Fax Number
System generated
Displays the payroll office contact’s fax number.
CLER Field Descriptions and Instructions
# (Online Entry) Field Instructions
# (System Generated) Field Instructions
% (System Generated) Percentage of Discrepancies/Reconciliation Field Instructions
% (System Generated) Percentage of Reconciled Discrepancies Field Instructions
% (System Generated) Percentage of Matching Records Field Instructions
Accepted (System Generated) Field Instructions
Action (System Generated) Field Instructions
Address (System Generated) Carrier Field Instructions
Address (System Generated) Payroll Office Field Instructions
Address 1 (System Generated) Personnel Office Contact Field Instructions
Address Line 1 (2810) Field Instructions
Address Line 1 (Carrier Plan Contact) Field Instructions
Address Line 1 (Carrier) Field Instructions
Address Line 1 (Enrollee) Field Instructions
Address Line 1 (New) Field Instructions
Address Line 1 (Payroll Contact) Field Instructions
Address Line 1 (Payroll Office) Field Instructions
Address Line 1 (Personnel Office Contact) Field Instructions
Address Line 1 (System Generated) Carrier Contact Field Instructions
Address Line 1 (System Generated) Carrier Field Instructions
Address Line 1 (System Generated) Carrier Plan Contact Field Instructions
Address Line 1 (System Generated) Enrollee Field Instructions
Address Line 1 (System Generated) Field Instructions
Address Line 1 (System Generated) Payroll Contact Field Instructions
Address Line 1 (System Generated) Payroll Office Field Instructions
Address Line 1 Field Instructions
Address Line 1* (Enrollee) Field Instructions
Address Line 1* Field Instructions
Address Line 2 (2810) Field Instructions
Address Line 2 (Carrier Plan Contact) Field Instructions
Address Line 2 (Carrier) Field Instructions
Address Line 2 (Enrollee) Field Instructions
Address Line 2 (New) Field Instructions
Address Line 2 (Payroll Contact) Field Instructions
Address Line 2 (Payroll Office) Field Instructions
Address Line 2 (Personnel Office Contact) Field Instructions
Address Line 2 (System Generated) Carrier Contact Field Instructions
Address Line 2 (System Generated) Carrier Field Instructions
Address Line 2 (System Generated) Carrier Plan Contact Field Instructions
Address Line 2 (System Generated) Enrollee Field Instructions
Address Line 2 (System Generated) Field Instructions
Address Line 2 (System Generated) Payroll Contact Field Instructions
Address Line 2 (System Generated) Payroll Office Field Instructions
Address Line 2 (System Generated) Personnel Office Contact Field instructions
Address Line 2 Field Instructions
Address Line 2* (Enrollee) Field Instructions
Address Line 2* Field Instructions
Address Line 3 (2810) Field Instructions
Address Line 3 (Carrier Plan Contact) Field Instructions
Address Line 3 (Carrier) Field Instructions
Address Line 3 (Enrollee) Field Instructions
Address Line 3 (New) Field Instructions
Address Line 3 (Payroll Contact) Field Instructions
Address Line 3 (Payroll Office) Field Instructions
Address Line 3 (Personnel Office Contact) Field instructions
Address Line 3 (System Generated) Carrier Contact Field Instructions
Address Line 3 (System Generated) Carrier Field Instructions
Address Line 3 (System Generated) Carrier Plan Contact Field Instructions
Address Line 3 (System Generated) Enrollee Field Instructions
Address Line 3 (System Generated) Field Instructions
Address Line 3 (System Generated) Payroll Contact Field Instructions
Address Line 3 (System Generated) Payroll Office Field Instructions
Address Line 3 (System Generated) Personnel Office Contact Field Instructions
Address Line 3 Field Instructions
Address Line 3* (Enrollee) Field Instructions
Address Line 3* Field Instructions
Affects (System Generated) Field Instructions
Affects Carrier (System Generated) Field Instructions
Affects Carrier Field Instructions
Affects Payroll (System Generated) Field Instructions
Affects Payroll Field Instructions
Affects* Field Instructions
Agcy (System Generated) Field Instructions
Agency (System Generated) Field Instructions
Agency (System Generated) Reports Field Instructions
Agency Field Instructions
Agency ID (System Generated) Field Instructions
Agency ID Field Instructions
Agency Name (System Generated) Field Instructions
Agency Name* Field Instructions
Agency Use (System Generated) Field Instructions
Agency Use Field Instructions
Agency* Field Instructions
Amount (System Generated) Field Instructions
Amount Field Instructions
Amount Received (System Generated) Field Instructions
Amt Received Field Instructions
Amount Sent (System Generated) Field Instructions
Amt Sent Field Instructions
Annuity Claim # (System Generated) Field Instructions
Annuity Claim # Field Instructions
As of Date (System Generated) Field Instructions
As of Date (System Generated) Payroll Office Field Instructions
As of Date for Pay Period Transmission: From Field Instructions
As of Date for Pay Period Transmission: To Field Instructions
As of Date From Field Instructions
As of Date To Field Instructions
As of Date* (Drop-Down) Field Instructions
As of Date* (PP Schedule) Field Instructions
As of Date* (Transmission) Field Instructions
Authorized Official Date (System Generated) Field Instructions
Authorized Official Date Field Instructions
Authorized Official First Name (2810) Field Instructions
Authorized Official First Name (System Generated) 2809 Field Instructions
Authorized Official First Name (System Generated) 2810 Field Instructions
Authorized Official First Name Field Instructions
Authorized Official Initial (2810) Field Instructions
Authorized Official Initial (System Generated) 2809 Field Instructions
Authorized Official Initial (System Generated) 2810 Field Instructions
