1                                                   DENOMINATOR FILE

DESCRIPTION:
   THE DENOMINATOR FILE COMBINES MEDICARE BENEFICIARY ENTITLEMENT
   STATUS INFORMATION FROM ADMINISTRATIVE ENROLLMENT RECORDS WITH
   THIRD PARTY PAYER INFORMATION AND GHP ENROLLMENT INFORMATION.  THE
   DENOMINATOR FILE CONTAINS DATA ON ALL MEDICARE BENEFICIARIES ENROLLED
   AND/OR ENTITLED IN A GIVEN YEAR.  LIKE THE HISKEW FILE, IT IS AN
   ABBREVIATED VERSION OF THE ENROLLMENT DATABASE (EDB) (SELECTED DATA
   ELEMENTS).  IT DOES NOT, HOWEVER, CONTAIN DATA ON ALL BENEFICIARIES
   EVER ENTITLED TO MEDICARE; IT CONTAINS DATA FOR ONLY BENEFICIARIES
   WHO WERE ENTITLED DURING THE YEAR OF THE DATA.

UPDATED:  MAY, 2008 BY BARBARA ROTH

DATA CHARACTERISTICS:
   - BLOCK SIZE:  32,760
   - RECORDING MODE:  F
   - RECORD FORMAT:  FIXED BLOCK
   - RECORD SIZE:  140 CHARACTERS
1                                                   DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------

 ****  DENOMINATOR RECORD           REC     140     1  140  THE DENOMINATOR RECORD (1996-CURRENT)
                                                            CONTAINS MONTHLY INDICATORS OF PART A AND/OR PART B
                                                            ENTITLEMENT, STATE BUY-IN COVERAGE, AND
                                                            GROUP HEALTH ORGANIZATION ENROLLMENT, FOR
                                                            THE YEAR'S MEDICARE-ENTITLED BENEFICIARIES.

                                                            ALL FIELDS ARE OBTAINED FROM THE ENROLLMENT
                                                            DATA BASE USING THE MARCH UPDATE FOLLOWING
                                                            THE REFERENCE YEAR (I.E., FIELDS FOR
                                                            RESIDENCE, CREC, CRDI, MSC AND TERM CODES
                                                            ARE AS OF MARCH 1995 FOR THE 1994 REFERENCE
                                                            YEAR).

                                                            SYSTEM ALIAS: DNMNTR96
                                                            DA1 ALIAS: DNMNTR
                                                            STANDARD ALIAS: DNMNTR_REC

**** DESY HEADER GROUP              GROUP    50     1   50

1. DESY SYSTEM USER                 CHAR     30     1   30  A USER-DEFINED FIELD THAT HOLDS THE DESCRIPTION
                                                            OF THE REQUEST. FOR EXAMPLE, CROSS-REFERENCE HICS.

2. FILLER                           CHAR     11    31   41  FILLER

3. DESY SORT KEY                    CHAR      9    42   50  THIS FIELD CONTAINS THE KEY TO THE CLAIMS
                                                            TOGETHER FOR ONE BENEFICIARY REGARDLESS OF HICAN.

 ****  BENEFICIARY CLAIM NUMBER     GROUP          51   61

    1. BENEFICIARY CLAIM ACCOUNT    CHAR      9    51   59  THE NUMBER IDENTIFYING THE PRIMARY BENEFICIARY
       NUMBER                                               UNDER THE SSA OR RRB PROGRAMS SUBMITTED.

                                                            STANDARD ALIAS: BENE_CLM_ACNT_NUM
                                                            COMMON ALIAS: CAN
                                                            TITLE ALIAS: CAN
                                                            SAS ALIAS: CAN

                                                            SQL-INFO:
                                                            CHAR(9)       NOT NULL

                                                            SOURCE:
                                                            SSA,RRB

                                                            LIMITATIONS:
                                                            RRB-ISSUED NUMBERS CONTAIN AN OVERPUNCH IN
                                                            THE FIRST POSITION THAT MAY APPEAR AS A PLUS
                                                            ZERO OR A-G.   RRB-FORMATTED NUMBERS MAY
                                                            CAUSE MATCHING PROBLEMS ON NON-IBM MACHINES.

    2. EQUATED BENEFICIARY          CHAR      2    60   61  THIS CODE SPECIFIES THE TYPE OF BENEFICIARY
       IDENTIFICATION CODE (BIC)                            FOR CASH PAYMENT PROGRAMS AND IDENTIFIES THE
                                                            TYPE OF RELATIONSHIP BETWEEN THE INDIVIDUAL
                                                            AND PRIMARY BENEFICIARY WHEN THE INDIVIDUAL
                                                            IS QUALIFIED UNDER ANOTHER'S ACCOUNT.
                                                            THE CODE IS EQUATED TO A COMMON BIC.
                                                            FOR EXAMPLE, THE RECORDS FOR A WIFE
                                                            (BIC B) WHO BECOMES A WIDOW (BIC D) IN THE
                                                            FILE YEAR WOULD HAVE ALL RECORDS CODED TO
                                                            THE FIRST BIC.

                                                            COMMON ALIAS: BIC

                                                            CODES:
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            SOCIAL SECURITY ADMINISTRATION:

