Assigned A2 100 submitters only. Required in December Required for Total file only. Medical Expense Required ID Link to PV002. Attributed PCP Reporting. OrgID when ME124 Text 30 PV002 for PCP attributed Provider ID specific. The PCP ME131 = 1 to patient for prior year. attributed to a member and ME046 by the payer. is or or missing. Required for Total Assigned A2 100 Medical Expense submitters Reporting. OrgID only. TME OrgID - specific. TME Physician Group ME125 Integer 6 TME Provider OrgID Provider OrgID for the of the Member’s Physician Group of the PCP and Member’s PCP not the place of service for the claim The APCD reserves All Z 0 this field for future ME126 Filler Char 0 Filler use. Do not populate with any data. The APCD reserves All Z 0 this field for future ME127 Filler Char 0 Filler use. Do not populate with any data. The APCD reserves All Z 0 this field for future ME128 Filler Char 0 Filler use. Do not populate with any data. The APCD reserves All Z 0 this field for future ME129 Filler Char 0 Filler use. Do not populate with any data. The APCD reserves All Z 0 this field for future ME130 Filler Char 0 Filler use. Do not populate with any data.
ME124 Attributed PCP Provider ID Text 30 ID Link to PV002. PV002 for PCP attributed to patient for prior year. Required for Total Medical Expense Reporting. OrgID specific. The PCP attributed to a member by the payer. Assigned submitters only. Required in December file only. Required when ME131 = 1 and ME046 is or or missing. A2 100 ME125 TME OrgID - Physician Group of the Member’s PCP Integer 6 TME Provider OrgID Required for Total Medical Expense Reporting. OrgID specific. TME Provider OrgID for the Physician Group of the Member’s PCP and not the place of service for the claim Assigned submitters only. A2 100 ME126 Filler Char 0 Filler The APCD reserves this field for future use. Do not populate with any data. All Z 0 ME127 Filler Char 0 Filler The APCD reserves this field for future use. Do not populate with any data. All Z 0 ME128 Filler Char 0 Filler The APCD reserves this field for future use. Do not populate with any data. All Z 0 ME129 Filler Char 0 Filler The APCD reserves this field for future use. Do not populate with any data. All Z 0 ME130 Filler Char 0 Filler The APCD reserves this field for future use. Do not populate with any data. All Z 0
ab-13-02-payers-claims-data-submissions-114-5-cmr-21-00.docx