Authorized Official Initial Field Instructions
Authorized Official Last Name (2810) Field Instructions
Authorized Official Last Name (System Generated) 2809 Field Instructions
Authorized Official Last Name (System Generated) 2810 Field Instructions
Authorized Official Last Name* Field Instructions
Authorized Official Phone (System Generated) Field Instructions
Authorized Official Phone Field Instructions
Banner Message Field Instructions
Cancel Enrollment For Reasons Other Than Above (System Generated) Field Instructions
Cancel Enrollment For Reasons Other Than Above Field Instructions
Carrier (Drop-Down) Field Instructions
Carrier (Enrollee) Field Instructions
Carrier (Identification Code) Field Instructions
Carrier (Organization Carrier Drop-Down) Field Instructions
Carrier (System Generated) Field Instructions
Carrier (System Generated) Identification Code Field Instructions
Carrier Comments (System Generated) Field Instructions
Carrier Errors (System Generated) Field Instructions
Carrier Field Instructions
Carrier ID (Contact Record) Field Instructions
Carrier ID (Drop-Down) Field Instructions
Carrier ID (System Generated) Field Instructions
Carrier ID Field Instructions
Carrier ID* (Carrier Discrepancy) Field Instructions
Carrier ID* (Carrier Validation) Field Instructions
Carrier Total Field Instructions
Carrier* (Drop-Down) Field Instructions
Carrier* Field Instructions
Change (#) (System Generated) Field Instructions
Change (%) (System Generated) Field Instructions
Change Actual (System Generated) Field Instructions
Change Percentage (System Generated) Field Instructions
Check Box To Create Report Without Totals Field Instructions
City (2810) Field Instructions
City (Carrier Contact) Field Instructions
City (Carrier Plan Contact) Field Instructions
City (Carrier) Field Instructions
City (New) Field Instructions
City (Payroll Contact) Field Instructions
City (Payroll Office) Field Instructions
City (Personnel Office Contact) Field Instructions
City (System Generated) Payroll Office Field Instructions
City (System Generated) Carrier Contact Field Instructions
City (System Generated) Carrier Field Instructions
City (System Generated) Carrier Plan Field Instructions
City (System Generated) Employing Contact Field Instructions
City (System Generated) Enrollee Field Instructions
City (System Generated) Personnel Contact Office Field Instructions
City* (Employing Contact) Field Instructions
City* (Enrollee) Field Instructions
Claim # (System Generated) Field Instructions
Claim # Field Instructions
Code (System Code) Field Instructions
Code (System Generated) Carrier Field Instructions
Code (System Generated) Field Instructions
Code (System Generated) Reports Field Instructions
Code (System Generated) Search Results Field Instructions
Code (System Generated) System Codes Field Instructions
Code (System Generated) Transmissions Field Instructions
Code Line 1 (System Generated) Field Instructions
Code Line 1 Field Instructions
Code Line 10 (System Generated) Field Instructions
Code Line 10 Field Instructions
Code Line 2 (System Generated) Field Instructions
Code Line 2 Field Instructions
Code Line 3 (System Generated) Field Instructions
Code Line 3 Field Instructions
Code Line 4 (System Generated) Field Instructions
Code Line 4 Field Instructions
Code Line 5 (System Generated) Field Instructions
Code Line 5 Field Instructions
Code Line 6 (System Generated) Field Instructions
Code Line 6 Field Instructions
Code Line 7 (System Generated) Field Instructions
Code Line 7 Field Instructions
Code Line 8 (System Generated) Field Instructions
Code Line 8 Field Instructions
Code Line 9 (System Generated) Field Instructions
Code Line 9 Field Instructions
Code* Field Instructions
Code-Total Field Instructions
Confirmed Errors (System Generated) Field Instructions
Contact (Payroll) First Name (System Generated) Field Instructions
Contact (Payroll) First Name Field Instructions
Contact (Payroll) Initial (System Generated) Field Instructions
Contact (Payroll) Initial Field Instructions
Contact (Payroll) Last Name (System Generated) Field Instructions
Contact (Payroll) Last Name* Field Instructions
Contact (Payroll) Phone (System Generated) Field Instructions
Contact (Payroll) Phone Field Instructions
Contact (Personnel) First Name (System Generated) Field Instructions
Contact (Personnel) First Name Field Instructions
Contact (Personnel) Initial (System Generated) Field instructions
Contact (Personnel) Initial Field Instructions
Contact (Personnel) Last Name (System Generated) Field Instructions
Contact (Personnel) Last Name* Field Instructions
Contact (Personnel) Phone (System Generated) Field Instructions
Contact (Personnel) Phone Field Instructions
Corrective Action (System Generated) Carrier Validation Field Instructions
Corrective Action (System Generated) Field Instructions
Country (2810) Field Instructions
Country (Carrier) Field Instructions
Country (Employing Contact) Field Instructions
Country (Enrollee) Field Instructions
Country (New) Field Instructions
Country (Payroll Contact) Field Instructions
Country (Payroll Office) Field Instructions
Country (Personnel Contact) Field Instructions
Country (System Generated) Employing Contact Field Instructions
Country (System Generated) Enrollee Field Instructions
Cut Off Date (System Generated) Field Instructions
Cut Off Date* Field Instructions
Date (System Generated) Field Instructions
Date Due (System Generated) Field Instructions
Date Field Instructions
Date of Action (System Generated) Field Instructions
Date of Action* Field Instructions
Date of Birth (2810) Field Instructions
Date of Birth (Annuitant) Field Instructions
Date of Birth (Enrollee) Field Instructions
Date of Birth (System Generated) Field Instructions
