Report the Year and Month of the reported Period Date Century Year submission period in CCYYMM format. This date Header Period Start 3 HD003 Beginning 5/9/13 Period Month - Int[6] period must be repeated in HD004, TR005 and Mandatory 100% HM Date Date CCYYMM TR006. This same date must be selected in the upload application for successful transfer. Report the Year and Month of the reported Period Date Century Year submission period in CCYYMM format. This date Header Period End BP 4 HD004 Ending 5/9/13 Period Month - Int[6] period must be repeated in HD003, TR005 and Mandatory 100% HM Date Date CCYYMM TR006. This same date must be selected in the upload application for successful transfer. Report the version number as presented on the APCD Decimal APCD Benefit Plan File Submission Guide in 0.0 Submission Guide BP 5 HD005 Version 5/9/13 ID Version Char[3] Format. Sets the intake control for editing Mandatory 100% HM – Version Number Numeric elements. Version must be accurate or file will drop. EXAMPLE: 3.0 = Newest Version May be used to document the submission by Header Carrier BP 6 HD006 5/9/13 Text Free Text assigning a filename, system source, compile Optional 0% HO Comments identifier, etc. Code Description Current version; required for reporting periods as 3.0 of October 2013
3 HD003 Period Beginning Date 5/9/13 Date Period Century Year Month - CCYYMM Int[6] Header Period Start Date Report the Year and Month of the reported submission period in CCYYMM format. This date period must be repeated in HD004, TR005 and TR006. This same date must be selected in the upload application for successful transfer. Mandatory 100% HM BP 4 HD004 Period Ending Date 5/9/13 Date Period Century Year Month - CCYYMM Int[6] Header Period End Date Report the Year and Month of the reported submission period in CCYYMM format. This date period must be repeated in HD003, TR005 and TR006. This same date must be selected in the upload application for successful transfer. Mandatory 100% HM BP 5 HD005 APCD Version Number 5/9/13 Decimal – Numeric ID Version Char[3] Submission Guide Version Report the version number as presented on the APCD Benefit Plan File Submission Guide in 0.0 Format. Sets the intake control for editing elements. Version must be accurate or file will drop. EXAMPLE: 3.0 = Newest Version Mandatory 100% HM BP 6 HD006 5/9/13 Text Free Text Header Carrier Comments May be used to document the submission by assigning a filename, system source, compile identifier, etc. Optional 0% HO Code Description 3.0 Current version; required for reporting periods as of October 2013