1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable Report DC here. This validates the type of Record File Type DC 70 11/8/12 Text ID File char[2] file and the data contained within the file. All 100% A0 Type Identifier This must match HD004 TR Record Trailer Record Report here. Indicates the end of the 1 6/24/10 Text ID Record char[2] Mandatory 100% TM Type Identifier data file Trailer Submitter / Report the Unique Submitter ID as defined 2 Submitter 11/8/12 Integer ID Submitter varchar[6] Carrier ID by CHIA here. This must match the Mandatory 100% TM defined by Submitter ID reported in HD002 CHIA CMS National Do not report any value here until National Plan PlanID is fully implemented. This is a National 3 11/8/12 Integer ID Nat'l PlanID int[10] Identification unique identifier as outlined by Centers for Situational 0% TS Plan ID Number Medicare and Medicaid Services (CMS) for (PlanID) Plans or Sub plans Validates the Type of file type Report here. This must match the File DC 4 11/8/12 Text ID File char[2] Mandatory 100% TM File defined in Type reported in HD004 HD004. Report the Year and Month of the reported Period Date Century Year Trailer Period submission period in CCYYMM format. This 5 6/24/10 Period - Month - int[6] Mandatory 100% TM Start Date date period must match the date period Date Integer CCYYMM reported in HD005 and HD006 Report the Year and of the reporting Period Date Century Year Trailer Period submission period in CCYYMM format. 6 Ending 6/24/10 Period - Month - int[6] Mandatory 100% TM Ending Date This date period must match the date period Date Integer CCYYMM reported in TR005 and HD005 and HD006
1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable DC 70 Record Type 11/8/12 Text ID File char[2] File Type Identifier Report DC here. This validates the type of file and the data contained within the file. This must match HD004 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 2 Submitter 11/8/12 Integer ID Submitter varchar[6] Trailer Submitter / Carrier ID defined by CHIA Report the Unique Submitter ID as defined by CHIA here. This must match the Submitter ID reported in HD002 Mandatory 100% TM 3 National Plan ID 11/8/12 Integer ID Nat'l PlanID int[10] CMS National Plan Identification Number (PlanID) Do not report any value here until National PlanID is fully implemented. This is a unique identifier as outlined by Centers for Medicare and Medicaid Services (CMS) for Plans or Sub plans Situational 0% TS 4 Type of File 11/8/12 Text ID File char[2] Validates the file type defined in HD004. Report DC here. This must match the File Type reported in HD004 Mandatory 100% TM 5 Period Date 6/24/10 Date Period - Integer Century Year Month - CCYYMM int[6] Trailer Period Start Date Report the Year and Month of the reported submission period in CCYYMM format. This date period must match the date period reported in HD005 and HD006 Mandatory 100% TM 6 Period Ending Date 6/24/10 Date Period - Integer Century Year Month - CCYYMM int[6] Trailer Period Ending Date Report the Year and of the reporting submission period in CCYYMM format. This date period must match the date period reported in TR005 and HD005 and HD006 Mandatory 100% TM
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