Subscriber Report the Subscriber's middle initial Name Middle Middle initial of MC Middle 10/15/10 Text char[1] here. Used to validate Unique All 2% C Subscriber Subscriber Initial Member ID. Report the last name of the patient / member here. Used to validate Unique Member ID. Last name should exclude all punctuation, Member Name Last Last name of including hyphens and apostrophes. MC Last 6/24/10 Text All 98% B Member Member/Patient Name should be contracted where Name punctuation is removed, do not report spaces. EXAMPLE: O'Brien becomes OBRIEN; Carlton-Smythe becomes CARLTONSMYTHE Report the first name of the patient / member here. Used to validate Unique Member ID. Exclude all Member punctuation, including hyphens and Name First First name of MC First 6/24/10 Text apostrophes. Name should be All 98% B Member Member/Patient Name contracted where punctuation is removed, do not report spaces. EXAMPLE: Anne-Marie becomes ANNEMARIE Member Report the middle initial of the patient Name Middle Middle initial of MC Middle 6/24/10 Text char[1] / member when available. Used to All 2% C Member Member/Patient Initial validate Unique Member ID.
MC Subscriber Middle Initial 10/15/10 Text Name Middle Subscriber char[1] Middle initial of Subscriber Report the Subscriber's middle initial here. Used to validate Unique Member ID. All 2% C MC Member Last Name 6/24/10 Text Name Last Member Last name of Member/Patient Report the last name of the patient / member here. Used to validate Unique Member ID. Last name should exclude all punctuation, including hyphens and apostrophes. Name should be contracted where punctuation is removed, do not report spaces. EXAMPLE: O'Brien becomes OBRIEN; Carlton-Smythe becomes CARLTONSMYTHE All 98% B MC Member First Name 6/24/10 Text Name First Member First name of Member/Patient Report the first name of the patient / member here. Used to validate Unique Member ID. Exclude all punctuation, including hyphens and apostrophes. Name should be contracted where punctuation is removed, do not report spaces. EXAMPLE: Anne-Marie becomes ANNEMARIE All 98% B MC Member Middle Initial 6/24/10 Text Name Middle Member char[1] Middle initial of Member/Patient Report the middle initial of the patient / member when available. Used to validate Unique Member ID. All 2% C
v5-apcd-medical-claim-file-submission-guide-REDLINE.docx