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2025 Medicare Part C & Part D Reporting Requirements & Data Validation

Data Extraction Process Detail

Requirements for File Transfer

After the on-site or virtual visit, the SO will:

  • Export all data files to either a tab- or comma-delimited file
  • Make sure there are consistent naming conventions between files
  • Supplement data files with Microsoft Word or Excel data dictionary or file layout files, describing the details of each data file transferred, as seen in the example below
Table 15: Requirements for File Transfer (Name; Description; Data Type/Length; Data Values; Calculation)
NameDescriptionData Type/LengthData ValuesCalculation
M_IDMember IDCharacter (16)N/AUnique counts
DORGrievance Date of ReceiptDate (MMDDYYYY)N/ADate
M StatusMember StatusNumeric (2)01=Enrolled
02=Disenrolled
N/A