Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 Item Field Size Position Description 20 Part D Member Count 7 138-144 For payment records, beneficiary count for PART D; for adjustment records, spaces. 21 Part D Month Count 7 145-151 For payment record Beneficiary count for Part D but for adjustment record it is the number of months adjusted for Part D. 22 Part D Amount 13 152-164 Part D Amount 23 Part D Average 9 165-173 Average Part D Amount per Part D Member 24 LIS Band 25% member count 7 174-180 Count of Beneficiaries in the 25% LIS band 25 LIS Band 50% member count 7 181-187 Count of Beneficiaries in the 50% LIS band 26 LIS Band 75% member count 7 188-194 Count of Beneficiaries in the 75% LIS band 27 LIS Band 100% member count 7 195-201 Count of Beneficiaries in the 100% LIS band Total Length = 201 December 28, 2012 F-46 Monthly Membership Summary Data File
Plan Communications User Guide Appendices, Version 6.3 F.10 Monthly Premium Withholding Report Data File (MPWR) This is a monthly reconciliation file of premiums withheld from Social Security Administration (SSA), Railroad Retirement Board (RRB), or Office of Personnel Management (OPM) checks. It includes Part C and Part D premiums and any Part D Late Enrollment Penalties (LEPs). This file is produced by the Premium Withhold System (PWS), which makes this report available to Plans as part of the month-end processing. The file includes the following records: Header Record Detail Record Trailer Record F.10.1 Header Record Item Field Size Position Description 1 Record Type 2 1-2 H = Header Record PIC XX MCO Contract Number 2 MCO Contract Number 5 3-7 PIC X(5) YYYYMMDD 3 Payment Date 8 8-15 PIC 9(8) First 6 digits contain payment month 4 Report Date 8 16-23 YYYYMMDD Date this report created PIC 9(8) 5 Filler 142 24-165 Spaces Total Length = 165 December 28, 2012 F-47 MPWR Data File
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Medicare Advantage and Prescription
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Item # Plan Communications User Gui
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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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