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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 />

22 Age Group<br />

Male0_34<br />

23 Age Group<br />

Male35_44<br />

24 Age Group<br />

Male45_54<br />

25 Age Group<br />

Male55_59<br />

26 Age Group<br />

Male60_64<br />

27 Age Group<br />

Male65_69<br />

<strong>28</strong> Age Group<br />

Male70_74<br />

29 Age Group<br />

Male75_79<br />

30 Age Group<br />

Male80_84<br />

31 Age Group<br />

Male85_89<br />

32 Age Group<br />

Male90_94<br />

1 65 Set to "1" if applicable,<br />

otherwise "0"<br />

1 66 Set to "1" if applicable,<br />

otherwise "0"<br />

1 67 Set to "1" if applicable,<br />

otherwise "0"<br />

1 68 Set to "1" if applicable,<br />

otherwise "0"<br />

1 69 Set to "1" if applicable,<br />

otherwise "0"<br />

1 70 Set to "1" if applicable,<br />

otherwise "0"<br />

1 71 Set to "1" if applicable,<br />

otherwise "0"<br />

1 72 Set to "1" if applicable,<br />

otherwise "0"<br />

1 73 Set to "1" if applicable,<br />

otherwise "0"<br />

1 74 Set to "1" if applicable,<br />

otherwise "0"<br />

1 75 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: male between ages of 0 <strong>and</strong><br />

34, inclusive<br />

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

beneficiary based on a given as of<br />

date: male between ages of 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: male between ages of 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: male between ages of 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: male between ages of 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: male between ages of 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: male between ages of 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: male between ages of 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: male between ages of 80 <strong>and</strong><br />

84, inclusive<br />

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

beneficiary based on a given as of<br />

date: male between ages of 85 <strong>and</strong><br />

89, inclusive<br />

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

beneficiary based on a given as of<br />

date: male between ages of 90 <strong>and</strong><br />

94, inclusive<br />

<strong>December</strong> <strong>28</strong>, 2012 F-62 Part C Risk Adjustment Model Output<br />

Data File

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