Date of Birth Line 1 (System Generated) Field Instructions
Date of Birth Line 1 Field Instructions
Date of Birth Line 10 (System Generated) Field Instructions
Date of Birth Line 10 Field Instructions
Date of Birth Line 2 (System Generated) Field Instructions
Date of Birth Line 2 Field Instructions
Date of Birth Line 3 (System Generated) Field Instructions
Date of Birth Line 3 Field Instructions
Date of Birth Line 4 (System Generated) Field Instructions
Date of Birth Line 4 Field Instructions
Date of Birth Line 5 (System Generated) Field Instructions
Date of Birth Line 5 Field Instructions
Date of Birth Line 6 (System Generated) Field Instructions
Date of Birth Line 6 Field Instructions
Date of Birth Line 7 (System Generated) Field Instructions
Date of Birth Line 7 Field Instructions
Date of Birth Line 8 (System Generated) Field Instructions
Date of Birth Line 8 Field Instructions
Date of Birth Line 9 (System Generated) Field Instructions
Date of Birth Line 9 Field Instructions
Date of Birth* (Enrollee) Field Instructions
Date of Death (System Generated) Field Instructions
Date of Death Field Instructions
Date Processed (System Generated) Field Instructions
Date Processed (System Generated) Transmissions Field Instructions
Date Received (System Generated) Field Instructions
Date Received* Field Instructions
Date Signed (System Generated) Field Instructions
Date Signed Field Instructions
Deceased Annuitant SSN (System Generated) Field Instructions
Deceased Annuitant SSN Field Instructions
Description (System Generated) Enrollment Record Field Instructions
Description (System Generated) Field Instructions
Description* Field Instructions
Discrepancies (System Generated) Search Field Instructions
Discrepancy (System Generated) Discrepancy Listing Field Instructions
Discrepancy (System Generated) View Field Instructions
Display (Carrier Enrollees) Field Instructions
Display (Forms) Field Instructions
Display (Payroll Discrepancy Listing) Field Instructions
Display (System Codes) Field Instructions
Display Field Instructions
Disputed Errors (System Generated) Field Instructions
Eff. Date (System Generated) Reports Field Instructions
Effective Date ( System Generated) 2809 Field Instructions
Effective Date (System Generated) Field Instructions
Effective Date Field Instructions
Effective Date of Coverage Field Instructions
Effective Date* Field Instructions
Email (System Generated) Carrier Contact Field Instructions
Email (System Generated) Carrier Plan Contact Field Instructions
Email Address (Carrier Contact) Field Instructions
Email Address (Carrier Plan Contact) Field Instructions
Email Address (Payroll Contact) Field Instructions
Email Address (Personnel Contact) Field Instructions
Email Address (System Generated) Carrier Contact Field Instructions
Email Address (System Generated) Carrier Plan Contact Field Instructions
Email Address (System Generated) Payroll Contact Field Instructions
Email Address (System Generated) Personnel Office Field Instructions
Email Date (System Generated) Transmissions Field Instructions
Email Time (System Generated) Transmissions Field Instructions
Employee/Annuitant Indicator Field instructions
Employee/Annuitant Indicator (System Generated) Field Instructions
End Date (Drop-Down Carrier Enrollment) Field Instructions
End Date (Drop-Down Carrier Plan) Field Instructions
End Date (Payroll Office) Field Instructions
End Date (System Generated) Carrier Enrollment Code Field Instructions
End Date (System Generated) Carrier Field Instructions
End Date (System Generated) Field Instructions
End Date* (Carrier) Field Instructions
End Date* Field Instructions
Enrolled in a Medicare Managed Care Plan (System Generated) Field Instructions
Enrolled In a Medicare Managed Care Plan Field Instructions
Enrollee (System Generated) Field Instructions
Enrollee SSN (System Generated) Field Instructions
Enrollees (Left/Drop) (System Generated) Field Instructions
Enrollees (New/Add) (System Generated) Field Instructions
Enrollees (System Generated) Reconciliation Summary Field Instructions
Enrollment Changes % Added (System Generated) Field Instructions
Enrollment Changes % Dropped (System Generated) Field Instructions
Enrollment Changes Added (System Generated) Field Instructions
Enrollment Changes Dropped (System Generated) Field Instructions
Enrollment Code (Drop-Down) Field Instructions
Enrollment Code (Forms) Field Instructions
Enrollment Code (System Generated) Field Instructions
Enrollment Code (System Generated) Forms Field Instructions
Enrollment Code Field Instructions
Enrollment Code* (2810) Field Instructions
Enrollment Code* Field Instructions
Enrollment ID (System Generated) Field Instructions
Enrollment ID Field Instructions
Error Code (Drop-Down) Field Instructions
Error Code Field Instructions
Error Threshold (System Generated) Field Instructions
Error Threshold Field Instructions
Errors (System Generated) Field Instructions
Errors Reconciled (System Generated) Field Instructions
Event That Permits Change (System Generated) Field Instructions
Event That Permits Change Field Instructions
Explanation (System Generated) Field Instructions
Explanation Field Instructions
Fail Count (Discrepancy and Reconciliation Reports) Field Instructions
Fail Count (System Generated) Field Instructions
Fail Count From Field Instructions
Fail Count To Field Instructions
Fax Number (Carrier Contact) Field Instructions
Fax Number (Carrier Plan Contact) Field Instructions
Fax Number (Payroll Contact) Field Instructions
Fax Number (Personnel Contact) Field Instructions
Fax Number (Personnel Office Contact) Field Instructions
Fax Number (System Generated) Carrier Contact Field Instructions
Fax Number (System Generated) Carrier Plan Contact Field Instructions
