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Payer

HD002, Massachusetts

Versions: October 22, 2010 - v2.0• June 7, 2013 - v3.1• October 1, 2014 - v4.0Compare Versions


Name:Payer
Data Element ID:HD002
Description:Header Submitter/Carrier ID
State:Massachusetts
Data Type:Text
Data Type Description:ID Carrier
Format:
Length:8
Column:2
Threshold:1
Encrypt:No
Required:All
File:HD-PR
Element Submission Guideline:Carrier Specific Submitter Code as defined by APCD. This must match the Submitter Code reported in TR002
Date Active (version):6/24/2010
Old Length:8
APCD - GIC Carrier Threshold:1
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File Specification for Multiple versionsProduct File Submission - October 22, 2010 - v2.0

Data Element ID Data Element Description Type Format Length
Multiple versionsHD001 Record Type Header Record Identifier Text HD 2
Multiple versionsHD002 Payer Header Submitter/Carrier ID Text 8
Multiple versionsHD003 National Plan ID Header CMS National Plan Identification Number (PlanID) Text 30
Multiple versionsHD004 Type of File Header Type of File Text PR 2
Multiple versionsHD005 Period Beginning Date Header Period Start Date Date Period CCYYMM 6
Multiple versionsHD006 Period Ending Date Header Period Ending Date Date Period CCYYMM 6
Multiple versionsHD007 Record Count Header Record Count Integer ####### 10
Multiple versionsHD008 Comments Header Carrier Comments Text Free Text Comments 80
Multiple versionsPR001 Product ID number Product Identification Number Text 20
Multiple versionsPR002 Product Name Carrier defined Product Name Text Free Text Name 70
Multiple versionsPR003 Carrier License Type Carrier License Type Text tlkpCarrierLicenseType 10
Multiple versionsPR004 Product Line of Business Model The Line of Business / Insurance Model the Product relates to. Text tlkpProductLineOfBusiness 2
Multiple versionsPR005 Insurance Plan Market Insurance Plan Market Code Text tlkpInsurancePlanMarket 10
Multiple versionsPR006 Product Benefit Type Indicates combinations of offerings. Integer tlkpProductBenefitType 1
Multiple versionsPR007 Other Product Benefit Description Benefit Description Text Free Text Description 80
Multiple versionsPR008 Risk Type Indicates if the product was an at-risk product or self insured. Text tlkpRiskType 1
Multiple versionsPR009 Product Start Date Product Start Date Date CCYYMMDD 8
Multiple versionsPR010 Product End Date Last date on which members could be enrolled in this product Date CCYYMMDD 8
Multiple versionsPR011 Product Active Flag Indicator to further refine activity status Text tlkpFlagIndicators 1
Multiple versionsPR012 Annual Per Person Deductible Code Per Person Deductible bandwidth reporting Text tlkpAnnualPerPersonDeductible 3
Multiple versionsPR013 AnnualPer Family Deductible Code Per Family Deductible bandwidth reporting Text tlkpAnnualPerFamilyDeductible 3
Multiple versionsPR014 Coordinated Care model Indicates if a patient's care is clinically coordinated or managed. Text tlkpFlagIndicators 1
Multiple versionsPR899 Record Type File Type Identifier Text PR 2
Multiple versionsTR001 Record Type Trailer Record Identifier Text TR 2
Multiple versionsTR002 Payer Carrier Specific Submitter Code as defined by APCD. This must match the Submitter Code reported in HD002 Text 8
Multiple versionsTR003 National Plan ID CMS National Plan Identification Number (PlanID) Text 30
Multiple versionsTR004 Type of File This is an indicator that defines the type of file and the data contained within the file. This must match the File Type reported in HD004. Text PR 2
Multiple versionsTR005 Period Beginning Date Trailer Period Start Date Date Period CCYYMM 6
Multiple versionsTR006 Period Ending Date Trailer Period Ending Date Date Period CCYYMM 6
Multiple versionsTR007 Date Processed Trailer Processed Date Date CCYYMMDD 8

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