CH CHAMPUS CI Commercial Insurance DS Disability HM Health Maintenance Organization HN HMO Medicare Risk/Medicare Part C IC Integrated Care Organization LI Liability LM Liability Medical MA Medicare Part A MB Medicare Part B MC Medicaid MD Medicare Part D MO Medicaid Managed Care Organization MP Medicare Primary MS Medicare Secondary Plan Other Federal Program (e.g. Black OF Lung) QM Qualified Medicare Beneficiary SC Senior Care Option SP Supplemental Policy TF HSN Trust Fund TV Title V VA Veterans Administration Plan WC Workers' Compensation ZZ Other Report the year for eligibility is Date Eligibility year reported in this submission in CCYY Period Century Year reported in format. If reporting previous year's ME 4 Year 6/24/10 int[4] All 100% A0 - - CCYY this data, the year reported here will not Integer submission. match current year. Do not report a future year here.
CH CHAMPUS CI Commercial Insurance DS Disability HM Health Maintenance Organization HN HMO Medicare Risk/Medicare Part C IC Integrated Care Organization LI Liability LM Liability Medical MA Medicare Part A MB Medicare Part B MC Medicaid MD Medicare Part D MO Medicaid Managed Care Organization MP Medicare Primary MS Medicare Secondary Plan OF Other Federal Program (e.g. Black Lung) QM Qualified Medicare Beneficiary SC Senior Care Option SP Supplemental Policy TF HSN Trust Fund TV Title V VA Veterans Administration Plan WC Workers' Compensation ZZ Other ME 4 Year 6/24/10 Date Period - Integer Century Year - CCYY int[4] Eligibility year reported in this submission. Report the year for eligibility is reported in this submission in CCYY format. If reporting previous year's data, the year reported here will not match current year. Do not report a future year here. All 100% A0
v6-apcd-member-eligibility-file-submission-guide-Redline-.docx