Attachment J-1 DMDC Eligibility File Layout TMEP

SECTION J ATTACHMENT J-1

DEFENSE MANPOWER DATA CENTER ELIGIBILITY FILE LAYOUT

DEFENSE MANPOWER DATA CENTER (DMDC) CROSSOVER ELIGIBILTY FILE LAYOUT HEADER

Business Name

Length

Start

End

Comments

Header Indicator
File Date

Default to 'H"

YYYYMMDD

Filler

Blanks

Comments

DMDC CROSSOVER ELIGIBILTY FILE LAYOUT DETAIL

Business Name

Length

Start

End

DOD_EDI_PN_ID

Person ID
Person ID Type Code

Person Sex Code
Person Birth Date

Sponsor Person ID

Sponsor Person ID Type Code

Service Code
Finder Status Code

Medicare Beneficiary Identifier

YYYYMMDD

Default to 1

Filler

Person First Name

Person Middle Name (Initial Only)
Person Last Name

Person Cadency

Beneficiary Birth Date

YYYYMMDD

Beneficiary Part A Entitlement Start Date

YYYYMMDD

Beneficiary Part A Termination Date

YYYYMMDD

Beneficiary Part A Status Code

Beneficiary Part A Entitlement Start Date

YYYYMMDD

Beneficiary Part A Termination Date

YYYYMMDD

YYYYMMDD

Beneficiary Part A Status Code
Beneficiary Entitlement Reason Code Change Date
Beneficiary Entitlement Reason Code

Blank

DMDC CROSSOVER ELIGIBILTY FILE LAYOUT TRAILER

Business Name
Trailer Indicator

Length

Start

End

File Date

Comments
Default to 'T"

YYYYMMDD

Record Count
Filler

Blanks