APCD All-Payer Claims Database – CHIA Center for Health Information and Analysis – CSO Computer Services Organization – DBA Delegated Benefit Administrator – DBM Dental Benefit Manager – DOI Division of Insurance – GIC Insurance Commission – ID Identification; Identifier – MA APCD Massachusetts’ All-Payer Claims Database – NPI National Provider Identifier – PBM Pharmacy Benefit Manager – QA Quality Assurance – RA Risk Adjustment; Risk Adjuster – TME / RP Medical Expense / Relative Pricing – TPA Third Party Administrator – The File Types: DC Dental Claims – MC Medical Claims – ME Member Eligibility – PC Pharmacy Claims – PR Product File – PV Provider File – BP Benefit Plan Control Total File – SD Supplemental Diagnosis Code File (Connector Risk Adjustment plans only) – The MA APCD Quarterly Product File As part of the MA APCD filings, all submitters are required to submit a Product (PR) File. CHIA recognizes this is a file type that has not been previously requested of carriers in states, and has made efforts to simplify the data submission process as well as
APCD – All-Payer Claims Database CHIA – Center for Health Information and Analysis CSO – Computer Services Organization DBA – Delegated Benefit Administrator DBM – Dental Benefit Manager DOI – Division of Insurance GIC – Insurance Commission ID – Identification; Identifier MA APCD – Massachusetts’ All-Payer Claims Database NPI – National Provider Identifier PBM – Pharmacy Benefit Manager QA – Quality Assurance RA – Risk Adjustment; Risk Adjuster TME / RP – Medical Expense / Relative Pricing TPA – Third Party Administrator The File Types: DC – Dental Claims MC – Medical Claims ME – Member Eligibility PC – Pharmacy Claims PR – Product File PV – Provider File BP – Benefit Plan Control Total File SD – Supplemental Diagnosis Code File (Connector Risk Adjustment plans only) The MA APCD Quarterly Product File As part of the MA APCD filings, all submitters are required to submit a Product (PR) File. CHIA recognizes this is a file type that has not been previously requested of carriers in states, and has made efforts to simplify the data submission process as well as