Report the appropriate amount that corresponds to the value code. Only code 0 when 0 is an applicable Required Value Amount that amount for the Value Code Set. Do when MC Amount - 11/8/12 Integer Currency corresponds to not code decimal or round up / down 100% B is 11 Code - 11 to whole dollars, code zero cents (00) populated when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 External Report the appropriate value that External Code Value Code defines a value category of the claim. MC 11/8/12 Source 14 - char[2] Value Code All 1% B Code - 12 Source If not applicable do not report any Value Codes 14 - Text value here. Report the appropriate amount that corresponds to the value code. Only code 0 when 0 is an applicable Required Value Amount that amount for the Value Code Set. Do when MC Amount - 11/8/12 Integer Currency corresponds to not code decimal or round up / down 100% B MC213 is 12 Value Code - 12 to whole dollars, code zero cents (00) populated when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 External External Code Report the appropriate value that Code Source 14 - defines an occurrence category for MC 11/8/12 char[2] Occurrence Code All 1% B Code - 1 Source Occurrence the claim or patient. If not applicable 14 - Text Codes do not report any value here. Date that Required Century Year Report the appropriate date that Full Date corresponds to when MC 11/8/12 Month Day - int[8] corresponds to the occurrence code 100% B Date - 1 - Integer Occurrence Code MC215 is CCYYMMDD in CCYYMMDD Format. - 1 populated External External Code Report the appropriate value that Code Source 14 - defines an occurrence category for MC 11/8/12 char[2] Occurrence Code All 1% B Code - 2 Source Occurrence the claim or patient. If not applicable 14 - Text Codes do not report any value here. Date that Required Century Year Report the appropriate date that Full Date corresponds to when MC 11/8/12 Month Day - int[8] corresponds to the occurrence code 100% B Date - 2 - Integer Occurrence Code MC217 is CCYYMMDD in CCYYMMDD Format. - 2 populated
MC Value Amount - 11 11/8/12 Integer Currency Amount that corresponds to Code - 11 Report the appropriate amount that corresponds to the value code. Only code 0 when 0 is an applicable amount for the Value Code Set. Do not code decimal or round up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 Required when is populated 100% B MC Value Code - 12 11/8/12 External Code Source 14 - Text External Code Source 14 - Value Codes char[2] Value Code Report the appropriate value that defines a value category of the claim. If not applicable do not report any value here. All 1% B MC Value Amount - 12 11/8/12 Integer Currency Amount that corresponds to Value Code - 12 Report the appropriate amount that corresponds to the value code. Only code 0 when 0 is an applicable amount for the Value Code Set. Do not code decimal or round up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 Required when MC213 is populated 100% B MC Code - 1 11/8/12 External Code Source 14 - Text External Code Source 14 - Occurrence Codes char[2] Occurrence Code Report the appropriate value that defines an occurrence category for the claim or patient. If not applicable do not report any value here. All 1% B MC Date - 1 11/8/12 Full Date - Integer Century Year Month Day - CCYYMMDD int[8] Date that corresponds to Occurrence Code - 1 Report the appropriate date that corresponds to the occurrence code in CCYYMMDD Format. Required when MC215 is populated 100% B MC Code - 2 11/8/12 External Code Source 14 - Text External Code Source 14 - Occurrence Codes char[2] Occurrence Code Report the appropriate value that defines an occurrence category for the claim or patient. If not applicable do not report any value here. All 1% B MC Date - 2 11/8/12 Full Date - Integer Century Year Month Day - CCYYMMDD int[8] Date that corresponds to Occurrence Code - 2 Report the appropriate date that corresponds to the occurrence code in CCYYMMDD Format. Required when MC217 is populated 100% B
apcd-medical-claim-file-submission-guide.docx