                                                            A  = PRIMARY CLAIMANT
                                                            B  = AGED WIFE, AGE 62 OR OVER (1ST
                                                                 CLAIMANT)
                                                            B1 = AGED HUSBAND, AGE 62 OR OVER (1ST
                                                                 CLAIMANT)
                                                            B2 = YOUNG WIFE, WITH A CHILD IN HER CARE
                                                                 (1ST CLAIMANT)
                                                            B3 = AGED WIFE (2ND CLAIMANT)
                                                            B4 = AGED HUSBAND (2ND CLAIMANT)
                                                            B5 = YOUNG WIFE (2ND CLAIMANT)
                                                            B6 = DIVORCED WIFE, AGE 62 OR OVER (1ST
                                                                 CLAIMANT)
                                                            B7 = YOUNG WIFE (3RD CLAIMANT)
                                                            B8 = AGED WIFE (3RD CLAIMANT)
                                                            B9 = DIVORCED WIFE (2ND CLAIMANT)
                                                            BA = AGED WIFE (4TH CLAIMANT)
                                                            BD = AGED WIFE (5TH CLAIMANT)
                                                            BG = AGED HUSBAND (3RD CLAIMANT)
                                                            BH = AGED HUSBAND (4TH CLAIMANT)
                                                            BJ = AGED HUSBAND (5TH CLAIMANT)
                                                            BK = YOUNG WIFE (4TH CLAIMANT)
                                                            BL = YOUNG WIFE (5TH CLAIMANT)
                                                            BN = DIVORCED WIFE (3RD CLAIMANT)
                                                            BP = DIVORCED WIFE (4TH CLAIMANT)
                                                            BQ = DIVORCED WIFE (5TH CLAIMANT)
                                                            BR = DIVORCED HUSBAND (1ST CLAIMANT)
                                                            BT = DIVORCED HUSBAND (2ND CLAIMANT)
                                                            BW = YOUNG HUSBAND (2ND CLAIMANT)
                                                            BY = YOUNG HUSBAND (1ST CLAIMANT)
                                                            C1-C9,CA-CZ = CHILD (INCLUDES MINOR, STUDENT
                                                                          OR DISABLED CHILD)
                                                            D  = AGED WIDOW, 60 OR OVER (1ST CLAIMANT)
                                                            D1 = AGED WIDOWER, AGE 60 OR OVER (1ST
                                                                 CLAIMANT)
                                                            D2 = AGED WIDOW (2ND CLAIMANT)
                                                            D3 = AGED WIDOWER (2ND CLAIMANT)
                                                            D4 = WIDOW (REMARRIED AFTER ATTAINMENT OF
                                                                 AGE 60) (1ST CLAIMANT)
                                                            D5 = WIDOWER (REMARRIED AFTER ATTAINMENT OF
                                                                 AGE 60) (1ST CLAIMANT)
                                                            D6 = SURVIVING DIVORCED WIFE, AGE 60 OR OVER
                                                                 (1ST CLAIMANT)
                                                            D7 = SURVIVING DIVORCED WIFE (2ND CLAIMANT)
                                                            D8 = AGED WIDOW (3RD CLAIMANT)
                                                            D9 = REMARRIED WIDOW (2ND CLAIMANT)
                                                            DA = REMARRIED WIDOW (3RD CLAIMANT)
                                                            DD = AGED WIDOW (4TH CLAIMANT)
                                                            DG = AGED WIDOW (5TH CLAIMANT)
                                                            DH = AGED WIDOWER (3RD CLAIMANT)
                                                            DJ = AGED WIDOWER (4TH CLAIMANT)
                                                            DK = AGED WIDOWER (5TH CLAIMANT)
                                                            DL = REMARRIED WIDOW (4TH CLAIMANT)
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            DM = SURVIVING DIVORCED HUSBAND (2ND
                                                                 CLAIMANT)
                                                            DN = REMARRIED WIDOW (5TH CLAIMANT)
                                                            DP = REMARRIED WIDOWER (2ND CLAIMANT)
                                                            DQ = REMARRIED WIDOWER (3RD CLAIMANT)
                                                            DR = REMARRIED WIDOWER (4TH CLAIMANT)
                                                            DS = SURVIVING DIVORCED HUSBAND (3RD
                                                                 CLAIMANT)
                                                            DT = REMARRIED WIDOWER (5TH CLAIMANT)
                                                            DV = SURVIVING DIVORCED WIFE (3RD CLAIMANT)
                                                            DW = SURVIVING DIVORCED WIFE (4TH CLAIMANT)
                                                            DX = SURVIVING DIVORCED HUSBAND (4TH
                                                                 CLAIMANT)
                                                            DY = SURVIVING DIVORCED WIFE (5TH CLAIMANT)
                                                            DZ = SURVIVING DIVORCED HUSBAND (5TH
                                                                 CLAIMANT)
                                                            E  = MOTHER (WIDOW) (1ST CLAIMANT)
                                                            E1 = SURVIVING DIVORCED MOTHER (1ST
                                                                 CLAIMANT)
                                                            E2 = MOTHER (WIDOW) (2ND CLAIMANT)
                                                            E3 = SURVIVING DIVORCED MOTHER (2ND
                                                                 CLAIMANT)
                                                            E4 = FATHER (WIDOWER) (1ST CLAIMANT)
                                                            E5 = SURVIVING DIVORCED FATHER (WIDOWER)
                                                                 (1ST CLAIMANT)
                                                            E6 = FATHER (WIDOWER) (2ND CLAIMANT)
                                                            E7 = MOTHER (WIDOW) (3RD CLAIMANT)
                                                            E8 = MOTHER (WIDOW) (4TH CLAIMANT)
                                                            E9 = SURVIVING DIVORCED FATHER (WIDOWER)
                                                                 (2ND CLAIMANT)
                                                            EA = MOTHER (WIDOW) (5TH CLAIMANT)
                                                            EB = SURVIVING DIVORCED MOTHER (3RD
                                                                 CLAIMANT)
                                                            EC = SURVIVING DIVORCED MOTHER (4TH
                                                                 CLAIMANT)
                                                            ED = SURVIVING DIVORCED MOTHER (5TH
                                                                 CLAIMANT
                                                            EF = FATHER (WIDOWER) (3RD CLAIMANT)
                                                            EG = FATHER (WIDOWER) (4TH CLAIMANT)
                                                            EH = FATHER (WIDOWER) (5TH CLAIMANT)
                                                            EJ = SURVIVING DIVORCED FATHER (3RD
                                                                 CLAIMANT)
                                                            EK = SURVIVING DIVORCED FATHER (4TH
                                                                 CLAIMANT)
                                                            EM = SURVIVING DIVORCED FATHER (5TH
                                                                 CLAIMANT)
                                                            F1 = FATHER
                                                            F2 = MOTHER
                                                            F3 = STEPFATHER
                                                            F4 = STEPMOTHER
                                                            F5 = ADOPTING FATHER
                                                            F6 = ADOPTING MOTHER
                                                            F7 = SECOND ALLEGED FATHER
                                                            F8 = SECOND ALLEGED MOTHER
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            J1 = PRIMARY PROUTY ENTITLED TO HIB
                                                                 (LESS THAN 3 Q.C.) (GENERAL FUND)
                                                            J2 = PRIMARY PROUTY ENTITLED TO HIB
                                                                 (OVER 2 Q.C.) (RSI TRUST FUND)
                                                            J3 = PRIMARY PROUTY NOT ENTITLED TO HIB
                                                                 (LESS THAN 3 Q.C.) (GENERAL FUND)
                                                            J4 = PRIMARY PROUTY NOT ENTITLED TO HIB
                                                                 (OVER 2 Q.C.) (RSI TRUST FUND)
                                                            K1 = PROUTY WIFE ENTITLED TO HIB (LESS THAN
                                                                 3 Q.C.) (GENERAL FUND) (1ST CLAIMANT)
                                                            K2 = PROUTY WIFE ENTITLED TO HIB (OVER 2
                                                                 Q.C.) (RSI TRUST FUND) (1ST CLAIMANT)
                                                            K3 = PROUTY WIFE NOT ENTITLED TO HIB (LESS
                                                                 THAN 3 Q.C.) (GENERAL FUND) (1ST
                                                                 CLAIMANT)
                                                            K4 = PROUTY WIFE NOT ENTITLED TO HIB (OVER
                                                                 2 Q.C.) (RSI TRUST FUND) (1ST
                                                                 CLAIMANT)
                                                            K5 = PROUTY WIFE ENTITLED TO HIB (LESS THAN
                                                                 3 Q.C.) (GENERAL FUND) (2ND CLAIMANT)
                                                            K6 = PROUTY WIFE ENTITLED TO HIB (OVER 2
                                                                 Q.C.) (RSI TRUST FUND) (2ND CLAIMANT)
                                                            K7 = PROUTY WIFE NOT ENTITLED TO HIB (LESS
                                                                 THAN 3 Q.C.) (GENERAL FUND) (2ND
                                                                 CLAIMANT)
                                                            K8 = PROUTY WIFE NOT ENTITLED TO HIB (OVER
                                                                 2 Q.C.) (RSI TRUST FUND) (2ND
                                                                 CLAIMANT)
                                                            K9 = PROUTY WIFE ENTITLED TO HIB (LESS THAN
                                                                 3 Q.C.) (GENERAL FUND) (3RD CLAIMANT)
                                                            KA = PROUTY WIFE ENTITLED TO HIB (OVER 2
                                                                 Q.C.) (RSI TRUST FUND) (3RD CLAIMANT)
                                                            KB = PROUTY WIFE NOT ENTITLED TO HIB (LESS
                                                                 THAN 3 Q.C.) (GENERAL FUND) (3RD
                                                                 CLAIMANT)
                                                            KC = PROUTY WIFE NOT ENTITLED TO HIB (OVER
                                                                 2 Q.C.) (RSI TRUST FUND) (3RD
                                                                 CLAIMANT)
                                                            KD = PROUTY WIFE ENTITLED TO HIB (LESS THAN
                                                                 3 Q.C.) (GENERAL FUND) (4TH CLAIMANT)
                                                            KE = PROUTY WIFE ENTITLED TO HIB (OVER 2 Q.C
                                                                 (4TH CLAIMANT)
                                                            KF = PROUTY WIFE NOT ENTITLED TO HIB (LESS
                                                                 THAN 3 Q.C.)(4TH CLAIMANT)
                                                            KG = PROUTY WIFE NOT ENTITLED TO HIB (OVER
                                                                 2 Q.C.)(4TH CLAIMANT)
                                                            KH = PROUTY WIFE ENTITLED TO HIB (LESS THAN
                                                                 3 Q.C.)(5TH CLAIMANT)
                                                            KJ = PROUTY WIFE ENTITLED TO HIB (OVER 2
                                                                 Q.C.) (5TH CLAIMANT)
                                                            KL = PROUTY WIFE NOT ENTITLED TO HIB (LESS
                                                                 THAN 3 Q.C.)(5TH CLAIMANT)
                                                            KM = PROUTY WIFE NOT ENTITLED TO HIB (OVER
                                                                 2 Q.C.) (5TH CLAIMANT)
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            M  = UNINSURED-NOT QUALIFIED FOR DEEMED HIB
                                                            M1 = UNINSURED-QUALIFIED BUT REFUSED HIB
                                                            T  = UNINSURED-ENTITLED TO HIB UNDER DEEMED
                                                                 OR RENAL PROVISIONS
                                                            TA = MQGE (PRIMARY CLAIMANT)
                                                            TB = MQGE AGED SPOUSE (FIRST CLAIMANT)
                                                            TC = MQGE DISABLED ADULT CHILD (FIRST CLAIMANT)
                                                            TD = MQGE AGED WIDOW(ER) (FIRST CLAIMANT)
                                                            TE = MQGE YOUNG WIDOW(ER) (FIRST CLAIMANT)
                                                            TF = MQGE PARENT (MALE)
                                                            TG = MQGE AGED SPOUSE (SECOND CLAIMANT)
                                                            TH = MQGE AGED SPOUSE (THIRD CLAIMANT)
                                                            TJ = MQGE AGED SPOUSE (FOURTH CLAIMANT)
                                                            TK = MQGE AGED SPOUSE (FIFTH CLAIMANT)
                                                            TL = MQGE AGED WIDOW(ER) (SECOND CLAIMANT)
                                                            TM = MQGE AGED WIDOW(ER) (THIRD CLAIMANT)
                                                            TN = MQGE AGED WIDOW(ER) (FOURTH CLAIMANT)
                                                            TP = MQGE AGED WIDOW(ER) (FIFTH CLAIMANT)
                                                            TQ = MQGE PARENT (FEMALE)
                                                            TR = MQGE YOUNG WIDOW(ER) (SECOND CLAIMANT)
                                                            TS = MQGE YOUNG WIDOW(ER) (THIRD CLAIMANT)
                                                            TT = MQGE YOUNG WIDOW(ER) (FOURTH CLAIMANT)
                                                            TU = MQGE YOUNG WIDOW(ER) (FIFTH CLAIMANT)
                                                            TV = MQGE DISABLED WIDOW(ER) FIFTH CLAIMANT
                                                            TW = MQGE DISABLED WIDOW(ER) FIRST CLAIMANT
                                                            TX = MQGE DISABLED WIDOW(ER) SECOND CLAIMANT
                                                            TY = MQGE DISABLED WIDOW(ER) THIRD CLAIMANT
                                                            TZ = MQGE DISABLED WIDOW(ER) FOURTH CLAIMANT
                                                            T2-T9 = DISABLED CHILD (SECOND TO NINTH
                                                                    CLAIMANT)
                                                            W  = DISABLED WIDOW, AGE 50 OR OVER (1ST
                                                                 CLAIMANT)
                                                            W1 = DISABLED WIDOWER, AGE 50 OR OVER (1ST
                                                                 CLAIMANT)
                                                            W2 = DISABLED WIDOW (2ND CLAIMANT)
                                                            W3 = DISABLED WIDOWER (2ND CLAIMANT)
                                                            W4 = DISABLED WIDOW (3RD CLAIMANT)
                                                            W5 = DISABLED WIDOWER (3RD CLAIMANT)
                                                            W6 = DISABLED SURVIVING DIVORCED WIFE (1ST
                                                                 CLAIMANT)
                                                            W7 = DISABLED SURVIVING DIVORCED WIFE (2ND
                                                                 CLAIMANT)
                                                            W8 = DISABLED SURVIVING DIVORCED WIFE (3RD
                                                                 CLAIMANT)
                                                            W9 = DISABLED WIDOW (4TH CLAIMANT)
                                                            WB = DISABLED WIDOWER (4TH CLAIMANT)
                                                            WC = DISABLED SURVIVING DIVORCED WIFE (4TH
                                                                 CLAIMANT)
                                                            WF = DISABLED WIDOW (5TH CLAIMANT)
                                                            WG = DISABLED WIDOWER (5TH CLAIMANT)
                                                            WJ = DISABLED SURVIVING DIVORCED WIFE (5TH
                                                                 CLAIMANT)
                                                            WR = DISABLED SURVIVING DIVORCED HUSBAND
                                                                 (1ST CLAIMANT)
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            WT = DISABLED SURVIVING DIVORCED HUSBAND
                                                                 (2ND CLAIMANT)

