: SSSSSSSSS9.99 21 – 33 13 Numeric Part B Amount Carry Forward from Table 5 ** - Balance Forward Column. Format: SSSSSSSSS9.99 34 – 46 13 Numeric Part D Amount Carry Forward from Table 5 ** - Balance Forward Column. Format: SSSSSSSSS9.99 47 – 59 13 Numeric Part C Premium Withholding Amount Carry Forward from Table 5 ** -Balance Forward Column. Format: SSSSSSSSS9.99 60 – 72 13 Numeric Part D Premium Withholding Amount Carry Forward from Table 5 ** -Balance Forward Column. Format: SSSSSSSSS9.99 73 – 85 13 Numeric Part D Low Income Subsidy Amount Carry Forward from Table 5 ** -Balance Forward Column. Format: SSSSSSSSS9.99 86 – 98 13 Numeric Part D Late Enrollment Penalty Amount Carry Forward from Table 5 ** -Balance Forward Column. Format: SSSSSSSSS9.99 99 – 111 13 Numeric Education User Fee Amount Carry Forward from Table 5 ** -Balance Forward Column. Format: SSSSSSSSS9.99 112 – 124 13 Numeric Part B COB Fee Amount Carry Forward from Table 5 ** -Balance Forward Column. Format:SSSSSSSSS9.99 December 28, 2012 F-136 PPR/IPPR Data File
Plan Communications User Guide Appendices, Version 6.3 Item # Data Element Position Length Type Description 105 CMS Special Adjustments Amount Carry Forward to Next Cycle 106 Total Carry Forward Amount 125 – 137 13 Numeric CMS Special Adjustments Amount Carry Forward from Table 5 ** -Balance Forward Column. Format: SSSSSSSSS9.99 138 – 150 13 Numeric Sum of amounts in Balance Forward Column Format: SSSSSSSSS9.99 107 Filler 151 – 200 50 Character Spaces. Total Length = 200 December 28, 2012 F-137 PPR/IPPR Data 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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