First Name (2809) Field Instructions
First Name (2810) Field Instructions
First Name (Forms) Field Instructions
First Name (New) Field Instructions
First Name (System Generated) 2809 Field Instructions
First Name (System Generated) Field Instructions
First Name Field Instructions
First Name Line 1 (System Generated) Field Instructions
First Name Line 1 Field Instructions
First Name Line 10 (System Generated) Field Instructions
First Name Line 10 Field Instructions
First Name Line 2 (System Generated) Field Instructions
First Name Line 2 Field Instructions
First Name Line 3 (System Generated) Field Instructions
First Name Line 3 Field Instructions
First Name Line 4 (System Generated) Field Instructions
First Name Line 4 Field Instructions
First Name Line 5 (System Generated) Field Instructions
First Name Line 5 Field instructions
First Name Line 6 (System Generated) Field Instructions
First Name Line 6 Field Instructions
First Name Line 7 (System Generated) Field Instructions
First Name Line 7 Field Instructions
First Name Line 8 (System Generated) Field Instructions
First Name Line 8 Field Instructions
First Name Line 9 (System Generated) Field Instructions
First Name Line 9 Field Instructions
First Name* Field Instructions
Foreign Country (Carrier Contact Drop-Down) Field Instructions
Foreign Country (Carrier Plan Contact Drop-Down) Field Instructions
Foreign Country (Employing Contact) Field Instructions
Foreign Country (New) Field Instructions
Foreign Country (Payroll Office Contact) Field Instructions
Foreign Country (Personnel Office Contact) Field Instructions
Foreign Country (System Generated) Carrier Contact Field Instructions
Foreign Country (System Generated) Carrier Field Instructions
Foreign Country (System Generated) Carrier Plan Contact Field Instructions
Foreign Country (System Generated) Employing Contact Field Instructions
Foreign Country (System Generated) Payroll Office Field Instructions
Foreign Country (System Generated) Personnel Office Contact Field Instructions
Foreign Country Field Instructions
Foreign Country(System Generated) Payroll Office Contact Field Instructions
From (System Generated) Quarter/Year Field Instructions
Grand-Total (System Generated) Field Instructions
HB ID# (System Generated) Field Instructions
HB ID# Field Instructions
ID (System Generated) Field Instructions
Indicator (System Generated) Field Instructions
Initial (2810) Field Instructions
Initial (Forms) Field Instructions
Initial (New) Field Instructions
Initial (System Generated) 2809 Field Instructions
Initial (System Generated) Field Instructions
Initial Field Instructions
Initial Line 1 (System Generated) Field Instructions
Initial Line 1 Field Instructions
Initial Line 10 (System Generated) Field Instructions
Initial Line 10 Field Instructions
Initial Line 2 (System Generated) Field Instructions
Initial Line 2 Field instructions
Initial Line 3 (System Generated) Field Instructions
Initial Line 3 Field Instructions
Initial Line 4 (System Generated) Field Instructions
Initial Line 4 Field Instructions
Initial Line 5 (System Generated) Field Instructions
Initial Line 5 Field Instructions
Initial Line 6 (System Generated) Field Instructions
Initial Line 6 Field Instructions
Initial Line 7 (System Generated) Field Instructions
Initial Line 7 Field Instructions
Initial Line 8 (System Generated) Field Instructions
Initial Line 8 Field Instructions
Initial Line 9 (System Generated) Field Instructions
Initial Line 9 Field Instructions
Last Carrier Update Date (System Generated) Field Instructions
Last Carrier Update ID (System Generated) Field Instructions
Last Carrier Update Time (System Generated) Field Instructions
Last Changed Date (System Generated) Field Instructions
Last Changed ID (System Generated) Field Instructions
Last Changed Time (System Generated) Field Instructions
Last CL10 Date (System Generated) Field Instructions
Last CL10 Time (System Generated) Field Instructions
Last CL20 Date (System Generated) Field Instructions
Last CL20 Time (System Generated) Field Instructions
Last CL30 Date (System Generated) Field Instructions
Last CL30 Time (System Generated) Field Instructions
Last CL40 Date (System Generated) Field Instructions
Last CL40 Time (System Generated) Field Instructions
Last CL50 Date Field Instructions
Last CL50 Time Field Instructions
Last CL60 Date (System Generated) Field Instructions
Last CL60 Time (System Generated) Field Instructions
Last CL70 Date Field Instructions
Last CL70 Time Field Instructions
Last CL80 Date (System Generated) Field Instructions
Last CL80 Time (System Generated) Field Instructions
Last CL90 Date (System Generated) Field Instructions
Last CL90 Time (System Generated) Field Instructions
Last Name (2810) Field Instructions
Last Name (Forms) Field Instructions
Last Name (New) Field Instructions
Last Name (System Generated) 2809 Field Instructions
Last Name (System Generated) Field Instructions
Last Name Field Instructions
Last Name Line 1 (System Generated) Field Instructions
Last Name Line 1 Field Instructions
Last Name Line 10 (System Generated) Field Instructions
Last Name Line 10 Field Instructions
Last Name Line 2 (System Generated) Field Instructions
Last Name Line 2 Field Instructions
Last Name Line 3 (System Generated) Field Instructions
Last Name Line 3 Field Instructions
Last Name Line 4 (System Generated) Field Instructions
Last Name Line 4 Field Instructions
Last Name Line 5 (System Generated) Field Instructions
Last Name Line 5 Field Instructions
Last Name Line 6 (System Generated) Field Instructions
Last Name Line 6 Field Instructions
Last Name Line 7 (System Generated) Field Instructions
Last Name Line 7 Field Instructions
Last Name Line 8 (System Generated) Field Instructions
Last Name Line 8 Field Instructions