                                                            RAILROAD RETIREMENT BOARD:

                                                               NOTE:
                                                               EMPLOYEE:  A MEDICARE BENEFICIARY WHO IS
                                                                          STILL WORKING OR A WORKER WHO
                                                                          DIED BEFORE RETIREMENT
                                                               ANNUITANT: A PERSON WHO RETIRED UNDER THE
                                                                          RAILROAD RETIREMENT ACT ON OR
                                                                          AFTER 03/01/37
                                                               PENSIONER: A PERSON WHO RETIRED PRIOR TO
                                                                          03/01/37 AND WAS INCLUDED IN THE
                                                                          RAILROAD RETIREMENT ACT

                                                            10 = RETIREMENT - EMPLOYEE OR ANNUITANT
                                                            80 = RR PENSIONER (AGE OR DISABILITY)
                                                            14 = SPOUSE OF RR EMPLOYEE OR ANNUITANT
                                                                 (HUSBAND OR WIFE)
                                                            84 = SPOUSE OF RR PENSIONER
                                                            43 = CHILD OF RR EMPLOYEE
                                                            13 = CHILD OF RR ANNUITANT
                                                            17 = DISABLED ADULT CHILD OF RR ANNUITANT
                                                            46 = WIDOW/WIDOWER OF RR EMPLOYEE
                                                            16 = WIDOW/WIDOWER OF RR ANNUITANT
                                                            86 = WIDOW/WIDOWER OF RR PENSIONER
                                                            43 = WIDOW OF EMPLOYEE WITH A CHILD IN HER CARE
                                                            13 = WIDOW OF ANNUITANT WITH A CHILD IN HER CARE
                                                            83 = WIDOW OF PENSIONER WITH A CHILD IN HER CARE
                                                            45 = PARENT OF EMPLOYEE
                                                            15 = PARENT OF ANNUITANT
                                                            85 = PARENT OF PENSIONER
                                                            11 = SURVIVOR JOINT ANNUITANT
                                                                 (REDUCED BENEFITS TAKEN TO INSURE BENEFITS
                                                                 FOR SURVIVING SPOUSE)

                                                            SOURCE:
                                                            EDB

    3. ORIGINAL BENEFICIARY         CHAR      2    62   63  THIS FIELD DENOTES THE ORIGINAL BIC WHEN THE
       IDENTIFICATION CODE (OBIC)                           BENEFICIARY WAS AUTOMATICALLY CONVERTED FROM
                                                            ONE TYPE OF ENTITLEMENT TO ANOTHER ON THE SAME
                                                            ACCOUNT (E.G., WIFE TO WIDOW).

