J.3 Minimum Matching Criteria.DOC

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True Out of Pocket Costs (TrOOP)
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Minimum Matching Criteria

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Attachment J.3

Attachment j.3 Minimum Matching Criteria Matches are to be performed with the following elements:

· Social Security Number

· Medicare Health Insurance Claim Number (HICN)

· Last Name

· First Name

· Date of Birth

· Sex Code

· Cardholder ID

Matches are scored as follows:

· SEX CODE = 30

· LAST NAME = 20

· FIRST INITIAL = 20

· DOB-CCYY = 10

· DOB-MM = 10

· DOB-DD = 10

The score must be higher than 65 or it is not considered a match by the system.

TrOOP Facilitation SOW

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