Common use of PAP Input File Layout Clause in Contracts

PAP Input File Layout. ‌ 1. SSN 9 1-9 Numeric Social Security Number. Required if Medicare ID is not provided. If unavailable, fill with spaces. 2. Medicare ID 12 10-21 Alpha-Numeric Medicare ID, which can be the Health Insurance Claim Number (HICN) or Medicare Beneficiary Identifier (MBI). Required if SSN is not provided. If unavailable, fill with spaces. 3. Surname 6 22-27 Text Surname of Covered Individual – Required. 4. First Initial 1 28-28 Alpha First Initial of Covered Individual – Required. 5. DOB 8 29-36 Date Date of Birth of Covered Individual – Required. CCYYMMDD 6. Sex Code 1 37-37 Numeric Sex of Covered Individual – Required. 0: Unknown 1: Male 2: Female

Appears in 4 contracts

Sources: Data Sharing Agreement, Data Sharing Agreement, Data Sharing Agreement