                                                            CODES:
                                                            SOCIAL SECURITY ADMINISTRATION:

                                                            A  = PRIMARY CLAIMANT
                                                            B  = AGED WIFE, AGE 62 OR OVER (1ST
                                                                 CLAIMANT)
                                                            B1 = AGED HUSBAND, AGE 62 OR OVER (1ST
                                                                 CLAIMANT)
                                                            B2 = YOUNG WIFE, WITH A CHILD IN HER CARE
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                                 (1ST CLAIMANT)
                                                            B3 = AGED WIFE (2ND CLAIMANT)
                                                            B4 = AGED HUSBAND (2ND CLAIMANT)
                                                            B5 = YOUNG WIFE (2ND CLAIMANT)
                                                            B6 = DIVORCED WIFE, AGE 62 OR OVER (1ST
                                                                 CLAIMANT)
                                                            B7 = YOUNG WIFE (3RD CLAIMANT)
                                                            B8 = AGED WIFE (3RD CLAIMANT)
                                                            B9 = DIVORCED WIFE (2ND CLAIMANT)
                                                            BA = AGED WIFE (4TH CLAIMANT)
                                                            BD = AGED WIFE (5TH CLAIMANT)
                                                            BG = AGED HUSBAND (3RD CLAIMANT)
                                                            BH = AGED HUSBAND (4TH CLAIMANT)
                                                            BJ = AGED HUSBAND (5TH CLAIMANT)
                                                            BK = YOUNG WIFE (4TH CLAIMANT)
                                                            BL = YOUNG WIFE (5TH CLAIMANT)
                                                            BN = DIVORCED WIFE (3RD CLAIMANT)
                                                            BP = DIVORCED WIFE (4TH CLAIMANT)
                                                            BQ = DIVORCED WIFE (5TH CLAIMANT)
                                                            BR = DIVORCED HUSBAND (1ST CLAIMANT)
                                                            BT = DIVORCED HUSBAND (2ND CLAIMANT)
                                                            BW = YOUNG HUSBAND (2ND CLAIMANT)
                                                            BY = YOUNG HUSBAND (1ST CLAIMANT)
                                                            C1-C9,CA-CZ = CHILD (INCLUDES MINOR, STUDENT
                                                                          OR DISABLED CHILD)
                                                            D  = AGED WIDOW, 60 OR OVER (1ST CLAIMANT)
                                                            D1 = AGED WIDOWER, AGE 60 OR OVER (1ST
                                                                 CLAIMANT)
                                                            D2 = AGED WIDOW (2ND CLAIMANT)
                                                            D3 = AGED WIDOWER (2ND CLAIMANT)
                                                            D4 = WIDOW (REMARRIED AFTER ATTAINMENT OF
                                                                 AGE 60) (1ST CLAIMANT)
                                                            D5 = WIDOWER (REMARRIED AFTER ATTAINMENT OF
                                                                 AGE 60) (1ST CLAIMANT)
                                                            D6 = SURVIVING DIVORCED WIFE, AGE 60 OR OVER
                                                                 (1ST CLAIMANT)
                                                            D7 = SURVIVING DIVORCED WIFE (2ND CLAIMANT)
                                                            D8 = AGED WIDOW (3RD CLAIMANT)
                                                            D9 = REMARRIED WIDOW (2ND CLAIMANT)
                                                            DA = REMARRIED WIDOW (3RD CLAIMANT)
                                                            DD = AGED WIDOW (4TH CLAIMANT)
                                                            DG = AGED WIDOW (5TH CLAIMANT)
                                                            DH = AGED WIDOWER (3RD CLAIMANT)
                                                            DJ = AGED WIDOWER (4TH CLAIMANT)
                                                            DK = AGED WIDOWER (5TH CLAIMANT)
                                                            DL = REMARRIED WIDOW (4TH CLAIMANT)
                                                            DM = SURVIVING DIVORCED HUSBAND (2ND
                                                                 CLAIMANT)
                                                            DN = REMARRIED WIDOW (5TH CLAIMANT)
                                                            DP = REMARRIED WIDOWER (2ND CLAIMANT)
                                                            DQ = REMARRIED WIDOWER (3RD CLAIMANT)
                                                            DR = REMARRIED WIDOWER (4TH CLAIMANT)
                                                            DS = SURVIVING DIVORCED HUSBAND (3RD
                                                                 CLAIMANT)
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            DT = REMARRIED WIDOWER (5TH CLAIMANT)
                                                            DV = SURVIVING DIVORCED WIFE (3RD CLAIMANT)
                                                            DW = SURVIVING DIVORCED WIFE (4TH CLAIMANT)
                                                            DX = SURVIVING DIVORCED HUSBAND (4TH
                                                                 CLAIMANT)
                                                            DY = SURVIVING DIVORCED WIFE (5TH CLAIMANT)
                                                            DZ = SURVIVING DIVORCED HUSBAND (5TH
                                                                 CLAIMANT)
                                                            E  = MOTHER (WIDOW) (1ST CLAIMANT)
                                                            E1 = SURVIVING DIVORCED MOTHER (1ST
                                                                 CLAIMANT)
                                                            E2 = MOTHER (WIDOW) (2ND CLAIMANT)
                                                            E3 = SURVIVING DIVORCED MOTHER (2ND
                                                                 CLAIMANT)
                                                            E4 = FATHER (WIDOWER) (1ST CLAIMANT)
                                                            E5 = SURVIVING DIVORCED FATHER (WIDOWER)
                                                                 (1ST CLAIMANT)
                                                            E6 = FATHER (WIDOWER) (2ND CLAIMANT)
                                                            E7 = MOTHER (WIDOW) (3RD CLAIMANT)
                                                            E8 = MOTHER (WIDOW) (4TH CLAIMANT)
                                                            E9 = SURVIVING DIVORCED FATHER (WIDOWER)
                                                                 (2ND CLAIMANT)
                                                            EA = MOTHER (WIDOW) (5TH CLAIMANT)
                                                            EB = SURVIVING DIVORCED MOTHER (3RD
                                                                 CLAIMANT)
                                                            EC = SURVIVING DIVORCED MOTHER (4TH
                                                                 CLAIMANT)
                                                            ED = SURVIVING DIVORCED MOTHER (5TH
                                                                 CLAIMANT
                                                            EF = FATHER (WIDOWER) (3RD CLAIMANT)
                                                            EG = FATHER (WIDOWER) (4TH CLAIMANT)
                                                            EH = FATHER (WIDOWER) (5TH CLAIMANT)
                                                            EJ = SURVIVING DIVORCED FATHER (3RD
                                                                 CLAIMANT)
                                                            EK = SURVIVING DIVORCED FATHER (4TH
                                                                 CLAIMANT)
                                                            EM = SURVIVING DIVORCED FATHER (5TH
                                                                 CLAIMANT)
                                                            F1 = FATHER
                                                            F2 = MOTHER
                                                            F3 = STEPFATHER
                                                            F4 = STEPMOTHER
                                                            F5 = ADOPTING FATHER
                                                            F6 = ADOPTING MOTHER
                                                            F7 = SECOND ALLEGED FATHER
                                                            F8 = SECOND ALLEGED MOTHER
                                                            J1 = PRIMARY PROUTY ENTITLED TO HIB
                                                                 (LESS THAN 3 Q.C.) (GENERAL FUND)
                                                            J2 = PRIMARY PROUTY ENTITLED TO HIB
                                                                 (OVER 2 Q.C.) (RSI TRUST FUND)
