Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3 Item Field Size Position Comment Description 22 Age Group Male0_34 23 Age Group Male35_44 24 Age Group Male45_54 25 Age Group Male55_59 26 Age Group Male60_64 27 Age Group Male65_69 28 Age Group Male70_74 29 Age Group Male75_79 30 Age Group Male80_84 31 Age Group Male85_89 32 Age Group Male90_94 1 65 Set to "1" if applicable, otherwise "0" 1 66 Set to "1" if applicable, otherwise "0" 1 67 Set to "1" if applicable, otherwise "0" 1 68 Set to "1" if applicable, otherwise "0" 1 69 Set to "1" if applicable, otherwise "0" 1 70 Set to "1" if applicable, otherwise "0" 1 71 Set to "1" if applicable, otherwise "0" 1 72 Set to "1" if applicable, otherwise "0" 1 73 Set to "1" if applicable, otherwise "0" 1 74 Set to "1" if applicable, otherwise "0" 1 75 Set to "1" if applicable, otherwise "0" The sex and age group for the beneficiary based on a given as of date: male between ages of 0 and 34, inclusive The sex and age group for the beneficiary based on a given as of date: male between ages of 35 and 44, inclusive The sex and age group for the beneficiary based on a given as of date: male between ages of 45 and 54, inclusive The sex and age group for the beneficiary based on a given as of date: male between ages of 55 and 59, inclusive The sex and age group for the beneficiary based on a given as of date: male between ages of 60 and 64, inclusive The sex and age group for the beneficiary based on a given as of date: male between ages of 65 and 69, inclusive The sex and age group for the beneficiary based on a given as of date: male between ages of 70 and 74, inclusive The sex and age group for the beneficiary based on a given as of date: male between ages of 75 and 79, inclusive The sex and age group for the beneficiary based on a given as of date: male between ages of 80 and 84, inclusive The sex and age group for the beneficiary based on a given as of date: male between ages of 85 and 89, inclusive The sex and age group for the beneficiary based on a given as of date: male between ages of 90 and 94, inclusive December 28, 2012 F-62 Part C Risk Adjustment Model Output Data File
Plan Communications User Guide Appendices, Version 6.3 Item Field Size Position Comment Description 33 Age Group Male95_GT 34 Medicaid Female Disabled 35 Medicaid Female Aged 36 Medicaid Male Disabled 37 Medicaid Male Aged 38 Originally Disabled Female 39 Originally Disabled Male 1 76 Set to "1" if applicable, otherwise "0" 1 77 Set to "1" if applicable, otherwise "0" 1 78 Set to "1" if applicable, otherwise "0" 1 79 Set to "1" if applicable, otherwise "0" 1 80 Set to "1" if applicable, otherwise "0" 1 81 Set to "1" if applicable, otherwise "0" 1 82 Set to "1" if applicable, otherwise "0" The sex and age group for the beneficiary based on a given as of date: male, age 95 or greater Beneficiary is a female disabled and also entitled to Medicaid. Beneficiary is a female aged (> 64) and also entitled to Medicaid. Beneficiary is a male disabled and also entitled to Medicaid. Beneficiary is a male aged (> 64) and also entitled to Medicaid. Beneficiary is a female and original Medicare entitlement was due to disability. Beneficiary is a male and original Medicare entitlement was due to disability. 40 HCC001 1 83 Set to "1" if applicable, otherwise "0" 41 HCC002 1 84 Set to "1" if applicable, otherwise "0" 42 HCC006 1 85 Set to "1" if applicable, otherwise "0" 43 HCC008 1 86 Set to "1" if applicable, otherwise "0" 44 HCC009 1 87 Set to "1" if applicable, otherwise "0" 45 HCC010 1 88 Set to "1" if applicable, otherwise "0" 46 HCC011 1 89 Set to "1" if applicable, otherwise "0" 47 HCC012 1 90 Set to "1" if applicable, otherwise "0" 48 HCC017 1 91 Set to "1" if applicable, otherwise "0" 49 HCC018 1 92 Set to "1" if applicable, otherwise "0" HIV/AIDS Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock Opportunistic Infections Metastatic Cancer and Acute Leukemia Lung and Other Severe Cancers Lymphoma and Other Cancers Colorectal, Bladder, and Other Cancers Breast, Prostate, and Other Cancers and Tumors Diabetes with Acute Complications Diabetes with Chronic Complications December 28, 2012 F-63 Part C Risk Adjustment Model Output Data File
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Medicare Advantage and Prescription Drug Plans December 28 ...

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