Country of Address. 49 536 550 Country 15 A/N N Populate the country Change Type: 1st Position Eligibility, 2nd Position – – 50 551 553 Reason 3 N Y or N Address, 3rd Position – Indicative The death date of this 51 554 561 Date of Death 8 N N YYYYMMDD person record Unique Member Number 52 562 571 Member_Code 10 A/N Y Right Justified 53 572 621 Employer Name 50 A/N N Employer Name Address_Line1 of this person record, if it doesn’t Permanent exist then use the Member 54 622 681 60 A/N Y Address_1 Address_Line1. Address Type = ‘C’ If is null, use ‘C’ ’R’ Address_Line2 of this person record, if it doesn’t Permanent exist then use the Member 55 682 711 30 A/N Y Address_2 Address_Line2. Address Type = ‘C’ If is null, use ‘C’ ’R’ City of this person record, if it doesn’t exist then use 56 712 761 Permanent City 50 A/N Y the Member City Address Type = ‘C’ If is null, use ‘C’ ’R’ State of this person record, if it doesn’t exist then use 57 762 763 Permanent State 2 A/N Y the Member State Address Type = ‘C’ If is null, use ‘C’ ’R’ Zip of this person record, if it doesn’t exist then use the Member Zip A/N Address Type = ‘C’ If is null, use 58 764 773 Permanent Zip 10 Y ‘C’ ’R’ *See Description *Zip code will be right justified and padded with leading spaces. County of Permanent Residence of this person 59 774 798 County 25 A/N N record Member Medicare Info Datasheet Email Address of this 60 799 848 Email 50 A/N N person record Address Type = ‘R’
49 536 550 Country 15 A/N N Country of Address. Populate the country 50 551 553 Reason 3 N Y or N Change Type: 1st Position – Eligibility, 2nd Position – Address, 3rd Position – Indicative 51 554 561 Date of Death 8 N N YYYYMMDD The death date of this person record 52 562 571 Member_Code 10 A/N Y Unique Member Number Right Justified 53 572 621 Employer Name 50 A/N N Employer Name 54 622 681 Permanent Address_1 60 A/N Y Address_Line1 of this person record, if it doesn’t exist then use the Member Address_Line1. Address Type = ‘C’ If ‘C’ is null, use ’R’ 55 682 711 Permanent Address_2 30 A/N Y Address_Line2 of this person record, if it doesn’t exist then use the Member Address_Line2. Address Type = ‘C’ If ‘C’ is null, use ’R’ 56 712 761 Permanent City 50 A/N Y City of this person record, if it doesn’t exist then use the Member City Address Type = ‘C’ If ‘C’ is null, use ’R’ 57 762 763 Permanent State 2 A/N Y State of this person record, if it doesn’t exist then use the Member State Address Type = ‘C’ If ‘C’ is null, use ’R’ 58 764 773 Permanent Zip 10 A/N *See Description Y Zip of this person record, if it doesn’t exist then use the Member Zip Address Type = ‘C’ If ‘C’ is null, use ’R’ *Zip code will be right justified and padded with leading spaces. 59 774 798 County 25 A/N N County of Permanent Residence of this person record Member Medicare Info Datasheet 60 799 848 Email 50 A/N N Email Address of this person record Address Type = ‘R’
Solicitation0900000303Attachment4.docx