2 No 3 Unknown 4 Other 5 Not Applicable Other Defines Product Required Product Name Other Line of Report the Other Product Line of when PR 15 Line of 11/8/12 Text Line of varchar[30] Business when Business Model here when PR004 98% A2 PR004 = Business Business Other is reports ZZ. ZZ Model selected Required Defines Risk Other Risk Name Other Report the Risk Type here when when PR 16 11/8/12 Text varchar[30] Type is 98% A2 Type Risk PR008 reports 0 <zero>. PR008 = 0 selected <zero> Required National Report the NAIC Code associated with when Association of the entity that maintains this product. Submitter PR 17 NAIC Code 11/8/12 Integer ID NAIC int[5] Insurance 100% A2 Entities that are not assigned a NAIC is identified Commissioners' must not report any value here. as a NAIC Code entity External Situs State State / Province Report the in which the product Code External PR 18 char[2] of the situs of was issued. Report Province when All 98% A0 Source 2 - Code Source the Product Country Code does not = USA Text 2 - States Report PR here. This validates the Record File Type PR 19 6/24/10 Text ID File char[2] type of file and the data contained All 100% A0 Type Identifier within the file. This must HD004. TR Record Trailer Record Report here. Indicates the end of 1 6/24/10 Text ID Record char[2] Mandatory 100% TM Type Identifier the data file. Trailer Report the Unique Submitter ID as Submitter / defined by CHIA here. This must 2 Submitter 11/8/12 Integer ID Submitter varchar[6] Mandatory 100% TM Carrier ID match the Submitter ID reported in defined by CHIA HD002. CMS National Do not report any value here until Plan National PlanID is fully implemented. National ID Nat'l 3 11/8/12 Integer int[10] Identification This is a unique identifier as outlined Situational 0% TS Plan ID PlanID Number by Centers for Medicare and Medicaid (PlanID) Services (CMS) for Plans or Sub plans.
2 No 3 Unknown 4 Other 5 Not Applicable PR 15 Other Product Line of Business Model 11/8/12 Text Name Other Line of Business varchar[30] Defines Product Line of Business when Other is selected Report the Other Product Line of Business Model here when PR004 reports ZZ. Required when PR004 = ZZ 98% A2 PR 16 Other Risk Type 11/8/12 Text Name Other Risk varchar[30] Defines Risk Type is selected Report the Risk Type here when PR008 reports 0 <zero>. Required when PR008 = 0 <zero> 98% A2 PR 17 NAIC Code 11/8/12 Integer ID NAIC int[5] National Association of Insurance Commissioners' Code Report the NAIC Code associated with the entity that maintains this product. Entities that are not assigned a NAIC must not report any value here. Required when Submitter is identified as a NAIC entity 100% A2 PR 18 External Code Source 2 - Text Situs State External Code Source 2 - States char[2] State / Province of the situs of the Product Report the in which the product was issued. Report Province when Country Code does not = USA All 98% A0 PR 19 Record Type 6/24/10 Text ID File char[2] File Type Identifier Report PR here. This validates the type of file and the data contained within the file. This must HD004. All 100% A0 1 Record Type 6/24/10 Text ID Record char[2] Trailer Record Identifier Report TR here. Indicates the end of the data file. Mandatory 100% TM 2 Submitter 11/8/12 Integer ID Submitter varchar[6] Trailer Submitter / Carrier ID defined by CHIA Report the Unique Submitter ID as defined by CHIA here. This must match the Submitter ID reported in HD002. Mandatory 100% TM 3 National Plan ID 11/8/12 Integer ID Nat'l PlanID int[10] CMS National Plan Identification Number (PlanID) Do not report any value 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. Situational 0% TS
v6-apcd-product-file-submission-guide-FINAL.docx