SPAP Input File Layout Sample Clauses

SPAP Input File Layout. Attachment A‌ 1. SSN 9 1-9 Numeric Social Security Number – Required Populate with spaces if unavailable. 2. Medicare ID 12 10-21 Alpha- Numeric Medicare ID, which can be either the Health Insurance Claim Number (HICN) or the Medicare Beneficiary Identifier (MBI). Required if SSN not provided. Populate with spaces if unavailable. 3. Surname 6 22-27 Text Surname of Covered Individual - Required 4. First Initial 1 28-28 Text 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
View SourceView Similar (3)
SPAP 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 either the Health Insurance Claim Number (HICN) or the Medicare Beneficiary Identifier (MBI). Required if SSN is not provided. Populate with spaces if unavailable. 3. Surname 6 22-27 Text Surname of Covered Individual - Required
View SourceView Similar (2)
SPAP Input File Layout. Attachment A‌ 1. SSN 9 1-9 Numeric Social Security Number – Required Populate with spaces if unavailable. 2. HICN 12 10-21 Alpha- Numeric Medicare Health Insurance Claim Number Required if SSN not provided. Populate with spaces if unavailable. 3. Surname 6 22-27 Text Surname of Covered Individual - Required 4. First Initial 1 28-28 Text 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
View Source

Related to SPAP Input File Layout

  • COMPUTER GRAPHICS FILES The Engineer agrees to comply with Attachment G, Computer Graphics Files for Document and Information Exchange, if determined by the State to be applicable to this contract.

  • Computer Files Marked The Seller shall, at its own expense, on or before the Closing Date, indicate in its computer files that the Receivables have been sold to the Purchaser pursuant to this Receivables Purchase Agreement and deliver to the Purchaser the Receivable Schedule, certified by an officer of the Seller to be true, correct and complete.

  • Training Materials Training Materials will be provided for each student. Training Materials may be used only for either (i) the individual student’s reference during Boeing provided training and for review thereafter or (ii) Customer’s provision of training to individuals directly employed by the Customer.

  • Receivable Files Complete There exists a Receivable File pertaining to each Receivable. Related documentation concerning the Receivable, including any documentation regarding modifications of the Contract, will be maintained electronically by the Servicer in accordance with customary policies and procedures. With respect to any Receivables that are tangible chattel paper, the complete Receivable File for each Receivable currently is in the possession of the Custodian.

  • Workstation/Laptop encryption All workstations and laptops that process and/or store County PHI or PI must be encrypted using a FIPS 140-2 certified algorithm which is 128bit or higher, such as Advanced Encryption Standard (AES). The encryption solution must be full disk unless approved by the County Information Security Office.