                                                            J3 = PRIMARY PROUTY NOT ENTITLED TO HIB
                                                                 (LESS THAN 3 Q.C.) (GENERAL FUND)
                                                            J4 = PRIMARY PROUTY NOT ENTITLED TO HIB
                                                                 (OVER 2 Q.C.) (RSI TRUST FUND)
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            K1 = PROUTY WIFE ENTITLED TO HIB (LESS THAN
                                                                 3 Q.C.) (GENERAL FUND) (1ST CLAIMANT)
                                                            K2 = PROUTY WIFE ENTITLED TO HIB (OVER 2
                                                                 Q.C.) (RSI TRUST FUND) (1ST CLAIMANT)
                                                            K3 = PROUTY WIFE NOT ENTITLED TO HIB (LESS
                                                                 THAN 3 Q.C.) (GENERAL FUND) (1ST
                                                                 CLAIMANT)
                                                            K4 = PROUTY WIFE NOT ENTITLED TO HIB (OVER
                                                                 2 Q.C.) (RSI TRUST FUND) (1ST
                                                                 CLAIMANT)
                                                            K5 = PROUTY WIFE ENTITLED TO HIB (LESS THAN
                                                                 3 Q.C.) (GENERAL FUND) (2ND CLAIMANT)
                                                            K6 = PROUTY WIFE ENTITLED TO HIB (OVER 2
                                                                 Q.C.) (RSI TRUST FUND) (2ND CLAIMANT)
                                                            K7 = PROUTY WIFE NOT ENTITLED TO HIB (LESS
                                                                 THAN 3 Q.C.) (GENERAL FUND) (2ND
                                                                 CLAIMANT)
                                                            K8 = PROUTY WIFE NOT ENTITLED TO HIB (OVER
                                                                 2 Q.C.) (RSI TRUST FUND) (2ND
                                                                 CLAIMANT)
                                                            K9 = PROUTY WIFE ENTITLED TO HIB (LESS THAN
                                                                 3 Q.C.) (GENERAL FUND) (3RD CLAIMANT)
                                                            KA = PROUTY WIFE ENTITLED TO HIB (OVER 2
                                                                 Q.C.) (RSI TRUST FUND) (3RD CLAIMANT)
                                                            KB = PROUTY WIFE NOT ENTITLED TO HIB (LESS
                                                                 THAN 3 Q.C.) (GENERAL FUND) (3RD
                                                                 CLAIMANT)
                                                            KC = PROUTY WIFE NOT ENTITLED TO HIB (OVER
                                                                 2 Q.C.) (RSI TRUST FUND) (3RD
                                                                 CLAIMANT)
                                                            KD = PROUTY WIFE ENTITLED TO HIB (LESS THAN
                                                                 3 Q.C.) (GENERAL FUND) (4TH CLAIMANT)
                                                            KE = PROUTY WIFE ENTITLED TO HIB (OVER 2 Q.C
                                                                 (4TH CLAIMANT)
                                                            KF = PROUTY WIFE NOT ENTITLED TO HIB (LESS
                                                                 THAN 3 Q.C.)(4TH CLAIMANT)
                                                            KG = PROUTY WIFE NOT ENTITLED TO HIB (OVER
                                                                 2 Q.C.)(4TH CLAIMANT)
                                                            KH = PROUTY WIFE ENTITLED TO HIB (LESS THAN
                                                                 3 Q.C.)(5TH CLAIMANT)
                                                            KJ = PROUTY WIFE ENTITLED TO HIB (OVER 2
                                                                 Q.C.) (5TH CLAIMANT)
                                                            KL = PROUTY WIFE NOT ENTITLED TO HIB (LESS
                                                                 THAN 3 Q.C.)(5TH CLAIMANT)
                                                            KM = PROUTY WIFE NOT ENTITLED TO HIB (OVER
                                                                 2 Q.C.) (5TH CLAIMANT)
                                                            M  = UNINSURED-NOT QUALIFIED FOR DEEMED HIB
                                                            M1 = UNINSURED-QUALIFIED BUT REFUSED HIB
                                                            T  = UNINSURED-ENTITLED TO HIB UNDER DEEMED
                                                                 OR RENAL PROVISIONS
                                                            TA = MQGE (PRIMARY CLAIMANT)
                                                            TB = MQGE AGED SPOUSE (FIRST CLAIMANT)
                                                            TC = MQGE DISABLED ADULT CHILD (FIRST CLAIMANT)
                                                            TD = MQGE AGED WIDOW(ER) (FIRST CLAIMANT)
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            TE = MQGE YOUNG WIDOW(ER) (FIRST CLAIMANT)
                                                            TF = MQGE PARENT (MALE)
                                                            TG = MQGE AGED SPOUSE (SECOND CLAIMANT)
                                                            TH = MQGE AGED SPOUSE (THIRD CLAIMANT)
                                                            TJ = MQGE AGED SPOUSE (FOURTH CLAIMANT)
                                                            TK = MQGE AGED SPOUSE (FIFTH CLAIMANT)
                                                            TL = MQGE AGED WIDOW(ER) (SECOND CLAIMANT)
                                                            TM = MQGE AGED WIDOW(ER) (THIRD CLAIMANT)
                                                            TN = MQGE AGED WIDOW(ER) (FOURTH CLAIMANT)
                                                            TP = MQGE AGED WIDOW(ER) (FIFTH CLAIMANT)
                                                            TQ = MQGE PARENT (FEMALE)
                                                            TR = MQGE YOUNG WIDOW(ER) (SECOND CLAIMANT)
                                                            TS = MQGE YOUNG WIDOW(ER) (THIRD CLAIMANT)
                                                            TT = MQGE YOUNG WIDOW(ER) (FOURTH CLAIMANT)
                                                            TU = MQGE YOUNG WIDOW(ER) (FIFTH CLAIMANT)
                                                            TV = MQGE DISABLED WIDOW(ER) FIFTH CLAIMANT
                                                            TW = MQGE DISABLED WIDOW(ER) FIRST CLAIMANT
                                                            TX = MQGE DISABLED WIDOW(ER) SECOND CLAIMANT
                                                            TY = MQGE DISABLED WIDOW(ER) THIRD CLAIMANT
                                                            TZ = MQGE DISABLED WIDOW(ER) FOURTH CLAIMANT
                                                            T2-T9 = DISABLED CHILD (SECOND TO NINTH
                                                                    CLAIMANT)
                                                            W  = DISABLED WIDOW, AGE 50 OR OVER (1ST
                                                                 CLAIMANT)
                                                            W1 = DISABLED WIDOWER, AGE 50 OR OVER (1ST
                                                                 CLAIMANT)
                                                            W2 = DISABLED WIDOW (2ND CLAIMANT)
                                                            W3 = DISABLED WIDOWER (2ND CLAIMANT)
                                                            W4 = DISABLED WIDOW (3RD CLAIMANT)
                                                            W5 = DISABLED WIDOWER (3RD CLAIMANT)
                                                            W6 = DISABLED SURVIVING DIVORCED WIFE (1ST
                                                                 CLAIMANT)
                                                            W7 = DISABLED SURVIVING DIVORCED WIFE (2ND
                                                                 CLAIMANT)
                                                            W8 = DISABLED SURVIVING DIVORCED WIFE (3RD
                                                                 CLAIMANT)
                                                            W9 = DISABLED WIDOW (4TH CLAIMANT)
                                                            WB = DISABLED WIDOWER (4TH CLAIMANT)
                                                            WC = DISABLED SURVIVING DIVORCED WIFE (4TH
                                                                 CLAIMANT)
                                                            WF = DISABLED WIDOW (5TH CLAIMANT)
                                                            WG = DISABLED WIDOWER (5TH CLAIMANT)
                                                            WJ = DISABLED SURVIVING DIVORCED WIFE (5TH
                                                                 CLAIMANT)
                                                            WR = DISABLED SURVIVING DIVORCED HUSBAND
                                                                 (1ST CLAIMANT)
                                                            WT = DISABLED SURVIVING DIVORCED HUSBAND
                                                                 (2ND CLAIMANT)

