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 Mandatory 100% TM match the Submitter ID reported in by CHIA HD002. Do not report any value here until National PlanID is fully implemented. CMS National National This is a unique identifier as outlined 3 11/8/12 Integer ID Nat'l PlanID int[10] Plan Identification Situational 0% TS Plan ID by Centers for Medicare and Number (PlanID) Medicaid Services (CMS) for Plans or Sub plans. Validates the file Type of Report here. This must the MC 4 6/24/10 Text ID File char[2] type defined in Mandatory 100% TM File File Type reported in HD004. HD004. Report the Year and Month of the Period Date Century Year reported submission period in Trailer Period 5 Beginning 6/24/10 Period - Month - int[6] CCYYMM format. This date period Mandatory 100% TM Date Date Integer CCYYMM 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 – 1. Countries American National Standards Institute
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 4 Type of File 6/24/10 Text ID File char[2] Validates the file type defined in HD004. Report MC here. This must the File Type reported in HD004. Mandatory 100% TM 5 Period Beginning Date 6/24/10 Date Period - Integer Century Year Month - CCYYMM int[6] Trailer Period Date Report the Year and Month 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 1. Countries American National Standards Institute
apcd-medical-claim-file-submission-guide.docx