Report the appropriate amount that corresponds to the value code. Only code 0 when 0 is an applicable Required Value Amount that amount for the Value Code Set. Do when MC Amount - 11/8/12 Integer Currency corresponds to not code decimal or round up / down 100% B MC199 is 5 Value Code - 5 to whole dollars, code zero cents (00) populated when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 External Report the appropriate value that External Code Code Code defines a value category of the claim. MC 11/8/12 Source 14 - char[2] Value Code All 1% B - 6 Source If not applicable do not report any Value Codes 14 - Text value here. Report the appropriate amount that corresponds to the code. Only code 0 when 0 is an applicable Required Value Amount that amount for the Value Code Set. Do when MC Amount - 11/8/12 Integer Currency corresponds to not code decimal or round up / down 100% B MC201 is 6 Value Code - 6 to whole dollars, code zero cents (00) populated when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 External Report the appropriate value that External Code Value Code defines a value category of the claim. MC 11/8/12 Source 14 - char[2] Value Code All 1% B Code - 7 Source If not applicable do not report any Value Codes 14 - Text value here. Report the appropriate amount that corresponds to the value code. Only code 0 when 0 is an applicable Required Value Amount that amount for the Value Code Set. Do when MC Amount - 11/8/12 Integer Currency corresponds to not code decimal or round up / down 100% B MC203 is 7 Code - 7 to whole dollars, code zero cents (00) populated when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 External Report the appropriate value that External Code Value Code defines a value category of the claim. MC 11/8/12 Source 14 - char[2] Value Code All 1% B Code - 8 Source If not applicable do not report any Value Codes 14 - Text value here.
MC Value Amount - 5 11/8/12 Integer Currency Amount that corresponds to Value Code - 5 Report the appropriate amount that corresponds to the value code. Only code 0 when 0 is an applicable amount for the Value Code Set. Do not code decimal or round up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 Required when MC199 is populated 100% B MC Code - 6 11/8/12 External Code Source 14 - Text External Code Source 14 - Value Codes char[2] Value Code Report the appropriate value that defines a value category of the claim. If not applicable do not report any value here. All 1% B MC Value Amount - 6 11/8/12 Integer Currency Amount that corresponds to Value Code - 6 Report the appropriate amount that corresponds to the code. Only code 0 when 0 is an applicable amount for the Value Code Set. Do not code decimal or round up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 Required when MC201 is populated 100% B MC Value Code - 7 11/8/12 External Code Source 14 - Text External Code Source 14 - Value Codes char[2] Value Code Report the appropriate value that defines a value category of the claim. If not applicable do not report any value here. All 1% B MC Value Amount - 7 11/8/12 Integer Currency Amount that corresponds to Code - 7 Report the appropriate amount that corresponds to the value code. Only code 0 when 0 is an applicable amount for the Value Code Set. Do not code decimal or round up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 Required when MC203 is populated 100% B MC Value Code - 8 11/8/12 External Code Source 14 - Text External Code Source 14 - Value Codes char[2] Value Code Report the appropriate value that defines a value category of the claim. If not applicable do not report any value here. All 1% B
v6-apcd-medical-claim-file-submission-guide-FINAL.docx