Last Name Line 9 (System Generated) Field Instructions
Last Name Line 9 Field Instructions
Last Name* (Forms) Field Instructions
Last Name* Field Instructions
Last Payroll Update Date (System Generated) Field Instructions
Last Payroll Update ID (System Generated) Field Instructions
Last Payroll Update Time (System Generated) Field Instructions
Last Validate Date (System Generated) Field Instructions
Last Validate ID (System Generated) Field Instructions
Last Validate Time (System Generated) Field Instructions
Married (System Generated) Field Instructions
Married Field Instructions
Married* (Enrollee) Field Instructions
Match (System Generated) Field Instructions
Medicare Spouse (System Generated) Field Instructions
Medicare Spouse Field Instructions
Medicare You (System Generated) Field Instructions
Medicare You Field Instructions
Middle Name (System Generated) Field Instructions
Middle Name Field Instructions
Name (Carrier Contact) Field Instructions
Name (Carrier Plan Contact) Field Instructions
Name (Carrier) Field Instructions
Name (Other) (System Generated) Field Instructions
Name (Other) Field Instructions
Name (Payroll Office Contact) Field Instructions
Name (Payroll Office) Field Instructions
Name (Personnel Office) Field Instructions
Name (System Generated) Carrier Contact Field Instructions
Name (System Generated) Carrier Field Instructions
Name (System Generated) Carrier Plan Contact Field Instructions
Name (System Generated) Payroll Office Contact Field Instructions
Name (System Generated) Payroll Office Field Instructions
Name (System Generated) Personnel Office Field Instructions
Name (System Generated) Reports Field Instructions
Nature of Action (System Generated) Field Instructions
Nature of Action* (Forms) Field Instructions
New Enrollment Code (System Generated) Field Instructions
New Enrollment Code Field Instructions
New Enrollment Code Number (System Generated) Field Instructions
New Enrollment Code Number Field Instructions
New Plan Name (System Generated) Field Instructions
New Plan Name Field Instructions
Not Received (System Generated) Field Instructions
Order By (Agency) Field Instructions
Order By (Carrier Code) Field Instructions
Order By (Carrier Contacts) Field Instructions
Order By (Carrier Error Page) Field Instructions
Order By (Carrier Plan Contacts) Field Instructions
Order By (Carrier) Field Instructions
Order By (Contacts Page) Field Instructions
Order By (Pay Cycle) Field Instructions
Order By (Payroll Office Errors) Field Instructions
Order By (Payroll Office Information Page) Field Instructions
Order By (Payroll Office Transmission) Field Instructions
Order By (Personnel Office Contacts Page) Field Instructions
Order By (View) Field Instructions
Order By 1st (Carrier Discrepancy) Field Instructions
Order By 1st (Carrier Enrollees) Field Instructions
Order By 1st (Carrier Enrollment Transmission) Field Instructions
Order By 1st (Carrier Validation) Field Instructions
Order By 1st (Pay Period Transmissions Payment Amounts Reports) Field Instructions
Order By 1st (Payroll Discrepancy Listing) Field Instructions
Order By 1st (Payroll Office Enrollee) Field Instructions
Order By 1st (Reconciliation Action) Field Instructions
Order By 1st (Reconciliation Reason) Field Instructions
Order By 1st (Reconciliation Report) Field Instructions
Order By 1st (Reconciliation Summary) Field Instructions
Order By 1st (Transmissions) Field Instructions
Order By 2nd (Carrier Discrepancy) Field Instructions
Order By 2nd (Carrier Enrollees) Field Instructions
Order By 2nd (Carrier Validation) Field Instructions
Order By 2nd (Pay Period Transmissions Payment Amounts Report) Field Instructions
Order By 2nd (Payroll Discrepancy Listing) Field Instructions
Order By 2nd (Payroll Office Enrollee) Field Instructions
Order By 2nd (Reconciliation Action) Field Instructions
Order By 2nd (Reconciliation Reason) Field Instructions
Order By 2nd (Reconciliation Report) Field Instructions
Order By 2nd (Reconciliation Summary) Field Instructions
Order By 2nd (Transmissions) Field Instructions
Order By 2nd Carrier Enrollment Transmission) Field Instructions
Order By 3rd (Carrier Discrepancy) Field Instructions
Order By 3rd (Carrier Enrollees) Field Instructions
Order By 3rd (Carrier Enrollment Transmission) Field Instructions
Order By 3rd (Carrier Validation) Field Instructions
Order By 3rd (Pay Period Transmissions Payment Amounts Reports) Field Instructions
Order By 3rd (Payroll Discrepancy Listing) Field Instructions
Order By 3rd (Payroll Office Enrollee) Field Instructions
Order By 3rd (Reconciliation Action) Field Instructions
Order By 3rd (Reconciliation Reason) Field Instructions
Order By 3rd (Reconciliation Report) Field Instructions
Order By 3rd (Reconciliation Summary) Field Instructions
Order By 3rd (Transmissions) Field Instructions
Order By 4th (Carrier Discrepancy) Field Instructions
Order By 4th (Carrier Enrollees) Field Instructions
Order By 4th (Carrier Validation) Field Instructions
Order By 4th (Pay Period Transmissions Payment Amounts) Field Instructions
Order By 4th (Payroll Discrepancy Listing) Field Instructions
Order By 4th (Payroll Office Enrollee) Field Instructions
Order By 4th (Reconciliation Action) Field Instructions
Order By 4th (Reconciliation Reason) Field Instructions
Order By 4th (Reconciliation Report) Field Instructions
Order By 4th (Reconciliation Summary) Field Instructions
Order By 5th (Carrier Discrepancy) Field Instructions
Order By 5th (Carrier Enrollees) Field Instructions
Order By 5th (Carrier Validation) Field Instructions
Order By 5th (Pay Period Transmissions Payment Amounts) Field instructions
Order By 5th (Payroll Discrepancy Listing) Field Instructions
Order By 5th (Payroll Office Enrollee) Field Instructions
