2 No 3 Unknown 4 Other 5 Not Applicable Report the value that defines the element. NonClaims payments that Lookup occur at least once within the month NonClaims Indicator - Provider PV 46 11/8/12 Table - int[1] must be reported. EXAMPLE: 1 = All 100% A2 Flag Contract Payment Integer Yes, provider may be eligible to receive other payments not flowing through the claims system. Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable the MA APCD reserves this field. Do PV 47 Filler filler Filler Char[1] Filler All 0% Z not populate with any data. The MA APCD reserves the field. Do PV 48 Filler Filler Filler Char[40] Filler All 0% Z not populate with any data. Report the value that defines the element. EXAMPLE: 1 = Yes, Required Accepting Lookup Indicator - New provider or provider group is when PV 49 New 11/8/12 - int[1] 100% A2 Patients Accepted accepting new patients as of the day PV034 = 1, Patients Integer the file was created for this 2, or 3 submission. Value Description 1 Yes 2 No 3 Unknown
2 No 3 Unknown 4 Other 5 Not Applicable PV 46 NonClaims Flag 11/8/12 Lookup Table - Integer int[1] Indicator - Provider Contract Payment Report the value that defines the element. NonClaims payments that occur at least once within the month must be reported. EXAMPLE: 1 = Yes, provider may be eligible to receive other payments not flowing through the claims system. All 100% A2 Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable PV 47 Filler filler Filler Char[1] Filler the MA APCD reserves this field. Do not populate with any data. All 0% Z PV 48 Filler Filler Filler Char[40] Filler The MA APCD reserves the field. Do not populate with any data. All 0% Z PV 49 Accepting New Patients 11/8/12 Lookup - Integer int[1] Indicator - New Patients Accepted Report the value that defines the element. EXAMPLE: 1 = Yes, provider or provider group is accepting new patients as of the day the file was created for this submission. Required when PV034 = 1, 2, or 3 100% A2 Value Description 1 Yes 2 No 3 Unknown
apcd-provider-file-submission-guide.docx