Value Description 1 General Acute Care Facility Skilled Nursing Facility/Long Term 2 Care Facility 3 Intermediate Care Facility 4 Hospice Facility 5 Designated Cancer Center Designated Inpatient Children’s 6 Hospital 7 Inpatient Rehabilitation Facility 8 Inpatient Pyschiatric Hospital 9 Critical Access Hospital 70 Other Type of Facility Required when MassHealth Claim Report the value that defines the MC 10/30/14 specific Text Char[1] submitter is 100% A2 Type Indicator element Type type code Value Description INPATIENT PART A CROSSOVER A UB92
Value Description 1 General Acute Care Facility 2 Skilled Nursing Facility/Long Term Care Facility 3 Intermediate Care Facility 4 Hospice Facility 5 Designated Cancer Center 6 Designated Inpatient Children’s Hospital 7 Inpatient Rehabilitation Facility 8 Inpatient Pyschiatric Hospital 9 Critical Access Hospital 70 Other Type of Facility MC Type 10/30/14 specific type code Text Char[1] MassHealth Claim Type Indicator Report the value that defines the element Required when submitter is 100% A2 Value Description A INPATIENT PART A CROSSOVER UB92
v5-apcd-medical-claim-file-submission-guide-REDLINE.docx