CMS National Do not report any here until National Plan PlanID is fully implemented. This is a National 2 11/8/12 Text ID Nat'l PlanID int[10] Identification unique identifier as outlined by Centers for All 0% Z Plan ID Number Medicare and Medicaid Services (CMS) for (PlanID) Plans or Sub plans. Report the code that defines the type of Lookup Type / Product Type insurance which this patient's claim line 3 11/8/12 char[2] Identification All 98% A2 Code / was processed. EXAMPLE: 17 = Dental Text Code Product Maintenance Organization Code Description 09 Self-pay 10 Central Certification 11 Other Non-Federal Programs 12 Preferred Provider Organization (PPO) 13 Point of Service (POS) 14 Exclusive Provider Organization (EPO) 15 Indemnity Insurance Health Maintenance Organization (HMO) 16 Medicare Risk 17 Dental Maintenance Organization (DMO) AM Automobile Medical BL Blue Cross / Blue Shield CC Commonwealth Care CE Commonwealth Choice CH Champus CI Commercial Insurance Co. DS Disability HM Health Maintenance Organization LI Liability LM Liability Medical
2 National Plan ID 11/8/12 Text ID Nat'l PlanID int[10] CMS National Plan Identification Number (PlanID) Do not report any 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. All 0% Z 3 Type Code / Product 11/8/12 Lookup Text char[2] Type / Product Identification Code Report the code that defines the type of insurance which this patient's claim line was processed. EXAMPLE: 17 = Dental Maintenance Organization All 98% A2 Code Description 09 Self-pay 10 Central Certification 11 Other Non-Federal Programs 12 Preferred Provider Organization (PPO) 13 Point of Service (POS) 14 Exclusive Provider Organization (EPO) 15 Indemnity Insurance 16 Health Maintenance Organization (HMO) Medicare Risk 17 Dental Maintenance Organization (DMO) AM Automobile Medical BL Blue Cross / Blue Shield CC Commonwealth Care CE Commonwealth Choice CH Champus CI Commercial Insurance Co. DS Disability HM Health Maintenance Organization LI Liability LM Liability Medical
v5-apcd-dental-claim-file-submission-guide-REDLINE.docx