TRICARE Systems Manual 7950.3-M, April 1, 2015 General Automated Data Processing (ADP) Requirements Chapter 1 Addendum A Defense Finance And Accounting Service (DFAS) Allotment Record Layouts For Defense Health Agency (DHA) Contracts Revision: 1.0 Input DataInput data includes a header record, detail records and control record. First position in all header records is H and the first position in all control or summary records contains an S. Data Element Definition ELEMENT NAME: Input Data - Header - Record 01 HEADER - RECORD 05 FILLER PIC X 05 HEADER-DATE-CCYYMMDD PIC X (8) 05 FILLER PIC X (91) Data Element Definition ELEMENT NAME: Input Data - Detail - Record 01 DETAIL - RECORD 05 RECORD-ID PIC X 05 FILLER PIC X 05 MEMBER-SSN 10 SSN-1 TO 7 PIC X (7) 10 SSN-TD PIC X (2) 05 FILLER PIC X 05 MEMBER-STATUS PIC X 05 BRANCH-SERVICE PIC X 05 MEMBER-SHORT-NAME PIC X (5) 05 FILLER PIC X 05 MEMBER-LAST-NAME PIC X (15) 05 MEMBER-FIRST-MID-NAME PIC X (7) 05 TRANS-CODE PIC 9 05 FILLER PIC X (6) 05 EFF-DATE-CCYMMDD PIC 9 (8) 05 DISCONT-DATE-CCYYMMDD PIC 9 (8) 05 MONTHLY-AMOUNT PIC 9 (4)V99 05 ORIGINAL-AMOUNT PIC 9(4)V99 05 FILLER PIC X (5) 05 PURPOSE-CODE PIC X 05 ACCOUNT-NUMBER PIC 9(17) Data Element Definition ELEMENT NAME: Input Data - Control - Record 01 CONTROL - RECORD 05 SUMMARY PIC X 05 CONTROL-ITEMS PIC X (7) 05 FILLER PIC X (92) 2.0 Reject ReportsReject data includes a header record, no match/reject records and control record. Data Element Definition ELEMENT NAME: Reject Data - Header - Record 01 HEADER - RECORD 05 FILLER PIC X 05 HEADER-DATE-CCYYMMDD PIC X (8) 05 FILLER PIC X (91) Data Element Definition ELEMENT NAME: Reject Data - Nomatch-Detail - Record 01 NOMATCH-DETAIL - RECORD 05 FILLER PIC X (2) 05 NOMATCH-SSN PIC 9 (9) 05 FILLER PIC X 05 NOMATCH-SHORT-NAME PIC X (5) 05 FILLER PIC X 05 NOMATCH-EFF-DATE PIC X(8) 05 FILLER PIC X 05 NOMATCH-REASON PIC X 05 NOMATCH-PREMIUM PIC X 9(6) 05 NOMATCH-BRANCH PIC X 05 NOMATCH-MEM-STATUS PIC X Data Element Definition ELEMENT NAME: Reject Data - Control - Record 01 CONTROL- RECORD 05 SUMMARY PIC X 05 CONTROL-ITEMS PIC X(7) 05 FILLER PIC X (92) 3.0 Deduction ReportsDeducts data and includes a header record, deducts records and control record. Data Element Definition ELEMENT NAME: Deduct Data - Header - Record 01 HEADER - RECORD 05 FILLER PIC X 05 HEADER-DATE-CCYYMMDD PIC X (8) 05 FILLER PIC X (91) Data Element Definition ELEMENT NAME: Deduct Data - Nomatch-Detail - Record 01 DEDUCT-REPORT-DETAIL - RECORD 05 FILLER PIC X (2) 05 DEDUCT-SSN PIC 9 (9) 05 FILLER PIC X 05 DEDUCT-SHORT-NAME PIC X (5) 05 FILLER PIC X 05 DEDUCT-EFF-DATE PIC X(8) 05 FILLER PIC X 05 DEDUCT-REASON PIC X 05 DEDUCT-PREMIUM PIC X 9(6) 05 DEDUCT-BRANCH PIC X 05 DEDUCT-MEM-STATUS PIC X Data Element Definition ELEMENT NAME: Deduct Data - Control - Record 01 CONTROL- RECORD 05 SUMMARY PIC X 05 CONTROL-ITEMS PIC X(7) 05 FILLER PIC X (92) - END -