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Admission Date MC018 APCD Council Medical Claims File Submission
Admission Hour MC019 APCD Council Medical Claims File Submission
Admission Type MC020 APCD Council Medical Claims File Submission
Admitting Diagnosis MC039 APCD Council Medical Claims File Submission
APC MC073 APCD Council Medical Claims File Submission
APC Version MC074 APCD Council Medical Claims File Submission
Billing Provider Last Name or Organization Name MC078 APCD Council Medical Claims File Submission
Billing Provider Number MC076 APCD Council Medical Claims File Submission
Billing Provider Tax ID Number PC062 APCD Council Pharmacy Claims File Submission
Charge Amount MC062 APCD Council Medical Claims File Submission
Charge Amount PC035 APCD Council Pharmacy Claims File Submission
Claim Status MC038 APCD Council Medical Claims File Submission
Claim Status PC025 APCD Council Pharmacy Claims File Submission
Co-pay Amount MC065 APCD Council Medical Claims File Submission
Co-pay Amount PC040 APCD Council Pharmacy Claims File Submission
Coinsurance Amount MC066 APCD Council Medical Claims File Submission
Coinsurance Amount PC041 APCD Council Pharmacy Claims File Submission
Compound Drug Indicator PC031 APCD Council Pharmacy Claims File Submission
Coverage Level Code ME007 APCD Council Medical Eligibility File Submission
Coverage Type ME029 APCD Council Medical Eligibility File Submission
Date of Payment PC063 APCD Council Pharmacy Claims File Submission
Date of Service - From MC059 APCD Council Medical Claims File Submission
Date of Service - Thru MC060 APCD Council Medical Claims File Submission
Date Prescription Filled PC032 APCD Council Pharmacy Claims File Submission
Date Service Approved/Accounts Payable Date/Actual MC017 APCD Council Medical Claims File Submission
Date Service Approved (AP Date) PC017 APCD Council Pharmacy Claims File Submission
Days Supply PC034 APCD Council Pharmacy Claims File Submission
Deductible Amount MC067 APCD Council Medical Claims File Submission
Deductible Amount PC042 APCD Council Pharmacy Claims File Submission
Dental Coverage ME020 APCD Council Medical Eligibility File Submission
Discharge Date MC069 APCD Council Medical Claims File Submission
Discharge Hour MC022 APCD Council Medical Claims File Submission
Discharge Status MC023 APCD Council Medical Claims File Submission
Dispense as Written Code PC030 APCD Council Pharmacy Claims File Submission
Dispensing Fee PC039 APCD Council Pharmacy Claims File Submission
DRG MC071 APCD Council Medical Claims File Submission
DRG Version MC072 APCD Council Medical Claims File Submission
Drug Code MC075 APCD Council Medical Claims File Submission
Drug Code PC026 APCD Council Pharmacy Claims File Submission
Drug Name PC027 APCD Council Pharmacy Claims File Submission
E-Code MC040 APCD Council Medical Claims File Submission
Encrypted Member First Name ME105 APCD Council Medical Eligibility File Submission
Encrypted Member First Name MC105 APCD Council Medical Claims File Submission
Encrypted Member First Name PC105 APCD Council Pharmacy Claims File Submission
Encrypted Member Identification Code ME011 APCD Council Medical Eligibility File Submission
Encrypted Member Last Name ME104 APCD Council Medical Eligibility File Submission
Encrypted Member Last Name MC104 APCD Council Medical Claims File Submission
Encrypted Member Last Name PC104 APCD Council Pharmacy Claims File Submission
Encrypted Member Middle Initial ME106 APCD Council Medical Eligibility File Submission
Encrypted Member Middle Initial MC106 APCD Council Medical Claims File Submission
Encrypted Member Middle Initial PC106 APCD Council Pharmacy Claims File Submission
Encrypted Plan Specific Contract Number ME009 APCD Council Medical Eligibility File Submission