                                                            RAILROAD RETIREMENT BOARD:

                                                               NOTE:
                                                               EMPLOYEE:  A MEDICARE BENEFICIARY WHO IS
                                                                          STILL WORKING OR A WORKER WHO
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                                          DIED BEFORE RETIREMENT
                                                               ANNUITANT: A PERSON WHO RETIRED UNDER THE
                                                                          RAILROAD RETIREMENT ACT ON OR
                                                                          AFTER 03/01/37
                                                               PENSIONER: A PERSON WHO RETIRED PRIOR TO
                                                                          03/01/37 AND WAS INCLUDED IN THE
                                                                          RAILROAD RETIREMENT ACT

                                                            10 = RETIREMENT - EMPLOYEE OR ANNUITANT
                                                            80 = RR PENSIONER (AGE OR DISABILITY)
                                                            14 = SPOUSE OF RR EMPLOYEE OR ANNUITANT
                                                                 (HUSBAND OR WIFE)
                                                            84 = SPOUSE OF RR PENSIONER
                                                            43 = CHILD OF RR EMPLOYEE
                                                            13 = CHILD OF RR ANNUITANT
                                                            17 = DISABLED ADULT CHILD OF RR ANNUITANT
                                                            46 = WIDOW/WIDOWER OF RR EMPLOYEE
                                                            16 = WIDOW/WIDOWER OF RR ANNUITANT
                                                            86 = WIDOW/WIDOWER OF RR PENSIONER
                                                            43 = WIDOW OF EMPLOYEE WITH A CHILD IN HER CARE
                                                            13 = WIDOW OF ANNUITANT WITH A CHILD IN HER CARE
                                                            83 = WIDOW OF PENSIONER WITH A CHILD IN HER CARE
                                                            45 = PARENT OF EMPLOYEE
                                                            15 = PARENT OF ANNUITANT
                                                            85 = PARENT OF PENSIONER
                                                            11 = SURVIVOR JOINT ANNUITANT
                                                                 (REDUCED BENEFITS TAKEN TO INSURE BENEFITS
                                                                 FOR SURVIVING SPOUSE)

                                                            SOURCE:
                                                            SSA AND RRB BENEFICIARY SYSTEMS

    4. STATE CODE                   CHAR      2    64   65  THIS FIELD SPECIFIES THE STATE OF RESIDENCE
                                                            OF THE BENEFICIARY AND IS BASED ON THE MAILING
                                                            ADDRESS USED FOR CASH BENEFITS OR THE MAILING
                                                            ADDRESS USED FOR OTHER PURPOSES (FOR EXAMPLE,
                                                            PREMIUM BILLING). THIS INFORMATION IS
                                                            MAINTAINED FROM CHANGE OF ADDRESS NOTICES
                                                            SENT IN BY THE BENEFICIARIES, AND IS APPENDED
                                                            TO THE RECORD AT TIME OF PROCESSING IN CENTRAL
                                                            OFFICE.  THE CODING SYSTEM IS THE SSA SYSTEM,
                                                            NOT THE FEDERAL INFORMATION PROCESSING
                                                            STANDARD (FIPS).

                                                            STANDARD ALIAS: BENE_RSDNC_SSA_STD_STATE_CD

                                                            CODES:
                                                            01 = ALABAMA
                                                            02 = ALASKA
                                                            03 = ARIZONA
                                                            04 = ARKANSAS
                                                            05 = CALIFORNIA
                                                            06 = COLORADO
                                                            07 = CONNECTICUT
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            08 = DELAWARE
                                                            09 = DISTRICT OF COLUMBIA
                                                            10 = FLORIDA
                                                            11 = GEORGIA
                                                            12 = HAWAII
                                                            13 = IDAHO
                                                            14 = ILLINOIS
                                                            15 = INDIANA
                                                            16 = IOWA
                                                            17 = KANSAS
                                                            18 = KENTUCKY
                                                            19 = LOUISIANA
                                                            20 = MAINE
                                                            21 = MARYLAND
                                                            22 = MASSACHUSETTS
                                                            23 = MICHIGAN
                                                            24 = MINNESOTA
                                                            25 = MISSISSIPPI
                                                            26 = MISSOURI
                                                            27 = MONTANA
                                                            28 = NEBRASKA
                                                            29 = NEVADA
                                                            30 = NEW HAMPSHIRE
                                                            31 = NEW JERSEY
                                                            32 = NEW MEXICO
                                                            33 = NEW YORK
                                                            34 = NORTH CAROLINA
                                                            35 = NORTH DAKOTA
                                                            36 = OHIO
                                                            37 = OKLAHOMA
                                                            38 = OREGON
                                                            39 = PENNSYLVANIA
                                                            40 = PUERTO RICO
                                                            41 = RHODE ISLAND
                                                            42 = SOUTH CAROLINA
                                                            43 = SOUTH DAKOTA
                                                            44 = TENNESSEE
                                                            45 = TEXAS
                                                            46 = UTAH
                                                            47 = VERMONT
                                                            48 = VIRGIN ISLANDS
                                                            49 = VIRGINIA
                                                            50 = WASHINGTON
                                                            51 = WEST VIRGINIA
                                                            52 = WISCONSIN
                                                            53 = WYOMING
                                                            54 = AFRICA
                                                            55 = ASIA OR
                                                                 CALIFORNIA; INSTITUTIONAL PROVIDER
                                                                 OF SERVICES (IPS) ONLY
                                                            56 = CANADA & ISLANDS
                                                            57 = CENTRAL AMERICA AND WEST INDIES
                                                            58 = EUROPE
                                                            59 = MEXICO
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            60 = OCEANIA
                                                            61 = PHILIPPINES
                                                            62 = SOUTH AMERICA
                                                            63 = U.S. POSSESSIONS
                                                            64 = AMERICAN SAMOA
                                                            65 = GUAM
                                                            66 = SAIPAN
                                                                 OR NORTHERN MARIANAS
                                                            67 = TEXAS; INSTITUTIONAL PROVIDER
                                                                 OF SERVICES (IPS) ONLY
                                                            97 = NORTHERN MARIANAS
                                                            98 = GUAM
                                                            99 = WITH 000 COUNTY CODE IS AMERICAN SAMOA;
                                                                 OTHERWISE UNKNOWN

                                                            SOURCE:
                                                            SSA AND RRB BENEFICIARY RECORD SYSTEMS.
                                                            FOR RRB BENEFICIARIES, THE STATE IS CODED
                                                            IN SSA BASED ON MAILING ADDRESS.

                                                            LIMITATIONS:
                                                            IN SOME CASES, THE CODE MAY NOT BE THE
                                                            ACTUAL STATE OF RESIDENCE.  (FOR EXAMPLE,
                                                            IF THE BENEFICIARY HAS A REPRESENTATIVE PAYEE).

    5. COUNTY CODE                  CHAR      3    66   68  THIS CODE SPECIFIES THE SSA CODE FOR THE
                                                            COUNTY OF RESIDENCE OF THE BENEFICIARY.
                                                            EACH STATE HAS A SERIES OF CODES BEGINNING
                                                            WITH '000' FOR EACH COUNTY WITHIN THAT
                                                            STATE.  CERTAIN CITIES WITHIN THAT STATE
                                                            HAVE THEIR OWN CODE.   COUNTY CODES MUST
                                                            BE COMBINED WITH STATE CODES IN ORDER TO
                                                            LOCATE THE SPECIFIC COUNTY.  THE CODING
                                                            SYSTEM IS THE SSA SYSTEM, NOT THE FEDERAL
                                                            INFORMATION PROCESSING SYSTEM (FIPS).

