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Coordination of Benefits Agreement

Eligibility File Formats

Provides COBA trading partners with the layouts for enrollment E-01 and drug coverage eligibility files as well as the associated response files.    


Downloads

COBA Eligibility E01 Record Layout (pdf, 73KB)

COBA Eligibility Acknowledgment (pdf, 49KB)

COBA Eligibility Response File Layout (PDF, 50KB)


Drug Coverage Record Layout (pdf, 146KB)

Drug Coverage Eligibility Response (pdf, 46KB)
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Page Last Modified: 09/02/2008 3:03:04 PM
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