The Input and Response File Data Layouts Sample Clauses

The Input and Response File Data Layouts. Input File: This is the data set transmitted from a data sharing partner to the BCRC on a monthly basis. It is used to report information regarding enrollees—individuals who are eligible for and enrolled in a PAP and receive coverage through such a plan. Full file replacement is the method used to update eligibility files. Each month’s transmitted file will fully replace the previous month’s file. Data sharing partners are required to continue to include coverage records for 3 years after the termination date of the coverage. The business rules for use of the Input File immediately follow the data file layout itself. If the partner sends more than one Input File in one day, the system will process the files without terminating, or abending, the job. If the first Input File passes its edit checks, it is processed, and a Response File is sent to the partner, per current processes. If second and subsequent input files sent that day pass their edit checks, they are added to a multiple file submissions report for review by the BCRC.
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The Input and Response File Data Layouts. ‌ A – The SPAP Input File. This is the data set transmitted from an SPAP partner to CMS (the BCRC) on a monthly basis. It is used to report information regarding the SPAP enrollees – people who are eligible for and enrolled in an SPAP and receive coverage through such a plan. Full file replacement is the method used to update eligibility files. Each month’s transmitted file will fully replace the previous month’s file. The business rules for use of the SPAP Input File immediately follow the data file layout itself. Please note that the SPAP Data Sharing Agreement makes reference to the SPAP Input File as Attachment A. The layout in this version of the User Guide represents the most current version of this Attachment. If the partner sends more than one SPAP Input File in one day, the system will process the files without terminating. If the first input file passes its edit checks, it is processed, and a response file is sent to the partner, per current processes. If second and subsequent input files sent that day pass their edit checks, they are added to a multiple file submissions report for review by the BCRC.
The Input and Response File Data Layouts. A. The PAP Input File: This is the dataset transmitted from a PAP partner to the COBC on a monthly basis. It is used to report information regarding PAP enrollees – individuals who are eligible for and enrolled in a PAP and receive pharmaceutical coverage through such a plan. Full file replacement is the method used to update eligibility files. Each month’s transmitted file will fully replace the previous month’s file. The business rules for use of the PAP Input File immediately follow the data file layout itself. PAP Input File Layout – Attachment A. 249 bytes A – Patient Assistance Program Input File Layout Field Name Size Displacement Data Type Description
The Input and Response File Data Layouts. A – The MSP (Medicare Secondary Payer) Input File. This is the data set transmitted from a VDSA partner to CMS that is used to report information regarding Active Covered Individuals – people who are currently working (not carried as retired), and a spouse and (or) other dependents, and who are enrolled in and covered by an employer group health plan (GHP). At a minimum, we require the partner to include information about all Active Covered Individuals who are at least 55 years of age, and older. We have found that about ninety-seven percent of all Medicare beneficiaries are 55 and above. VDSA Attachment A Employer/Insurer Voluntary MSP Input File Layout – 425 bytes Field Name Size Displacement Data Type Description
The Input and Response File Data Layouts. ‌ A – The SPAP Input File. This is the data set transmitted from an SPAP partner to CMS (the BCRC) on a monthly basis. It is used to report information regarding the SPAP enrollees – people who are eligible for and enrolled in an SPAP and receive coverage through such a plan. Full file replacement is the method used to update eligibility files. Each month’s transmitted file will fully replace the previous month’s file. SPAP partners are required to continue to include coverage records for 3 years after the termination date of the coverage. The business rules for use of the SPAP Input File immediately follow the data file layout itself. Please note that the SPAP Data Sharing Agreement makes reference to the SPAP Input File as Attachment A. The layout in this version of the User guide represents the most current version of this Attachment. If the partner sends more than one SPAP Input File in one day, the system will process the files without terminating. If the first input file passes its edit checks, it is processed, and a response file is sent to the partner, per current processes. If second and subsequent input files sent that day pass their edit checks, they are added to a multiple file submissions report for review by the BCRC.
The Input and Response File Data Layouts. ‌ The PAP Input File: This is the data set transmitted from a PAP partner to the BCRC on a monthly basis. It is used to report information regarding PAP enrollees—individuals who are eligible for and enrolled in a PAP and receive pharmaceutical coverage through such a plan. Full file replacement is the method used to update eligibility files. Each month’s transmitted file will fully replace the previous month’s file. PAP partners are required to continue to include coverage records for 3 years after the termination date of the coverage. The business rules for use of the PAP Input File immediately follow the data file layout itself. If the partner sends more than one PAP Input File in one day, the system will process the files without terminating, or abending, the job. If the first input file passes its edit checks, it is processed, and a response file is sent to the partner, per current processes. If second and subsequent input files sent that day pass their edit checks, they are added to a multiple file submissions report for review by the BCRC.
The Input and Response File Data Layouts. ‌ The PAP Input File: This is the data set transmitted from a PAP partner to the BCRC on a monthly basis. It is used to report information regarding PAP enrollees—individuals who are eligible for and enrolled in a PAP and receive pharmaceutical coverage through such a plan. Full file replacement is the method used to update eligibility files. Each month’s transmitted file will fully replace the previous month’s file. The business rules for use of the PAP Input File immediately follow the data file layout itself. If the partner sends more than one PAP Input File in one day, the system will process the files without terminating, or abending, the job. If the first input file passes its edit checks, it is processed, and a response file is sent to the partner, per current processes. If second and subsequent input files sent that day pass their edit checks, they are added to a multiple file submissions report for review by the BCRC.
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