Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 F.2.2 BCSS ‘Failed Transaction’ Layout Item Field Size Position Description 1 Record Type Identifier 2 1-2 Failed Record Type: “F ” (‘F’ and space) 2 Filler 1 3 Spaces 3 Failed Input Transaction Record Text 300 4-303 Failed transaction text 4 Filler 5 304-308 Spaces 5 Transaction Reply Codes (TRCs) 3 309-311 First TRC 6 TRCs 3 312- 314 Second TRC; otherwise, spaces 7 TRCs 3 315 - 317 Third TRC; otherwise, spaces 8 TRCs 3 318-320 Fourth TRC; otherwise, spaces 9 TRCs 3 321-323 Fifth TRC; otherwise, spaces Total Length = 323 December 28, 2012 F-8 BCSS Data File
Plan Communications User Guide Appendices, Version 6.3 F.3 BIPA 606 Payment Reduction Data File Item Field Size Position Description 1 Contract Number 5 1-5 Contract Number 2 PBP Number 3 6-8 999 3 Run Date 8 9-16 YYYYMMDD 4 Payment Month 6 17-22 YYYYMM 5 Adjustment Reason Code 2 23-24 99; SPACES = Payment 6 Payment/Adjustment Start Month 6 25-30 YYYYMM 7 Payment/Adjustment End Month 6 31-36 YYYYMM 8 HIC 12 37-48 External Format 9 Surname First 7 7 49-55 10 First Initial 1 56 11 Sex 1 57 M = Male; F = Female 12 Date of Birth 8 58-65 YYYYMMDD 13 BIPA606 Payment Reduction Rate 6 66-71 999.99; must be GE ZERO 14 Total Net Blended Payment/Adjustment Excluding BIPA606 Reduction Amount 9 72-80 -99999.99 15 BIPA606 Net Payment Reduction Amount 8 81-88 -9999.99; Normally negative, may include positive adjustments Applies only to Part B amounts 16 Net Part A Blended Amount 9 89-97 -99999.99; Same as MMR amount 17 18 Net Part B Blended Amount plus BIPA606 Net Payment Reduction Total Net Blended Payment/Adjustment Including BIPA606 Reduction Amount 9 98-106 -99999.99 9 107-115 -99999.99 19 Filler 18 116-133 Spaces Total Length = 13 December 28, 2012 F-9 BIPA 606 Payment Reduction Data File
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F.23.2 Detail Record (Transaction)
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Item # Plan Communications User Gui
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F.28.3 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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