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 O HOSPITAL OUTPATIENT P PHARMACY Q COMPOUND DRUG CLAIMS Required when submitter is MassHealth Rate Report the that defines the MC Rate 10/30/14 Rate Text varchar[3] and 100% A2 Code Indicator element Code code MC094 = 002 and = I or A Report MC here. This validates the Record MC 6/24/10 Text ID File char[2] File Type Identifier type of file and the data contained All 100% A0 Type within the file. This must match Record Trailer Record Report TR here. Indicates the end of 1 6/24/10 Text ID Record char[2] Mandatory 100% TM Type Identifier the data file.
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 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 that defines the element Required when submitter is and MC094 = 002 and = 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 All 100% A0 1 Record Type 6/24/10 Text ID Record char[2] Trailer Record Identifier Report TR here. Indicates the end of the data file. Mandatory 100% TM