The Non-MSP Response File Sample Clauses

The Non-MSP Response File. This is the data set transmitted from CMS to the VDSA partner after the information supplied in the partner’s Non-MSP Input File has been processed. It consists of the same data elements in the Input File, with corrections applied by CMS, disposition and edit codes which let you know what we did with the record, as well as new information for the partner regarding the covered individuals themselves, such as Medicare program coverage details. This file format is also used to send you unsolicited response files originating from the RDS contractor. These transmissions from the RDS contractor will notify you that significant data you previously submitted has changed. Unsolicited RDS responses are designated by the “RDSU” file type in Field 4 in the header. 1. Filler 4 1-4 COBC use 2. SSN 9 5-13 Beneficiary’s SSN. Included for action types D, S, and N. Field will contain either the SSN that matched, or a corrected SSN based on a HICN match. 3. HIC Number 12 14-25 Beneficiary’s Health Insurance Claim Number. Included for action types D, S, and N. Field will contain either the HICN that matched, or a corrected HICN based on an SSN match. 4. Covered Individual’s Surname 6 26-31 Beneficiary’s Last Name. Included for action types D, S, and N. Field will contain either the name supplied or corrected name from COBC database. 5. Beneficiary First Initial 1 32 Beneficiary’s First Initial. Included for action types D, S, and N. Field will contain either the value supplied or corrected value from COBC database. 6. Beneficiary Middle Initial 1 33 Beneficiary’s Middle Initial. Included for action types D, S, and N. Field will contain the value supplied. 7. Beneficiary Date of Birth 8 34-41 Beneficiary’s DOB (CCYYMMDD). Included for action types D, S, and N. Field will contain either the value supplied or a corrected value from COBC database. 8. Beneficiary Sex Code 1 42 Beneficiary’s Sex: 0 = Unknown 1 = Male 2 = Female Included for action types D, S, and N Field will contain either the value supplied or a corrected value from COB database. 9. Group Health Plan Number 20 43-62 GHP Number assigned by Payer for action type ‘D,’ or, Unique Benefit Option Identifier, as defined by the RDS Center, and assigned by Payer for action type ‘S.’ Included for action types D and S. Field will contain the value supplied on input. 10. Individual Policy number 17 63-79 Policy Number. Included for action types D and S. Field will contain the value supplied on input.