PROFESSIONAL PART B B CROSSOVER OUTPATIENT PART B C CROSSOVER UB-04 D DENTAL HOME HEALTH AND COMMUNITY H HEALTH I HOSPITAL INPATIENT L LONG TERM CARE M PHYSICIAN CLAIM O HOSPITAL OUTPATIENT P PHARMACY Q COMPOUND DRUG CLAIMS Required when submitter is MassHealth Rate Report the value that defines the and MC Rate 10/30/14 Rate Text varchar[3] 100% A2 Code Indicator element MC094 = Code code 002 and MC246 = I or A Report MC here. This validates the Record type of file and the data contained MC 6/24/10 Text ID File char[2] File Type Identifier All 100% A0 Type within the file. This must match HD004 .
B PROFESSIONAL PART B CROSSOVER C OUTPATIENT PART B CROSSOVER UB-04 D DENTAL H HOME HEALTH AND COMMUNITY HEALTH I HOSPITAL INPATIENT L LONG TERM CARE M PHYSICIAN CLAIM O HOSPITAL OUTPATIENT P PHARMACY Q COMPOUND DRUG CLAIMS MC Rate Code 10/30/14 Rate code Text varchar[3] MassHealth Rate Code Indicator Report the value that defines the element Required when submitter is and MC094 = 002 and MC246 = I or A 100% A2 MC Record Type 6/24/10 Text ID File char[2] File Type Identifier Report MC here. This validates the type of file and the data contained within the file. This must match HD004 . All 100% A0