                                                            STANDARD ALIAS: BENE_RSDNC_SSA_STD_CNTY_CD

                                                            EDIT-RULES:
                                                            NUMERIC

                                                            SOURCE:
                                                            'GEOGRAPHIC CODE MANUAL FOR STATE AND COUNTY
                                                            OF RESIDENCE' PRODUCED BY THE SSA.

                                                            LIMITATIONS:
                                                            SOME CODES MAY BE INVALID, UNKNOWN, OR '999'.
                                                            (DIFFERENT FROM FIPS)

    6. ZIP CODE OF RESIDENCE        NUM       9    69   77  THIS FIELD SPECIFIES THE ZIP CODE AND IS
                                                            BASED UPON THE MAILING ADDRESS USED FOR
                                                            CASH BENEFITS TO THE BENEFICIARY OR FOR
                                                            OTHER PURPOSES (E.G., PREMIUM BILLING).

1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            9 DIGITS

                                                            STANDARD ALIAS: BENE_MLG_CNTCT_ZIP_CD

                                                            EDIT-RULES:
                                                            9-DIGIT ZIP
                                                            5-DIGIT ZIP - ZERO BACK FILLED
                                                            3-DIGIT ZIP - ALL NINES
                                                            NO ZIP - ALL ZEROS

                                                            COMMENT:
                                                            CODES IDENTIFY POSTAL SERVICE AREAS
                                                            WITHIN THE U.S.A. BUT DO NOT NECESSARILY
                                                            ADHERE TO BOUNDARIES OF CITIES, COUNTIES,
                                                            STATES,  OR OTHER JURISDICTIONS.  THE
                                                            CODE IS APPENDED TO THE RECORD AT TIME
                                                            OF PROCESSING IN CENTRAL OFFICE.
                                                            THE FIRST THREE POSITIONS OF THE ZIP CODE
                                                            REPRESENT A PARTICULAR SECTIONAL POSTAL
                                                            CENTER OR A METROPOLITAN CITY.  THE FOLLOWING
                                                            TWO DIGITS REPRESENT THE ASSOCIATED POST
                                                            POST OFFICE SERVED BY THE POSTAL CENTER OR
                                                            THE DELIVERY AREA SERVED BY THE POSTAL
                                                            STATION.

                                                            SOURCE:
                                                            EDB

                                                            LIMITATIONS:
                                                            ZIP CODE MAY NOT CORRESPOND WITH STATE
                                                            OF RESIDENCE.

    7. DATE OF BIRTH                NUM       8    78   85  THIS DATE SPECIFIES THE BENEFICIARY'S DATE OF
                                                            BIRTH.

                                                            8 DIGITS

                                                            STANDARD ALIAS: BENE_BIRTH_DT
                                                            COMMON ALIAS: DOB

                                                            EDIT-RULES:
                                                            YYYYMMDD

                                                            SOURCE:
                                                            SSA AND RRB BENEFICIARY RECORD SYSTEMS

    8. SEX                          CHAR      1    86   86  THIS FIELD INDICATES THE SEX OF THE
                                                            BENEFICIARY.

                                                            DERIVATION:
                                                            ANY UNKNOWN SEX CODES HAVE BEEN ASSIGNED
                                                            TO MALE/FEMALE BASED ON AGE:
                                                                < 65 = MALE, > 64 = FEMALE.

1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            CODES:
                                                            1 = MALE
                                                            2 = FEMALE

    9. BENEFICIARY RACE CODE        CHAR      1    87   87  THE RACE OF A BENEFICIARY.

                                                            STANDARD ALIAS: BENE_RACE_CD
                                                            SAS ALIAS: RACE_CD
                                                            TITLE ALIAS: RACE_CD

                                                            CODES:
                                                            0 = UNKNOWN
                                                            1 = WHITE
                                                            2 = BLACK
                                                            3 = OTHER
                                                            4 = ASIAN
                                                            5 = HISPANIC
                                                            6 = NORTH AMERICAN NATIVE

                                                            SQL-INFO:
                                                            CHAR(1)       NOT NULL

                                                            SOURCE:
                                                            SSA

   10. AGE                          NUM       2    88   89  BENEFICIARY'S AGE AT END OF PRIOR YEAR.

                                                            2 DIGITS

                                                            CODES:
                                                            AGE > 98, CODED AS 98

   11. ORIGINAL REASON FOR          CHAR      1    90   90  THIS FIELD INDICATES THE REASON FOR THE
       ENTITLEMENT                                          BENEFICIARY'S ORIGINAL ENTITLEMENT TO
                                                            MEDICARE BENEFITS.

                                                            CODES:
                                                            0 = OLD AGE AND SURVIVORS INSURANCE (OASI)
                                                            1 = DISABILITY INSURANCE BENEFITS (DIB)
                                                            2 = ESRD
                                                            3 = BOTH DIB AND ESRD

                                                            SOURCE:
                                                            SSA AND RRB BENEFICIARY RECORD SYSTEMS

   12. CURRENT REASON FOR           CHAR      1    91   91  THIS FIELD INDICATES THE REASON FOR THE
       ENTITLEMENT CODE                                     BENEFICIARY'S CURRENT ENTITLEMENT TO MEDICARE
                                                            BENEFITS.

                                                            CODES:
                                                            0 = OLD AGE AND SURVIVOR'S INSURANCE (OASI)
                                                            1 = DISABILITY INSURANCE BENEFITS (DIB)
                                                            2 = ESRD
                                                            3 = DIB AND ESRD
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------

                                                            SOURCE:
                                                            ENROLLMENT DATA BASE

   13. END STAGE RENAL DISEASE      CHAR      1    92   92  THIS FIELD SPECIFIES THAT A BENEFICIARY IS
       INDICATOR (ESRD)                                     AFFLICTED WITH END STAGE RENAL DISEASE (ESRD).

                                                            CODES:
                                                            EFFECTIVE 1992
                                                            Y = THE BENEFICIARY HAS ESRD
                                                            0 = THE BENEFICIARY DOES NOT HAVE ESRD

   14. MEDICARE STATUS CODE         CHAR      2    93   94  THIS FIELD SPECIFIES THE REASON FOR THE
                                                            BENEFICIARY'S ENTITLEMENT.

                                                            STANDARD ALIAS: BENE_MDCR_STUS_CD
                                                            COMMON ALIAS: MSC

                                                            CODES:
                                                            10 = AGED WITHOUT ESRD
                                                            11 = AGED WITH ESRD
                                                            20 = DISABLED WITHOUT ESRD
                                                            21 = DISABLED WITH ESRD
                                                            31 = ESRD ONLY

                                                            SOURCE:
                                                            THIS FIELD IS CODED FROM AGE, ORIGINAL REASON
                                                            FOR ENTITLEMENT, CURRENT REASON FOR
                                                            ENTITLEMENT AND ESRD INDICATOR CONTAINED
                                                            IN THE ENROLLMENT DATA BASE AT THE
                                                            CENTRAL OFFICE AT THE DATE OF PROCESSING.

   15. PART A TERMINATION CODE      CHAR      1    95   95  THIS CODE SPECIFIES THE REASON PART A
                                                            ENTITLEMENT WAS TERMINATED.

                                                            CODES:
                                                            EFFECTIVE 1992
                                                            0 = NOT TERMINATED
                                                            1 = DEAD (WITH VALIDATED DAY OF DEATH)
                                                            2 = NON-PAYMENT OF PREMIUM
                                                            3 = VOLUNTARY WITHDRAWAL
                                                            9 = OTHER TERMINATION REASON

                                                            SOURCE:
                                                            ENROLLMENT DATA BASE

   16. PART B TERMINATION           CHAR      1    96   96  THIS CODE SPECIFIES THE REASON PART B
                                                            ENTITLEMENT WAS TERMINATED.

