C.M.R. 90, 590, ch. 243, app 590-243-B-2
Data Element # | Data Element Name | Date Effective | Type | Maximum Length | Description/Codes/Sources |
TR001 | Record Type | 1/1/2003 | Text | 2 | TR |
TR002 | Submitter | 1/1/2003 | Text | 8 | MHDO-assigned identifier of payor submitting claims data. Do not leave blank. |
TR003 | Payor | 7/1/2012 | Text | 8 | MHDO-assigned code of the insurer/ underwriter in the case of premiums-based coverage, or of the administrator in the case of self-funded coverage |
TR004 | Type of File | 1/1/2003 | Text | 2 | CF Capitated Payments File DC Dental Claims MC Medical Claims ME Member Eligibility PC Pharmacy Claims |
TR005 | Period Beginning Date | 1/1/2003 | Text | 6 | CCYYMM Beginning of paid period for Claims Beginning of month covered for Eligibility Beginning of performance period for Capitated Payments |
TR006 | Period Ending Date | 1/1/2003 | Text | 6 | CCYYMM End of paid period for Claims End of month covered for Eligibility End of performance period for Capitated Payments |
TR007 | Date Processed | 1/1/2003 | Text | 8 | CCYYMMDD Date file was created |
C.M.R. 90, 590, ch. 243, app 590-243-B-2