Revision History Date Version Description Author 12/1/2012 3.0 Administrative Bulletin 12-01; issued 11/8/2012 M. Prettenhofer 1/28/2013 3.1 Updated Resident’ H. Hines ‘Non-Massachusetts section DC067 (APCD ID Code): Added option (6) ICO - Integrated Care Organization 5/31/2013 3.1 Updated DC043 and DC058 Street K. Hines – Address to a length of 50 – Updated HD009 to reflect reporting period change Updated element submission guideline for Delegated Benefit Adminstrator OrganizationID (DC025). of Contents
Revision History Date Version Description Author 12/1/2012 3.0 Administrative Bulletin 12-01; issued 11/8/2012 M. Prettenhofer 1/28/2013 3.1 Updated ‘Non-Massachusetts Resident’ section DC067 (APCD ID Code): Added option (6) ICO - Integrated Care Organization H. Hines 5/31/2013 3.1 Updated DC043 and DC058 – Street Address – to a length of 50 Updated HD009 to reflect reporting period change Updated element submission guideline for Delegated Benefit Adminstrator OrganizationID (DC025). K. Hines of Contents
v3-1-apcd-dental-claim-file-submission-guide-2013-06.docx