Value Description 1 General Care Facility Skilled Nursing Facility/Long Term 2 Care Facility 3 Intermediate Care Facility 4 Hospice Facility 5 Designated Cancer Center Designated Inpatient Children’s 6 Hospital 7 Inpatient Rehabilitation Facility 8 Inpatient Pyschiatric Hospital 9 Critical Access Hospital 70 Other Type of Facility Required when specific MassHealth Claim Report the value that defines the MC Claim 10/30/14 Text Char[1] submitter is 100% A2 claim Type Indicator element Type type code Value Description INPATIENT PART A CROSSOVER A UB92 PROFESSIONAL PART B B CROSSOVER
Value Description 1 General Care Facility 2 Skilled Nursing Facility/Long Term Care Facility 3 Intermediate Care Facility 4 Hospice Facility 5 Designated Cancer Center 6 Designated Inpatient Children’s Hospital 7 Inpatient Rehabilitation Facility 8 Inpatient Pyschiatric Hospital 9 Critical Access Hospital 70 Other Type of Facility MC Claim Type 10/30/14 specific claim type code Text Char[1] MassHealth Claim Type Indicator Report the value that defines the element Required when submitter is 100% A2 Value Description A INPATIENT PART A CROSSOVER UB92 B PROFESSIONAL PART B CROSSOVER
apcd-medical-claim-file-submission-guide.docx