Program Components:
This page contains information about the Covered Retiree List file layout and file format.
Covered Retiree List File Layout
The Covered Retiree List (CRL) is in a Comma Separated Value (CSV) format:
- A CSV file, or plain text file, is also referred to as a "flat file" or "comma delimited file."
- Computer systems use CSV files to pass information back and forth between databases.
- Each line in a CSV file includes one entry or record and a comma to separate each data element within a record.
- A separate record is created for each unique beneficiary, Benefit Option, and Subsidy Period combination.
Covered Retiree List File Format
The following table shows the data elements that are included in each record in the Covered Retiree List (CRL):
Note: Fields with a caret (^) are filled with the most recent beneficiary data sent to CMS' RDS Center.
|
Data Element |
Max Size |
Notes |
|
Application ID |
10 |
The RDS Application ID under which the Qualifying Covered Retiree (QCR) was approved for subsidy. |
|
^SSN |
09 |
The Social Security Number (SSN) for the Qualifying Covered Retiree (QCR) that was approved for RDS. This field may be blank if a Medicare beneficiary identifier was provided. |
|
^Medicare beneficiary identifier |
12 |
This field may be blank if the SSN was provided. May contain:
|
|
^First Name |
30 |
Qualifying Covered Retiree's (QCR's) First Name. |
|
Middle Initial |
01 |
Optional field. Qualifying Covered Retiree's (QCR's) Middle Initial. |
|
^Last Name |
40 |
Qualifying Covered Retiree's (QCR's) Last Name. |
|
^Date of Birth |
08 |
Qualifying Covered Retiree's (QCR's) Date of Birth. Format: CCYYMMDD |
|
^Gender |
01 |
Qualifying Covered Retirees (QCR's) Gender: |
|
^Effective Date |
08 |
The beginning date of the Qualifying Covered Retiree's (QCR's) (retiree, spouse, or dependent) coverage under this Prescription Drug Benefit Option. Format: CCYYMMDD |
|
^Termination Date |
08 |
The ending date of the Qualifying Covered Retiree's (QCR's) (retiree, spouse, or dependent) coverage under this Prescription Drug Benefit Option. Format: CCYYMMDD |
|
^Unique Benefit Option Identifier (UBOI) |
20 |
The unique identifier assigned to this Prescription Drug Benefit Option under which this Qualifying Covered Retiree (QCR) was approved for subsidy. |
|
^Relationship to Retiree |
02 |
Qualifying Covered Retiree's (QCR's) Relationship to the retiree: |
|
^Type of Record |
03 |
'ADD' or 'UPD'. Will be the same as the last record type submitted for this beneficiary in a retiree file. |
|
Determination Indicator |
01 |
Value 'Y' = Yes. All records in the Covered Retiree List are approved for RDS subsidy. |
|
Reason Code |
02 |
The reason code provided is from the last Retiree Response File record or Weekly Notification File records for this Qualifying Covered Retiree (QCR). For more information, refer to RDS Reason Codes. |
|
Subsidy Period Effective Date |
08 |
The effective date of the beneficiary's (retiree, spouse, or dependent) approved Subsidy Period. Format: CCYYMMDD |
|
Subsidy Period Termination Date |
08 |
The termination date of the beneficiary's (retiree, spouse, or dependent) approved Subsidy Period. Format: CCYYMMDD |
|
Submitter Type |
01 |
The last method by which the Qualifying Covered Retiree (QCR) was submitted to CMS' RDS Center: |
|
Submitter Name |
50 |
Plan Sponsor, Vendor, or COB Contractor: VDSA/MIR name that last submitted this Qualifying Covered Retiree (QCR) to CMS' RDS Center. |
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