The file's text, extracted by GovTribe without its formatting.
SECTION J-7
DMDC Eligibility File Layout
TDEFIC Medicare Crossover File Layout
| Business Name |
| Length |
| Start |
| End |
Comments
| Person ID Type Code |
| 1 |
| 20 |
| 20 |
| Person Birth Date |
| 8 |
| 22 |
| 29 |
CCYYMMDD
| Sponsor Person ID |
| 9 |
| 30 |
| 38 |
| Sponsor Person ID Type Code |
| 1 |
| 39 |
| 39 |
| Finder Status Code |
| 1 |
| 41 |
| 41 |
| Beneficiary Health Insurance Claim Number |
| 12 |
| 42 |
| 53 |
| Person First Name |
| 20 |
| 54 |
| 73 |
| Person Middle Name (initial only) |
| 1 |
| 74 |
| 74 |
| Person Last Name |
| 24 |
| 75 |
| 98 |
| Beneficiary Birth Date |
| 8 |
| 103 |
| 110 |
CCYYMMDD
| Beneficiary Part A Entitlement Start Date |
| 8 |
| 111 |
| 118 |
CCYYMMDD
| Beneficiary Part A Entitlement Termination Date |
| 8 |
| 119 |
| 126 |
CCYYMMDD
| Beneficiary Part A Entitlement Status Code |
| 1 |
| 127 |
| 127 |
| Beneficiary Part B Entitlement Start Date |
| 8 |
| 128 |
| 135 |
CCYYMMDD
| Beneficiary Part B Entitlement Termination Date |
| 8 |
| 136 |
| 143 |
CCYYMMDD
| Beneficiary Part B Entitlement Status Code |
| 1 |
| 144 |
| 144 |
| Beneficiary Entitlement Reason Code Change Date |
| 8 |
| 145 |
| 152 |
CCYYMMDD
| Beneficiary Entitlement Reason Code |
| 1 |
| 153 |
| 153 |
TDEFIC Medicare Crossover File Layout
| Business Name |
| Length |
| Start |
| End |
Comments
Default to 'H'
CCYYMMDD
Blanks
TDEFIC Medicare Crossover File Layout
| Business Name |
| Length |
| Start |
| End |
Comments
Default to 'T'
CCYYMMDD
Blanks
HT9402-12-R-0005
Defense Health Agency