Order By 5th (Reconciliation Action) Field Instructions
Order By 5th (Reconciliation Reason) Field Instructions
Order By 5th (Reconciliation Report) Field Instructions
Order By 6th (Carrier Discrepancy) Field Instructions
Order By 6th (Carrier Validation) Field Instructions
Order By 6th (Payroll Discrepancy Listing) Field Instructions
Order By 6th (Payroll Office Enrollee) Field Instructions
Order By 6th (Reconciliation Action) Field Instructions
Order By 6th (Reconciliation Reason) Field Instructions
Order By 6th (Reconciliation Report) Field Instructions
Order By 7th (Payroll Office Enrollee) Field Instructions
Order By 8th (Payroll Office Enrollee) Field Instructions
Order By 9th (Payroll Office Enrollee) Field Instructions
Other (System Generated) Field Instructions
Other Carrier ID (System Generated) Field Instructions
Other Carrier ID Field instructions
Other Field Instructions
Other ID (System Generated) Field Instructions
Other ID - From Field Instructions
Other ID - To Field Instructions
Other Insurance (System Generated) Field Instructions
Other Insurance Field Instructions
Other Insurance* (Enrollee) Field Instructions
Other Payroll ID (System Generated) Field Instructions
Other Payroll ID Field Instructions
Part B-Termination (System Generated) Field Instructions
Part B-Termination* Field Instructions
Part C-Transfer In (System Generated) Field Instructions
Part C-Transfer* In Field Instructions
Part D-Reinstatement (System Generated) Field Instructions
Part D-Reinstatement* Field Instructions
Part E-Change of Enrollee Information (System Generated) Field Instructions
Part E-Change of Enrollee Information* Field Instructions
Part F-Change in Enrollment/Survivor Annuitant (System Generated) Field Instructions
Part F-Change in Enrollment/Survivor Annuitant* Field Instructions
Password Field Instructions
Pay Cycle (Drop-Down) Field Instructions
Pay Cycle (System Generated) Field Instructions
Pay Cycle Field Instructions
Pay Cycle* Field Instructions
Pay Period* Field Instructions
Payroll Office (System Generated) Field Instructions
Payroll Office Comments (System Generated) Field Instructions
Payroll Office Comments Field Instructions
Payroll Office Due Date Field Instructions
Payroll Office Field Instructions
Payroll Office ID (Drop-Down) Field Instructions
Payroll Office ID (System Generated) Field Instructions
Payroll Office ID Field Instructions
Payroll Office ID* (2809) Field Instructions
Payroll Office ID* (2810) Field Instructions
Payroll Office ID* (Drop-Down) Field Instructions
Payroll Office ID* Field Instructions
Payroll Office Name Field Instructions
Payroll Office Number (System Generated) Field Instructions
Payroll Office Quarter Field Instructions
Payroll Office Status Field Instructions
Payroll Office Submission Date Field Instructions
Payroll Office Year Field Instructions
Payroll Office* Field Instructions
Percent Discrepancies Reconciled (System Generated) Field Instructions
Personnel Office ID (2809) Field Instructions
Personnel Office ID (Forms) Field Instructions
Personnel Office ID (System Generated) 2809 Field Instructions
Personnel Office ID (System Generated) Field Instructions
Personnel Office ID Field Instructions
Personnel Office ID* Field Instructions
Phone (Enrollee) Field Instructions
Phone (System Generated) Carrier Contact Field Instructions
Phone (System Generated) Carrier Plan Contact Field Instructions
Phone (System Generated) Field Instructions
Phone Number (Carrier Contact) Field Instructions
Phone Number (Carrier Plan Contact Record) Field Instructions
Phone Number (Payroll Contact) Field Instructions
Phone Number (Personnel Contact) Field Instructions
Phone Number (System Generated) Carrier Contact Field Instructions
Phone Number (System Generated) Payroll Office Contact Field Instructions
Phone Number (System Generated) Personnel Office Contact Field Instructions
Phone/Phone Number (System Generated) Carrier Plan Contact Field Instructions
Plan (System Generated) Field Instructions
Plan Field Instructions
Plan Name Field Instructions
Plan* Field Instructions
POI (Maintained Records) Field Instructions
POI (System Generated) Field Instructions
POI (System Generated) Maintained Records Field Instructions
POI (System Generated) Personnel Field Instructions
POI (System Generated) Reports Field Instructions
POI* Field instructions
Policyholder First Name (System Generated) Field Instructions
Policyholder First Name Field Instructions
Policyholder Initial (System Generated) Field Instructions
Policyholder Initial Field Instructions
Policyholder Last Name (System Generated) Field Instructions
Policyholder Last Name Field Instructions
Present Enrollment Code (Add) Field Instructions
Present Enrollment Code (System Generated) Field Instructions
Present Plan Name (System Generated) Field Instructions
Present Plan Name Field Instructions
Processed Date Field Instructions
Processed Time Field Instructions
Processing Code (Online Entry) Field Instructions
Processing Code* Field Instructions
Pseudo SSN (System Generated) Field Instructions
Pseudo SSN Field Instructions
Qtr Field Instructions
Quarter (Error Statistics) Field Instructions
Quarter (Online Entry) Field Instructions
Quarter (System Generated) Error Statistics Field Instructions
Quarter (System Generated) Field Instructions
Quarter (System Generated) Transmission Field Instructions
Quarter (Transmission Record) Field Instructions
Quarter* (2809) Field Instructions
Quarter* (2810) Field Instructions
Quarter* (Drop-Down) Field Instructions
Quarter* (Schedule) Field Instructions
Quarter* From (Drop-Down) Field Instructions
Quarter* To (Drop-Down) Field Instructions
Reason (System Generated) Field Instructions
Reason Code (Drop-Down) Field Instructions
