O Other U Unknown Report the month/year the member / Member Year Century Year Member/Patient's patient was born in CCYYMM MC 14 Date of 2/2017 Month - - int[6] month and year of All 99% A0 Format. Used to validate Unique Birth Integer CCYYMM birth Member ID. Do not populate with any data. MC 15 Filler 2/2017 text Filler char[0] Filler All 100% A0 Required to be NULL. External Address Report the of the patient as Member Code External Code State / Province of defined by the US Postal Service. MC 16 2/2017 char[2] All 99% A0 State Source 2 Source 2 - the Patient Report Province when Country Code - Text States does not = USA. External Address Zip Report the 5 digit Zip Code as Member Code External Code Zip Code of the defined by the United States Postal MC 17 2/2017 varchar[5] All 99% A0 ZIP Code Source 2 Source 2 - Zip Member / Patient Service. Must not report the digit - Text Codes zip code. Report the date that the payer approved this claim line for payment Date in CCYYMMDD Format. This Century Year Date Service Service Full Date element was designed to capture MC 18 6/24/10 Month Day - int[8] Approved by All 93% C Approved - Integer date other than the Paid date. If CCYYMMDD Payer (AP Date) Approved Date and Paid Date are the same, then the date here should match Paid Date.
O Other U Unknown MC 14 Member Date of Birth 2/2017 Year Month - Integer Century Year - CCYYMM int[6] Member/Patient's month and year of birth Report the month/year the member / patient was born in CCYYMM Format. Used to validate Unique Member ID. All 99% A0 MC 15 Filler 2/2017 text Filler char[0] Filler Do not populate with any data. Required to be NULL. All 100% A0 MC 16 Member State 2/2017 External Code Source 2 - Text Address External Code Source 2 - States char[2] State / Province of the Patient Report the of the patient as defined by the US Postal Service. Report Province when Country Code does not = USA. All 99% A0 MC 17 Member ZIP Code 2/2017 External Code Source 2 - Text Address Zip External Code Source 2 - Zip Codes varchar[5] Zip Code of the Member / Patient Report the 5 digit Zip Code as defined by the United States Postal Service. Must not report the digit zip code. All 99% A0 MC 18 Date Service Approved (AP Date) 6/24/10 Full Date - Integer Century Year Month Day - CCYYMMDD int[8] Date Service Approved by Payer Report the date that the payer approved this claim line for payment in CCYYMMDD Format. This element was designed to capture date other than the Paid date. If Approved Date and Paid Date are the same, then the date here should match Paid Date. All 93% C
v6-apcd-medical-claim-file-submission-guide-FINAL.docx