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| The capitation received subcomponent identifier. |
| May contain organization-specific values: No |
| Category Entries: |
| Risk Adjustment Factor A |
| Risk Adjustment Factor B |
| Monthly Risk Adjusted Amount Part A |
| Monthly Risk Adjusted Amount Part B |
| Low-Income Premium Subsidy |
| Medication Therapy Management Add On |
| Part C Basic Premium - Part A Amount |
| Part C Basic Premium - Part B Amount |
| Rebate for Part A Cost Sharing Reduction |
| Rebate for Part B Cost Sharing Reduction |
| Rebate for Other Part A Mandatory Supplemental Benefits |
| Rebate for Other Part B Mandatory Supplemental Benefits |
| Rebate for Part B Premium Reduction - Part A Amount |
| Rebate for Part B Premium Reduction - Part B Amount |
| Rebate for Part D Supplemental Benefits - Part A Amount |
| Rebate for Part D Supplemental Benefits - Part B Amount |
| Total MA Payment or Adjustment Part A |
| Total MA Payment or Adjustment Part B |
| Risk Adjustment Factor D |
| Rebate for Part D Basic Premium Reduction |
| Part D Basic Premium Amount |
| Part D Direct Subsidy Amount |
| Reinsurance Subsidy Amount |
| Low-Income Subsidy Cost Sharing Amount |
| PACE Premium Add On |
| PACE Cost Sharing Add On |
| Part C Frailty Factor |
| MSP Reduction Factor |
| MSP Reduction Amount Part A |
| MSP Reduction Amount Part B |
| Part D Coverage Gap Discount Amount |
| Part A Monthly Rate for Payment or Adjustment |
| Part B Monthly Rate for Payment or Adjustment |
| Part D Monthly Rate for Payment or Adjustment |
| Total MA Part C Payment or Adjustment |
| Total Part D Payment or Adjustment |