Report the Year and Month of the reported submission period in CCYYMM Period Date Century Year - Header Period format. This date period must be 5 Beginning 11/8/12 Period - int[6] Mandatory 100% HM CCYYMM Start Date repeated in HD006, TR005 and TR006. Date Integer This same date must be selected in the upload application for successful transfer. Report the Year and Month of the Period Date reporting submission period in CCYYMM Century Year Header Period 6 Ending 11/8/12 Period - int[6] format. This date period must match the Mandatory 100% HM Month - CCYYMM Ending Date Date Integer date period reported in HD005 and be repeated in TR005 and TR006. Report the total number of records Record Header Record submitted within this file. Do not report 7 11/8/12 Integer Counter Mandatory 100% HM Count leading zeros, space fill, decimals, or any special characters. May be used to document the submission Header Carrier 8 11/8/12 Text Free Text Field by assigning a filename, system source, Optional 0% HO Comments compile identifier, etc. Report the version number as presented on the APCD Pharmacy File APCD Decimal Submission Submission Guide in 0.0 Format. Sets 9 Version 2/2016 - ID Version char[3] Mandatory 100% HM Guide Version the intake control for editing elements. Number Numeric Version must be accurate or 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only for reporting 2.1 periods prior to October 2013 Version 3.0; required for reporting periods 3.0 as of October 2013 No longer valid as of May 2015 Version 4.0; required for reporting periods 4.0 October 2013 onward; No longer valid as of August 2016 Version 5.0; required for reporting periods 5.0 October 2013 onward as of August 2016; No longer valid as of August 2017 Version 6.0; required for reporting periods 6.0 October 2013 onward as of August 2017
5 Period Beginning Date 11/8/12 Date Period - Integer Century Year - 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 Month - 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 Count 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 2/2016 Decimal - Numeric ID Version char[3] Submission Guide Version Report the version number as presented on the APCD Pharmacy File Submission Guide in 0.0 Format. Sets the intake control for editing elements. Version must be accurate or 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 valid as of May 2015 4.0 Version 4.0; required for reporting periods October 2013 onward; No longer valid as of August 2016 5.0 Version 5.0; required for reporting periods October 2013 onward as of August 2016; No longer valid as of August 2017 6.0 Version 6.0; required for reporting periods October 2013 onward as of August 2017
v6-apcd-pharmacy-claim-file-submission-guide-FINAL.docx