Report PV here. This validates the Record type of file and the data contained PV 71 6/24/10 Text ID File char[2] File Type Identifier All 100% A0 Type within the file. This must match 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. Report the Unique Submitter ID as Trailer Submitter / defined by CHIA here. This must 2 Submitter 11/8/12 Integer ID Submitter varchar[6] Carrier ID defined by Mandatory 100% TM the Submitter ID reported in CHIA HD002. Do not report any value here until National PlanID is fully implemented. CMS National Plan National This is a unique identifier as outlined 3 11/8/12 Integer ID Nat'l PlanID int[10] Identification Situational 0% TS Plan ID by Centers for Medicare and Number (PlanID) Medicaid Services (CMS) for Plans or Sub plans. Validates the file Report PV here. This must match the 4 Type of File 6/24/10 Text ID File char[2] type defined in Mandatory 100% TM File Type reported in HD004. HD004. Report the Year and of the Period Date reported submission period in Century Year Trailer Period Start 5 Beginning 6/24/10 Period - int[6] CCYYMM format. This date period Mandatory 100% TM - CCYYMM Date Date Integer must match the date period reported in HD005 and HD006. Report the Year and Month of the Period Date Century Year reporting submission period in Trailer Period 6 Ending 6/24/10 Period - Month - int[6] CCYYMM format. This date period Mandatory 100% TM Ending Date Date Integer CCYYMM must match the date period reported in TR005 and HD005 and HD006. Century Year Report the full date that the Date Full Date Trailer Processed 7 6/24/10 Month Day - int[8] submission was compiled by the Mandatory 100% TM Processed - Integer Date CCYYMMDD submitter in CCYYMMDD Format. Appendix External Code Sources –
PV 71 Record Type 6/24/10 Text ID File char[2] File Type Identifier Report PV here. This validates the type of file and the data contained within the file. This must match 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 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 4 Type of File 6/24/10 Text ID File char[2] Validates the file type defined in HD004. Report PV here. This must match the File Type reported in HD004. Mandatory 100% TM 5 Period Beginning Date 6/24/10 Date Period - Integer Century Year - CCYYMM int[6] Trailer Period Start Date Report the Year and of the reported submission period in CCYYMM format. This date period must match the date period reported in HD005 and HD006. Mandatory 100% TM 6 Period Ending Date 6/24/10 Date Period - Integer Century Year Month - CCYYMM int[6] Trailer Period Ending Date Report the Year and Month of the reporting submission period in CCYYMM format. This date period must match the date period reported in TR005 and HD005 and HD006. Mandatory 100% TM 7 Date Processed 6/24/10 Full Date - Integer Century Year Month Day - CCYYMMDD int[8] Trailer Processed Date Report the full date that the submission was compiled by the submitter in CCYYMMDD Format. Mandatory 100% TM Appendix – External Code Sources
apcd-provider-file-submission-guide.docx