Report here. Indicates that the Defines the file data within this file is expected to be Type of - 4 11/8/12 Text ID File char[2] type and data MEDICAL This must Mandatory 100% HM File MC expected. match the File Type reported in TR004. Report the Year and Month of the reported submission period in Period Date Century Year CCYYMM format. This date period Header Period - 5 Beginning 11/8/12 Period Month int[6] must be repeated in HD006, TR005 Mandatory 100% HM Start Date MC Date Integer CCYYMM and TR006. This same date must be selected in the upload application for successful transfer. Report the Year and Month of the reporting submission period in Period Date Century Year Header Period CCYYMM format. This date period - 6 Ending 11/8/12 Period int[6] Mandatory 100% HM CCYYMM Ending Date must match the date period reported MC Date Integer in HD005 and be repeated in TR005 and TR006. Report the total number of records Record Header Record submitted within this file. Do not - 7 11/8/12 Integer Counter Mandatory 100% HM report leading zeros, space fill, MC decimals, or any special characters. May be used to document the Header Carrier submission by assigning a filename, - 8 11/8/12 Text Free Text Field Optional 0% HO Comments system source, compile identifier, MC etc. Report the version number as presented on the APCD Medical APCD File Submission Guide in 0.0 Format. Decimal Submission Guide - 9 Version 2/2017 ID Version char[3] Sets the intake control for editing Mandatory 100% HM 9 Numeric Version MC Number elements. Version must be accurate else file will drop. EXAMPLE: 3.0 = Version 3.0 Code Description Prior Version; valid only for reporting 2.1 periods prior to October 2013 Version 3.0; required for reporting 3.0 periods as of October 2013; No Longer as of May 2015
4 Type of File 11/8/12 Text ID File char[2] Defines the file type and data expected. Report MC here. Indicates that the data within this file is expected to be MEDICAL This must match the File Type reported in TR004. Mandatory 100% HM 5 Period Beginning Date 11/8/12 Date Period Integer 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 HD006, TR005 and TR006. This same date must be selected in the upload application for successful transfer. Mandatory 100% HM 6 Period Ending Date 11/8/12 Date Period - Integer Century Year - CCYYMM int[6] Header Period Ending Date Report the Year and Month of the reporting submission period in CCYYMM format. This date period must match the date period reported in HD005 and be repeated in TR005 and TR006. Mandatory 100% HM 7 Record 11/8/12 Integer Counter Header Record Report the total number of records submitted within this file. Do not report leading zeros, space fill, decimals, or any special characters. Mandatory 100% HM 8 11/8/12 Text Free Text Field Header Carrier Comments May be used to document the submission by assigning a filename, system source, compile identifier, etc. Optional 0% HO 9 APCD Version Number 2/2017 Decimal - Numeric ID Version char[3] Submission Guide Version Report the version number as presented on the APCD Medical File Submission Guide in 0.0 Format. Sets the intake control for editing elements. Version must be accurate else file will drop. EXAMPLE: 3.0 = Version 3.0 Mandatory 100% HM Code Description 2.1 Prior Version; valid only for reporting periods prior to October 2013 3.0 Version 3.0; required for reporting periods as of October 2013; No Longer as of May 2015 MC MC MC - MC MC - - 9