                                                            CODES:
                                                            EFFECTIVE 1992
                                                            0 = NOT TERMINATED
                                                            1 = DEAD (WITH VALIDATED DAY OF DEATH)
                                                            2 = NON-PAYMENT OF PREMIUM
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------
                                                            3 = VOLUNTARY WITHDRAWAL
                                                            9 = OTHER TERMINATION REASON

                                                            SOURCE:
                                                            ENROLLMENT DATA BASE

   17. FILLER                       CHAR      1    97   97  STANDARD ALIAS: FILLER
                                                            SAS ALIAS: FILLER

 ****  ENTITLEMENT / BUYIN          GROUP    12    98  109  INCLUDES ONE ENTITLEMENT BUYIN INDICATOR FOR
       INDICATORS                                           EACH MONTH OF THE REFERENCE YEAR.

   18. MEDICARE ENTITLEMENT/BUY-IN  CHAR      1    98   98  OCCURS: 12 TIMES
       INDICATOR
                                                            CODES:
                                                            0 = NOT ENTITLED
                                                            1 = PART A ONLY
                                                            2 = PART B ONLY
                                                            3 = PART A AND PART B
                                                            A = PART A, STATE BUY-IN
                                                            B = PART B, STATE BUY-IN
                                                            C = PARTS A AND B, STATE BUY-IN

 ****  HMO INDICATORS               GROUP    12   110  121  INCLUDES ONE HMO INDICATOR FOR EACH MONTH
                                                            OF THE REFERENCE YEAR.

   19. HMO INDICATOR                CHAR      1   110  110  CODE INDICATING BENEFICIARY HAS MEMBERSHIP
                                                            IN HEALTH MAINTENANCE ORGANIZATION.

                                                            OCCURS: 12 TIMES

                                                            CODES:
                                                            EFFECTIVE 1992
                                                            0 = NOT A MEMBER OF HMO
                                                            1 = NON LOCK-IN, CMS TO PROCESS PROVIDER CLAIMS,
                                                                COST-TYPE CONTRACT
                                                            2 = NON LOCK-IN, HMO TO PROCESS IN-PLAN PART A AND
                                                                IN-AREA PART B CLAIMS,COST-TYPE CONTRACT
                                                            4 = CHRONIC CARE DISEASE MANAGEMENT ORGANIZATIONS-FFS PLAN
                                                            A = LOCK-IN, CMS TO PROCESS PROVIDER CLAIMS,
                                                                RISK-TYPE CONTRACT
                                                            B = LOCK-IN, HMO TO PROCESS IN-PLAN PART A AND PART B
                                                                CLAIMS, RISK-TYPE CONTRACT
                                                            C = LOCK-IN, HMO TO PROCESS ALL PROVIDER CLAIMS,
                                                                MEDICARE+CHOICE TYPE CONTRACT

   20. HI COVERAGE                  NUM       2   122  123  TOTAL NUMBER OF MONTHS OF PART A COVERAGE

                                                            2 DIGITS

   21. SMI COVERAGE                 NUM       2   124  125  TOTAL NUMBER OF MONTHS OF PART B COVERAGE

                                                            2 DIGITS

   22. HMO COVERAGE                 NUM       2   126  127  TOTAL NUMBER OF MONTHS OF HMO COVERAGE.
1                                                  DENOMINATOR RECORD

                                                 POSITIONS
                  NAME              TYPE  LENGTH BEG  END                            CONTENTS
       ---------------------------  ----  ------ ---------  ------------------------------------------------------------

                                                            2 DIGITS

   23. STATE BUY-IN COVERAGE        NUM       2   128  129  TOTAL NUMBER OF MONTHS OF STATE BUY-IN.

                                                            2 DIGITS

   24. VALID DATE OF DEATH SWITCH   CHAR      1   130  130  CODES:
                                                            V = VALID DEATH DATE
                                                            BLANK = DEFAULT

   25. DATE OF DEATH                NUM       8   131  138  THIS FIELD INDICATES THE DATE OF DEATH
                                                            OF THE BENEFICIARY.

                                                            8 DIGITS

                                                            STANDARD ALIAS: BENE_DEATH_DT
                                                            COMMON ALIAS: DOD

                                                            EDIT-RULES:
                                                            YYYYMMDD
                                                            ZEROS = NOT APPLICABLE
                                                            IF DAY OF DEATH IS UNKNOWN, CODED AS
                                                            LAST DAY OF MONTH

   26. BENEFICIARY ENROLLMENT       NUM       2   139  140  ENROLLMENT YEAR
       REFERENCE YEAR                                       THIS FIELD INDICATES THE REFERENCE YEAR OF
                                                            ENROLLMENT OF THE BENEFICIARY.

                                                            2 DIGITS

                                                            STANDARD ALIAS: BENE_ENRLMT_RFRNC_YR

                                                            EDIT-RULES:
                                                            YY
1
CTGRY_EQTBL_BENE_IDENT_TB CATEGORY EQUATABLE BENEFICIARY IDENTIFICATION
CONTENTS
NCH BIC     SSA CATEGORIES
-------     --------------
A       =   A ; J1; J2; J3; J4; M ; M1; T ; TA
B       =   B ; B2; B6; D ; D4; D6; E ; E1; K1;
            K2; K3; K4; W ; W6; TB(F); TD(F); TE(F);
            TW(F)
B1      =   B1; BR; BY; D1; D5; DC; E4; E5; W1; WR;
            TB(M); TD(M); TE(M); TW(M)
B3      =   B3; B5; B9; D2; D7; D9; E2; E3; K5; K6;
            K7; K8; W2; W7; TG(F); TL(F); TR(F); TX(F)
B4      =   B4; BT; BW; D3; DM; DP; E6; E9; W3; WT;
            TG(M); TL(M); TR(M); TX(M)
B8      =   B8; B7; BN; D8; DA; DV; E7; EB; K9; KA;
            KB; KC; W4; W8; TH(F); TM(F); TS(F);
            TY(F)
BA      =   BA; BK; BP; DD; DL; DW; E8; EC; KD; KE;
            KF; KG; W9; WC; TJ(F); TN(F); TT(F);
            TZ(F)
BD      =   BD; BL; BQ; DG; DN; DY; EA; ED; KH; KJ;
            KL; KM; WF; WJ; TK(F); TP(F); TU(F);
            TV(F)
BG      =   BG; DH; DQ; DS; EF; EJ; W5; TH(M); TM(M);
            TS(M); TY(M)
BH      =   BH; DJ; DR; DX; EG; EK; WB; TJ(M); TN(M);
            TT(M); TZ(M)
BJ      =   BJ; DK; DT; KZ; EH; EM; WG; TK(M); TP(M);
            TU(M); TV(M)
C1      =   C1; TC
C1      =   C1; TC
C2      =   C2; T2
C3      =   C3; T3
C4      =   C4; T4
C5      =   C5; T5
C6      =   C6; T6
C7      =   C7; T7
C8      =   C8; T8
C9      =   C9; T9
F1      =   F1; TF
F2      =   F2; TQ
F3 - F8 = EQUATABLE ONLY TO ITSELF (E.G., F3 IS EQUATABLE TO F3)
CA - CZ = EQUATABLE ONLY TO ITSELF (E.G., CA IS ONLY EQUATABLE TO CA)
     ------------------------------
     RAILROAD BOARD CATEGORIES
10      =   10
11      =   11
13      =   13; 17
14      =   14; 16
15      =   15
43      =   43
45      =   45
46      =   46
80      =   80
83      =   83
84      =   84; 86
85      =   85
