Sample File = Schema\2020\TEXT\T1095C CI.txt String fields are displayed within quotations CRLF=Carriage Return Line Feed (Hex 0D0A)
"First name" "Middle initial" "Last name" "Suffix" "Social Security Number" "Date of birth" ² 12 months coverage indicator ¹ January coverage indicator ¹ February coverage indicator ¹ March coverage indicator ¹ April coverage indicator ¹ May coverage indicator ¹ June coverage indicator ¹ July coverage indicator ¹ August coverage indicator ¹ September coverage indicator ¹ October coverage indicator ¹ November coverage indicator ¹ December coverage indicator ¹ CRLF
¹ "X" if applicable, otherwise, enter a null string "" ² Use format MMDDYYYY or MMDDYY |