HCFA AUDIT RULES (Field 11)

Forms must be keyed in all CAPITAL LETTERS.
  
“Key what you see” means to literally key what you see. You are trying to replicate the form as it was submitted; you cannot fix errors.

Field No	HCFA	COMMON VALUES	RULE
11	H11_Insureds_Policy_No		Key what you see.
11	H11a_Insured_Birthdate		Hyphens, spaces, periods and slashes are optional. If the year is four digits, set four digits. If the year is two digits, set two digits. If the month or day is NOT two digits, either add a zero to make it two digits or add hyphens, spaces, periods or slashes. Date fields should NOT contain alphabetic characters. If a date is spelled out (e.g., May 1, 1984), change it to numbers. If any text appears in the field (e.g., STILL IN), do NOT key.

 

 Example :

As it appears on form:	Acceptable entries:
02/04/1972	02/04/1972	02-04-1972	02 04 1972	02.04.1972	02041972
1 08 69	1/08/69	1-08-69	1 08 69	1.08.69	010869
May 1, 1984	5/1/1984	5-1-1984	5 1 1984	5.1.1984	05011984

Field No	HCFA	COMMON VALUES	RULE
11	H11a_Sex	Only allowed values: M F	M=Male   F=Female
11	H11b_Employers_Name		Key what you see.
11	H11c_Insurance_Plan_Name		Key what you see.
11	H11d_Another_Health_Plan	Only allowed values: Y N	Y=Yes   N=No