Number Requirement
Shared-System
Maintainers
A
/
B
M
A
C
D
M
E
M
A
C
F
I
C
A
R
R
I
E
R
R
H
H
I
F
I
S
S
M
C
S
V
M
S
C
W
F
OTHER
workloads scheduled to be merged.
6279.4.1 As per CR 6199, BR 6199.1.1, the software
referred to in BR 6279.4 shall allow the
A/B MAC to assign new numbers to those
duplicate PINS by updating a user
maintained DATAIN. The J3 A/B MAC
shall use this software to assign the
replacement PINs.
X J3 A/B
MAC
6279.4.2 As per CR 6199, BR 6199.2, the software
referred to in 6279.4 shall also run a
compare of the MCS duplicate PINs found
in the A/B MACs workloads with the A/B
MAC’s PECOS provider file. The J3 A/B
MAC shall ensure that this software is run.
X J3 A/B
MAC
6279.4.2.1 As per CR 6199, BR 6199.2.1, if after
performing BR 6279.4.2, the duplicate PIN
on the A/B MACs MCS master provider
file is found in any of the PECOS files
(V200 file) the PECOS record shall be
added to the report. The report shall
contain the following information:
duplicate PIN, plan code, and PIN status. If
the PIN is active, the field status shall be
blank. If the PIN is inactive, the field status
shall be “IN”.
X J3 A/B
MAC
6279.5 As per CR 6199, BR 6199.3, the MCS
maintainer shall create software that will
produce a file that contains only the
duplicate PINs from the PECOS file (as per
BR 6279.4.2) as well as the newly assigned
replacement PINs.
X
6279.5.1 As per CR 6199, BR 6199.3.1, The MCS
maintainer shall use the user maintained
input file created by the MAC and the MCS
provider file to create a crosswalk file to
PECOS containing the following comma
delimited data: CURRENT-PROV-
NUMBER, ENROLLMENT ID, PAC-ID,
CURR PIN END DATE, CARRIER-
CODE-STATE, MAC CARRIER ID
CODE, NEW-PROV-NUMBER, NEW-
PROV-EFT-DATE.
X
6279.5.2 As soon as possible and no later than 90
days prior to the effective date of the CR,
the J3 A/B MAC shall send a copy of the
file referred to in BR 6279.5.1 to the
J3 A/B
MAC