Required when Assigned A2 100 Submitter is identified submitters as a TME / RP only. Submitter. Report whether the member’s contract was assigned TME Global TME Global under a global ME131 Budget/Payment Integer 1 Budget/Payment Indicator budget/payment Indicator contract. EXAMPLE: 1 = Yes, the member’s contract was assigned under a global/budget/payment contract. Value Description 1 Yes 2 No Risk B 100 Holders Employer + report a Total Required for Cost Subscriber’s total value when ME132 Integer 10 Contribution contribution to monthly Trends Analysis. ME060 = A, I, O or P and premium Member = Subscriber The following table lists general changes and updates to be made to file types: ACTION NARRATIVE Set length of all Medical Claim Procedure Reset Length on ICD-CM Procedure Codes Codes to varchar(7) to accommodate ICD-10 Updates (MC058, MC083-MC088).
ME131 TME Global Budget/Payment Indicator Integer 1 TME Global Budget/Payment Indicator Required when Submitter is identified as a TME / RP Submitter. Report whether the member’s contract was assigned under a global budget/payment contract. EXAMPLE: 1 = Yes, the member’s contract was assigned under a global/budget/payment contract. Assigned submitters only. A2 100 Value Description 1 Yes 2 No ME132 Total Contribution Integer 10 Employer + Subscriber’s total contribution to monthly premium Required for Cost Trends Analysis. Risk Holders report a value when ME060 = A, I, O or P and Member = Subscriber B 100 The following table lists general changes and updates to be made to file types: ACTION NARRATIVE Reset Length on ICD-CM Procedure Codes Set length of all Medical Claim Procedure Codes to varchar(7) to accommodate ICD-10 Updates (MC058, MC083-MC088).
ab-13-02-payers-claims-data-submissions-114-5-cmr-21-00.docx