Common use of SPAP Input File Layout Clause in Contracts

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

Appears in 3 contracts

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