Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
Item Field Size Position Description
16 PPO/ Parts C-D 1 81 Required change-to value
17 Filler 128 82-209 N/A
18 Transaction Tracking ID 15 210-224 Optional
19 Filler 76 225- 300 N/A
Total Length = 300
F.6.4.5 Residence Address Change (TC 76) Detailed Record Layout
Item Field Size Position Description
1 HICN 12 1-12 Required
2 Surname 12 13-24 Required
3 First Name 7 25-31 Required
4 M. Initial 1 32 Optional
5 Gender Code 1 33 Required
6
Birth Date
(YYYYMMDD)
8 34-41
7 Filler 5 42-46 N/A
Required
8 Contract # 5 47-51 Required
9 Filler 8 52-59 N/A
10 TC 2 60-61 76
11 Filler 2 62-63 N/A
12
Effective Date
(YYYYMMDD)
8 64-71
13 Filler 3 72-74 N/A
14
Residence Address Line 1
65 75-139
Required
15 Residence Address Line 2 65 140-204 Optional
16 Filler 4 205-208 N/A
17
Address Update/Delete
Flag
1 209-209
Required when Address Update/Delete Flag indicates
“Update” code
Required
18 Transaction Tracking ID 15 210-224 Optional
19
20
21
Residence City
Residence State
Residence Zip Code
57 225-281
2 282-283
5 284-288
22 Residence Zip Code+4 4 289-292 Optional
23 End Date 8 293-300 Optional
Total Length = 300
Required when Address Update/Delete Flag indicates
“Update” code
Required when Address Update/Delete Flag indicates
“Update” code
Required when Address Update/Delete Flag indicates
“Update” code
December 28, 2012 F-25 MARX Batch Input
Transaction Data File