The Benefit Plan Contract ID is the issuer-generated unique ID number for each benefit plan for which the issuer sets a premium in the Massachusetts Identifier for merged (non-group/small group) the benefit market. Benefit plan the Required Report the carrier/submitter-assigned ME Plan Text varchar [30] member is when ME126 100% A0 Benefit Plan identifier as it appears in BP001 in the Contract ID enrolled in as = 1 or 3 ID Benefit Plan File. This element is used of 15th of the to understand Benefit Plan and Eligibility month attributes of the member / subscriber as applied to this record for the Massachusetts Alternative Risk Adjustment Methodology. Member Benefit Date the Report the date the member was Required Plan member is ME Date CCYYMMDD Int(8) enrolled in the Benefit Plan in when ME126 100% A0 Contract enrolled in the CCYYMMDD format. = 1 or 3 Enrollment benefit plan Start Date Member Date the Report the date the member disenrolled Required Benefit member’s in the Benefit Plan in CCYYMMDD when = Plan ME Date CCYYMMDD Int(8) enrollment format. When member is still active in 1 or 3 and 100% B Contract ends with the the Benefit Plan, do not report any date member is Enrollment benefit plan in this element. disenrolled End Date Required when Submitter is identified as a TME / RP Submitter. Report whether TME Global TME Global the member’s contract was assigned Assigned ME 4/5/13 Integer Int[1] under a global budget/payment Submitters 100% A2 Indicator contract. EXAMPLE: 1 = Yes, the only. Indicator member’s contract was assigned under a global/budget/payment contract. Description 1 Yes 2 No
ME Benefit Plan Contract ID Text Benefit Plan ID varchar [30] Identifier for the benefit plan the member is enrolled in as of 15th of the month The Benefit Plan Contract ID is the issuer-generated unique ID number for each benefit plan for which the issuer sets a premium in the Massachusetts merged (non-group/small group) market. Report the carrier/submitter-assigned identifier as it appears in BP001 in the Benefit Plan File. This element is used to understand Benefit Plan and Eligibility attributes of the member / subscriber as applied to this record for the Massachusetts Alternative Risk Adjustment Methodology. Required when ME126 = 1 or 3 100% A0 ME Member Benefit Plan Contract Enrollment Start Date Date CCYYMMDD Int(8) Date the member is enrolled in the benefit plan Report the date the member was enrolled in the Benefit Plan in CCYYMMDD format. Required when ME126 = 1 or 3 100% A0 ME Member Benefit Plan Contract Enrollment End Date Date CCYYMMDD Int(8) Date the member’s enrollment ends with the benefit plan Report the date the member disenrolled in the Benefit Plan in CCYYMMDD format. When member is still active in the Benefit Plan, do not report any date in this element. Required when = 1 or 3 and member is disenrolled 100% B ME TME Global Indicator 4/5/13 Integer Int[1] TME Global Indicator Required when Submitter is identified as a TME / RP Submitter. Report whether the member’s contract was assigned under a global budget/payment contract. EXAMPLE: 1 = Yes, the member’s contract was assigned under a global/budget/payment contract. Assigned Submitters only. 100% A2 Description 1 Yes 2 No
v6-apcd-member-eligibility-file-submission-guide-Redline-.docx