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Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3<br />

Item Field Size Position Comment Description<br />

11 Age Group<br />

Female35_44<br />

12 Age Group<br />

Female45_54<br />

13 Age Group<br />

Female55_59<br />

14 Age Group<br />

Female60_64<br />

15 Age Group<br />

Female65_69<br />

16 Age Group<br />

Female70_74<br />

17 Age Group<br />

Female75_79<br />

18 Age Group<br />

Female80_84<br />

19 Age Group<br />

Female85_89<br />

20 Age Group<br />

Female90_94<br />

21 Age Group<br />

Female95_GT<br />

1 54 Set to “1” if applicable,<br />

otherwise "0"<br />

1 55 Set to “1” if applicable,<br />

otherwise "0"<br />

1 56 Set to “1” if applicable,<br />

otherwise "0"<br />

1 57 Set to “1” if applicable,<br />

otherwise "0"<br />

1 58 Set to “1” if applicable,<br />

otherwise "0"<br />

1 59 Set to “1” if applicable,<br />

otherwise "0"<br />

1 60 Set to “1” if applicable,<br />

otherwise "0"<br />

1 61 Set to “1” if applicable,<br />

otherwise "0"<br />

1 62 Set to "1" if applicable,<br />

otherwise "0"<br />

1 63 Set to "1" if applicable,<br />

otherwise "0"<br />

1 64 Set to "1" if applicable,<br />

otherwise "0"<br />

The sex <strong>and</strong> age group for the<br />

beneficiary based on a given as of<br />

date: female between ages 35 <strong>and</strong><br />

44, inclusive<br />

The sex <strong>and</strong> age group for the<br />

beneficiary based on a given as of<br />

date: female between ages 45 <strong>and</strong><br />

54, inclusive<br />

The sex <strong>and</strong> age group for the<br />

beneficiary based on a given as of<br />

date: female between ages 55 <strong>and</strong><br />

59, inclusive<br />

The sex <strong>and</strong> age group for the<br />

beneficiary based on a given as of<br />

date: female between ages 60 <strong>and</strong><br />

64, inclusive<br />

The sex <strong>and</strong> age group for the<br />

beneficiary based on a given as of<br />

date: female between ages 65 <strong>and</strong><br />

69, inclusive<br />

The sex <strong>and</strong> age group for the<br />

beneficiary based on a given as of<br />

date: female between ages 70 <strong>and</strong><br />

74, inclusive<br />

The sex <strong>and</strong> age group for the<br />

beneficiary based on a given as of<br />

date: female between ages 75 <strong>and</strong><br />

79, inclusive<br />

The sex <strong>and</strong> age group for the<br />

beneficiary based on a given as of<br />

date: female between ages of 80<br />

<strong>and</strong> 84, inclusive<br />

The sex <strong>and</strong> age group for the<br />

beneficiary based on a given as of<br />

date: female between ages of 85<br />

<strong>and</strong> 89, inclusive<br />

The sex <strong>and</strong> age group for the<br />

beneficiary based on a given as of<br />

date: female between ages of 90<br />

<strong>and</strong> 94, inclusive<br />

The sex <strong>and</strong> age group for the<br />

beneficiary based on a given as of<br />

date: female, age 95 or greater<br />

<strong>December</strong> <strong>28</strong>, 2012 F-61 Part C Risk Adjustment Model Output<br />

Data File

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