Reason Code (System Generated) Field Instructions
Recon Field Instructions
Reconciliation Action (System Generated) Field Instructions
Reconciliation Action (System Generated) Reconciliation Report Field Instructions
Reconciliation Action* Field Instructions
Reconciliation Date (System Generated) Reconciliation Report Field Instructions
Reconciliation Date From Field Instructions
Reconciliation Date To Field Instructions
Reconciliation Fail Count (System Generated) Reconciliation Report Field Instructions
Reconciliation Reason (System Generated) Field Instructions
Reconciliation Reason (System Generated) Reconciliation Report Field Instructions
Reconciliation Reason* Field Instructions
Reconciliation User ID (System Generated) Reconciliation Report Field Instructions
Records Field Instructions
Records Processed (System Generated) Field Instructions
Records Received (System Generated) Field Instructions
Records Reconciled (System Generated) Field Instructions
Records Sent (System Generated) Field Instructions
Records With Errors (System Generated) Field Instructions
Records With Errors (System Generated) Payroll Office Field Instructions
Records With Warnings (System Generated) Field Instructions
Records With Warnings (System Generated) Payroll Office Field Instructions
Region (System Generated) Carrier Enrollment Field Instructions
Region* Field Instructions
Rejected (System Generated) Field Instructions
Release Date Field Instructions
Released By Field Instructions
Released Date Field Instructions
Released ID Field Instructions
Released Time Field Instructions
Remarks (Contact Record) Field Instructions
Remarks (System Generated) Field Instructions
Remarks Field Instructions
Report # (System Generated) Field Instructions
Report # Field Instructions
Report (Drop-Down) Field Instructions
Response Reminder Date (System Generated) Field Instructions
Response Reminder Date* Field Instructions
Role (Payroll Office) Field Instructions
Role (Personnel Office) Field Instructions
Role (System Generated) Field Instructions
Role Field Instructions
Select Another Discrepancy Field Instructions
Select Field Instructions
Sex (2810) Field Instructions
Sex (System Generated) Field Instructions
Sex Field Instructions
Sex Line 1 (System Generated) Field Instructions
Sex Line 1 Field Instructions
Sex Line 10 (System Generated) Field Instructions
Sex Line 10 Field Instructions
Sex Line 2 (System Generated) Field Instructions
Sex Line 2 Field Instructions
Sex Line 3 (System Generated) Field Instructions
Sex Line 3 Field Instructions
Sex Line 4 (System Generated) Field Instructions
Sex Line 4 Field Instructions
Sex Line 5 (System Generated) Field Instructions
Sex Line 5 Field Instructions
Sex Line 6 (System Generated) Field Instructions
Sex Line 6 Field Instructions
Sex Line 7 (System Generated) Field Instructions
Sex Line 7 Field Instructions
Sex Line 8 (System Generated) Field Instructions
Sex Line 8 Field Instructions
Sex Line 9 (System Generated) Field Instructions
Sex Line 9 Field Instructions
Sex* (Enrollee) Field Instructions
Source (System Generated) Field Instructions
SSN (2810) Field Instructions
SSN (Annuitant) Field Instructions
SSN (Enrollee) Field Instructions
SSN (Forms) Field Instructions
SSN (System Generated) 2809 Field Instructions
SSN (System Generated) Enrollee Field Instructions
SSN (System Generated) Reports Field Instructions
SSN - From Field Instructions
SSN - To Field Instructions
SSN Line 1 (System Generated) Field Instructions
SSN Line 1 Field Instructions
SSN Line 10 (System Generated) Field Instructions
SSN Line 10 Field Instructions
SSN Line 2 (System Generated) Field Instructions
SSN Line 2 Field Instructions
SSN Line 3 (System Generated) Field Instructions
SSN Line 3 Field Instructions
SSN Line 4 (System Generated) Field Instructions
SSN Line 4 Field Instructions
SSN Line 5 (System Generated) Field Instructions
SSN Line 5 Field Instructions
SSN Line 6 (System Generated) Field Instructions
SSN Line 6 Field Instructions
SSN Line 7 (System Generated) Field Instructions
SSN Line 7 Field Instructions
SSN Line 8 (System Generated) Field Instructions
SSN Line 8 Field Instructions
SSN Line 9 (System Generated) Field Instructions
SSN Line 9 Field Instructions
SSN* (Enrollee) Field Instructions
Start Date (Drop-Down Carrier Enrollment) Field Instructions
Start Date (Drop-Down Carrier Plan) Field Instructions
Start Date (Payroll Office) Field Instructions
Start Date (System Generated) Carrier Enrollment Code Field Instructions
Start Date (System Generated) Carrier Field Instructions
Start Date (System Generated) Field Instructions
Start Date (System Generated) Schedule Field Instructions
Start Date* (Carrier) Field Instructions
Start Date* (PP Schedule) Field Instructions
Start Date* (Schedule) Field Instructions
State (2810) Field Instructions
State (Employing Contact) Field Instructions
State (Enrollee) Field Instructions
State (New) Field Instructions
State (Payroll Contact) Field Instructions
State (Payroll Office) Field Instructions
State (Personnel Office Contact) Field Instructions
State (System Generated) Carrier Contact Field Instructions
State (System Generated) Carrier Field Instructions
State (System Generated) Employing Field Instructions
State (System Generated) Enrollee Field Instructions
State (System Generated) Payroll Office Field Instructions
State (System Generated) Personnel Office Contact Field instructions
State Field Instructions
Status (Online Entry) Field Instructions
Status (System Generated) 2809 Field Instructions
Status (System Generated) Carrier Enrollment Transmission Field Instructions
Status (System Generated) Field Instructions
Status (System Generated) Payroll Office Transmissions Field Instructions