Encrypted Subscriber First Name ME102 APCD Council Medical Eligibility File Submission
Encrypted Subscriber First Name MC102 APCD Council Medical Claims File Submission
Encrypted Subscriber First Name PC102 APCD Council Pharmacy Claims File Submission
Encrypted Subscriber Last Name ME101 APCD Council Medical Eligibility File Submission
Encrypted Subscriber Last Name MC101 APCD Council Medical Claims File Submission
Encrypted Subscriber Last Name PC101 APCD Council Pharmacy Claims File Submission
Encrypted Subscriber Middle Initial ME103 APCD Council Medical Eligibility File Submission
Encrypted Subscriber Middle Initial MC103 APCD Council Medical Claims File Submission
Encrypted Subscriber Middle Initial PC103 APCD Council Pharmacy Claims File Submission
Encrypted Subscriber Social Security Number ME008 APCD Council Medical Eligibility File Submission
Encrypted Subscriber Social Security Number PC007 APCD Council Pharmacy Claims File Submission
Ethnicity 1 ME025 APCD Council Medical Eligibility File Submission
Ethnicity 2 ME026 APCD Council Medical Eligibility File Submission
Facility Type - Professional MC037 APCD Council Medical Claims File Submission
Generic Drug Indicator PC029 APCD Council Pharmacy Claims File Submission
Hispanic Indicator ME024 APCD Council Medical Eligibility File Submission
ICD-9-CM Procedure Code MC058 APCD Council Medical Claims File Submission
Individual Relationship Code ME012 APCD Council Medical Eligibility File Submission
Individual Relationship Code MC011 APCD Council Medical Claims File Submission
Individual Relationship Code PC011 APCD Council Pharmacy Claims File Submission
Ingredient Cost/List Price PC037 APCD Council Pharmacy Claims File Submission
Insurance Type/Product Code MC003 APCD Council Medical Claims File Submission
Insurance Type/Product Code PC003 APCD Council Pharmacy Claims File Submission
Insurance Type Code/Product ME003 APCD Council Medical Eligibility File Submission
Insured Group Name ME032 APCD Council Medical Eligibility File Submission
Insured Group Number PC006 APCD Council Pharmacy Claims File Submission
Insured Group or Policy Number ME006 APCD Council Medical Eligibility File Submission
Insured Group or Policy Number MC006 APCD Council Medical Claims File Submission
Line Counter MC005 APCD Council Medical Claims File Submission
Line Counter PC005 APCD Council Pharmacy Claims File Submission
Mail Order pharmacy PC057 APCD Council Pharmacy Claims File Submission
Market Category Code ME030 APCD Council Medical Eligibility File Submission
Medical Coverage ME018 APCD Council Medical Eligibility File Submission
Member City Name (Patient) MC014 APCD Council Medical Claims File Submission
Member City Name ME015 APCD Council Medical Eligibility File Submission
Member City Name of Residence PC014 APCD Council Pharmacy Claims File Submission
Member Date of Birth (Patient) MC013 APCD Council Medical Claims File Submission
Member Date of Birth ME014 APCD Council Medical Eligibility File Submission
Member Date of Birth PC013 APCD Council Pharmacy Claims File Submission
Member Gender (Patient) MC012 APCD Council Medical Claims File Submission
Member Gender ME013 APCD Council Medical Eligibility File Submission
Member Gender PC012 APCD Council Pharmacy Claims File Submission
Member Identification Code (Patient) MC010 APCD Council Medical Claims File Submission
Member Identification Code PC010 APCD Council Pharmacy Claims File Submission
Member State or Province (Patient) MC015 APCD Council Medical Claims File Submission
Member State or Province ME016 APCD Council Medical Eligibility File Submission
Member State or Province PC015 APCD Council Pharmacy Claims File Submission
Member Street Address PC061 APCD Council Pharmacy Claims File Submission
Results 1 - 100 of 198
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