Attachment J-1 DMDC Eligibility File Layout TMEP.pdf

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Attached to
TRICARE Medicare Eligible Program Second Generation (TMEP2)
Solicitation number
HT940226R0001
Issued by

About this file

This document is a technical specification for the Defense Manpower Data Center (DMDC) Crossover Eligibility File Layout, which defines the data structure and format requirements for transmitting beneficiary eligibility information.

The file layout consists of three sections: header, detail, and trailer records, each with fixed-field positions spanning 153 characters total. The header record includes a default indicator ("H"), file date in YYYYMMDD format, and filler space. The detail section contains 24 data elements capturing personal identification information (DOD EDI PN ID, Person ID, Person ID Type Code, sex code, birth date), sponsor information (Sponsor Person ID and Type Code), service code, and finder status code. Additional fields document Medicare beneficiary information including the Medicare Beneficiary Identifier, beneficiary name components (first, middle initial, last name), cadency, and comprehensive Medicare Part A entitlement data (entitlement start dates, termination dates, status codes, and entitlement reason codes with change dates). All date fields use YYYYMMDD format. The trailer record contains a default "T" indicator, file date, and record count for validation purposes, with remaining space designated as filler. This standardized layout enables consistent data exchange between systems processing military beneficiary eligibility determinations.

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Text version

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 1 1 1 Default to 'H"

File Date 8 2 9 YYYYMMDD

Filler 144 10 153 Blanks

DMDC CROSSOVER ELIGIBILTY FILE LAYOUT DETAIL

DOD_EDI_PN_ID 10 1 10

Person ID 9 11 19

Person ID Type Code 1 20 20

Person Sex Code 1 21 21

Person Birth Date 8 22 29 YYYYMMDD

Sponsor Person ID 9 30 38

Sponsor Person ID Type Code 1 39 39

Service Code 1 40 40

Finder Status Code 1 41 41 Default to 1

Medicare Beneficiary Identifier 11 42 52

Filler 1 53 53 Blank

Person First Name 20 54 73

Person Middle Name (Initial Only) 1 74 74

Person Last Name 24 75 98

Person Cadency 4 99 102

Beneficiary Birth Date 8 103 110 YYYYMMDD

Beneficiary Part A Entitlement Start Date 8 111 118 YYYYMMDD

Beneficiary Part A Termination Date 8 119 126 YYYYMMDD

Beneficiary Part A Status Code 1 127 127

Beneficiary Part A Entitlement Start Date 8 128 135 YYYYMMDD

Beneficiary Part A Termination Date 8 136 143 YYYYMMDD

Beneficiary Part A Status Code 1 144 144

Beneficiary Entitlement Reason Code Change Date 8 145 152 YYYYMMDD

Beneficiary Entitlement Reason Code 1 153 153

DMDC CROSSOVER ELIGIBILTY FILE LAYOUT TRAILER

Trailer Indicator 1 1 1 Default to 'T"

File Date 8 2 9 YYYYMMDD

Record Count 9 10 18

Filler 135 19 153 Blanks

File details come from the government source that posted it. Updated .