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
|
7
|
H07a_Insured_Address
|
Key what you see.
|
|
7
|
H07_Insured_City
|
Key what you see.
|
|
7
|
H07_Insured_State
|
Key what you see. It should be a two-letter
abbreviation but if it is NOT, you still must key what you see.
|
Example : (H07_Insured_State)
|
State as is appears on form:
|
State as it should be entered:
|
|
NY
|
NY
|
|
New York
|
NEW YORK
|
|
N.Y.
|
N.Y.
|
|
TENN.
|
TENN.
|
|
SAME
|
SAME
|
|
Field
No |
HCFA
|
COMMON VALUES
|
RULE
|
|
7
|
H07_Insured_Zip
|
|
Hyphens and spaces are optional.
If a digit is missing, just key the digits that are
there.
|
Acceptable Entries : (H07_Insured_Zip)
|
As it appears on form:
|
Acceptable entries:
|
||
|
02715
|
|
|
02715
|
|
61380 4666
|
61380-4666
|
61380 4666
|
613804666
|
|
99478-61
|
99478-61
|
99478 61
|
9947861
|
|
Field
No |
HCFA
|
COMMON VALUES
|
RULE
|
|
7
|
H07c_Insured_Phone
|
|
Parens, dashes and spaces are optional.
|
Acceptable Entries : (H07c_Insured_Phone)
|
(309) 487-1234
|
|
309) 487-1234
|
|
309-487-1234
|
|
309 487 1234
|
|
3094871234
|
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