Report the appropriate code that External External Code defines an occurrence span category Code Occurrence Span MC Span 11/8/12 Source 14 - char[2] of the claim or patient. If not All 1% B Source Code Code - 5 Codes applicable do not report any value 14 - Text here. Start Date that Required Century Year Report the appropriate date that Span Full Date corresponds to when MC 11/8/12 Day - int[8] corresponds to the occurrence code 100% B Start Date - Integer Occurrence Span MC237 is CCYYMMDD in CCYYMMDD Format. - 5 Code - 5 populated End Date that Required Century Year Report the appropriate start date that Span Full Date corresponds to when MC 11/8/12 Month Day - int[8] corresponds to the occurrence code 100% B End Date - - Integer Occurrence Span MC238 is CCYYMMDD in CCYYMMDD Format. 5 Code - 5 populated Do not populate with any data. MC Filler 2/2017 text Filler char[0] Filler All 100% A0 Required to be NULL. Report the value that describes the member's / subscriber's enrollment Lookup into one of the predefined categories; APCD ID Member MC 10/30/14 - int[1] aligns enrollment to appropriate All 100% A2 Code Enrollment Type Integer editing and thresholds. EXAMPLE: 1 = FIG - Fully Insured Commercial Group Enrollee. Value Description FIG - Fully-Insured Commercial 1 Group Enrollee 2 SIG - Self-Insured Group Enrollee GIC - Group Insurance Commission 3 Enrollee MCO - MassHealth Managed Care 4 Organization Enrollee 5 Supplemental Policy Enrollee ICO - Integrated Care Organization 6 or SCO Senior Care Option – 0 Unknown / Not Applicable
MC Span Code - 5 11/8/12 External Code Source 14 - Text External Code Source 14 - Codes char[2] Occurrence Span Code Report the appropriate code that defines an occurrence span category of the claim or patient. If not applicable do not report any value here. All 1% B MC Span Start Date - 5 11/8/12 Full Date - Integer Century Year Day - CCYYMMDD int[8] Start Date that corresponds to Occurrence Span Code - 5 Report the appropriate date that corresponds to the occurrence code in CCYYMMDD Format. Required when MC237 is populated 100% B MC Span End Date - 5 11/8/12 Full Date - Integer Century Year Month Day - CCYYMMDD int[8] End Date that corresponds to Occurrence Span Code - 5 Report the appropriate start date that corresponds to the occurrence code in CCYYMMDD Format. Required when MC238 is populated 100% B MC Filler 2/2017 text Filler char[0] Filler Do not populate with any data. Required to be NULL. All 100% A0 MC APCD ID Code 10/30/14 Lookup - Integer int[1] Member Enrollment Type Report the value that describes the member's / subscriber's enrollment into one of the predefined categories; aligns enrollment to appropriate editing and thresholds. EXAMPLE: 1 = FIG - Fully Insured Commercial Group Enrollee. All 100% A2 Value Description 1 FIG - Fully-Insured Commercial Group Enrollee 2 SIG - Self-Insured Group Enrollee 3 GIC - Group Insurance Commission Enrollee 4 MCO - MassHealth Managed Care Organization Enrollee 5 Supplemental Policy Enrollee 6 ICO - Integrated Care Organization or SCO – Senior Care Option 0 Unknown / Not Applicable