Status (System Generated) Transmissions Field Instructions
Submission (Online Entry) Field Instructions
Submission (System Generated) Field Instructions
Submission (System Generated) Transmission Date Field Instructions
Submission Date (System Generated) Carrier Enrollment Transmission Field Instructions
Submission Date (System Generated) Field Instructions
Submission Reminder Date (System Generated) Field Instructions
Submission Reminder Date* Field Instructions
Submitter Use #1 (System Generated) Field Instructions
Submitter Use #1 Field Instructions
Submitter Use #2 (System Generated) Field Instructions
Submitter Use #2 Field Instructions
Submitter Use #3 (System Generated) Field Instructions
Submitter Use #3 Field Instructions
Survivor Annuity Claim # (System Generated) Field Instructions
Survivor Annuity Claim # Field Instructions
Threshold Type (System Generated) Field Instructions
Threshold Type Field Instructions
Time Processed (System Generated) Field Instructions
Time Processed (System Generated) Transmissions Field Instructions
To (System Generated) Quarter/Year Field Instructions
Total (System Generated) Field Instructions
Total (System Generated) Reconciliation Action Field Instructions
Total (System Generated) Reconciliation Reason Field Instructions
Total Discrepancies Found (System Generated) Field Instructions
Total Discrepancies Reconciled (System Generated) Field Instructions
Total Enrollee Records (System Generated) Field Instructions
Total Errors (System Generated) Field Instructions
Total Errors (System Generated) Reconciliation Field Instructions
Total Errors (System Generated) Transmission File Field Instructions
Total Matches Found (System Generated) Field Instructions
Total Records (System Generated) Field Instructions
Total Records (System Generated) Reconciliation Field Instructions
Total Records (System Generated) Reconciliation Report Field Instructions
Total Warnings (System Generated) Field Instructions
Total Warnings (System Generated) Transmissions File Field Instructions
Transmission File Name (System Generated) Field Instructions
Transmission File Name Field Instructions
Transmission Type Field Instructions
Transmission Type (System Generated) Field Instructions
Transmission Type*Field Instructions
Transmissions Field Instructions
TRICARE/CHAMPUS (System Generated) Field Instructions
TRICARE/CHAMPUS Field Instructions
Type (System Generated) Field Instructions
Type Field Instructions
Type* Field Instructions
Unrecon (System Generated) Field Instructions
Unvalidated (System Generated) Field Instructions
User ID (Enter) Field Instructions
User ID (Forms) Field Instructions
User ID (System Generated) Field Instructions
User ID Field Instructions
Validated (System Generated) Field Instructions
Validation (System Generated) Field Instructions
Validation Date (System Generated) Field Instructions
Validation Date From Field Instructions
Validation Date To Field Instructions
Warning (System Generated) Field Instructions
Warning Code (Drop-Down) Field Instructions
Warning Code Field Instructions
Warnings (System Generated) Field Instructions
Whld Amt (System Generated) Reports Field Instructions
Will Be Covered Under The Enrollment Of (System Generated) Field Instructions
Will Be Covered Under The Enrollment Of Field Instructions
With Errors (System Generated) Reconciliation Report Field Instructions
Without Errors (System Generated) Reconciliation Report Field Instructions
Year (Error Statistics) Field Instructions
Year (Online Entry) Field Instructions
Year (System Generated) Carrier Error Field Instructions
Year (System Generated) Errors Statistics Field Instructions
Year (System Generated) Field Instructions
Year (System Generated) Transmission Field Instructions
Year (Transmission Record) Field Instructions
Year Field Instructions
Year* (2809) Field Instructions
Year* (2810) Field Instructions
Year* (Drop-Down) Field Instructions
Year* (Schedule) Field Instructions
Year* From (Drop-Down) Field Instructions
Year* To (Drop-Down) Field Instructions
Year/Quarter From (System Generated) Field Instructions
Year/Quarter To (System Generated) Field Instructions
Zip (2810) Field Instructions
Zip (Carrier Plan Contact) Field Instructions
ZIP (Carrier) Field Instructions
Zip (Employing Contact) Field Instructions
Zip (Enrollee) Field Instructions
Zip (New) Field Instructions
Zip (Payroll Contact) Field Instructions
Zip (Payroll Office) Field Instructions
Zip (Personnel Office Contact) Field Instructions
Zip (System Generated) Carrier Contact Field Instructions
ZIP (System Generated) Carrier Field Instructions
Zip (System Generated) Carrier Plan Contact Field Instructions
Zip (System Generated) Employing Contact Field Instructions
Zip (System Generated) Enrollee Field Instructions
Zip (System Generated) Payroll Office Contact Field Instructions
Zip (System Generated) Payroll Office Field Instructions
Zip (System Generated) Personnel Office Contact Field Instructions
Zip Line 1 (System Generated) Field Instructions
Zip Line 1 Field Instructions
Zip Line 10 (System Generated) Field Instructions
Zip Line 10 Field Instructions
Zip Line 2 (System Generated) Field Instructions
Zip Line 2 Field Instructions
Zip Line 3 (System Generated) Field Instructions
Zip Line 3 Field Instructions
Zip Line 4 (System Generated) Field Instructions
Zip Line 4 Field Instructions
Zip Line 5 (System Generated) Field Instructions
Zip Line 5 Field Instructions
Zip Line 6 (System Generated) Field Instructions
Zip Line 6 Field Instructions
Zip Line 7 (System Generated) Field Instructions
Zip Line 7 Field Instructions
Zip Line 8 (System Generated) Field Instructions
Zip Line 8 Field Instructions
Zip Line 9 (System Generated) Field Instructions
Zip Line 9 Field Instructions