Back to Top Skip to main content

Health.mil: the official website of the Military Health System (MHS) and the Defense Health Agency (DHA)

Utility Navigation Links

TRICARE Systems Manual 7950.4-M, April 2021
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 Data
Input 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 Reports
Reject 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 Reports
Deducts 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 -

Utility Navigation Links

DoD Seal

tricare.mil is the official website of the Defense Health Agency (DHA) a component of the Military Health System

TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.

If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page.
If you need help with technical/operational issues, please go to the TRICARE Manuals Online Help page.

The appearance of hyperlinks to external websites does not constitute endorsement by the DHA of these websites or the information, products or services contained therein. For other than authorized government activities, the DHA does not exercise any editorial control over the information you may find at other locations. Such links are provided consistent with the stated purpose of this DoD website.

v4.11.8372.15705

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.