All Payer Claims Database Data Submission Guides


2019 APCD Data Submission Guides (FINAL Version)
Published March 6, 2019

 User Submission Guides

Format

 Medical Claims File Submission Guide
PDF | Word
 Pharmacy Claims File Submission Guide
PDF | Word
 Dental Claims File Submission Guide
PDF | Word
 Member Eligibility File Submission Guide
PDF | Word
 Product File Submission Guide
PDF | Word
 Provider File Submission Guide
PDF | Word
 Benefit Plan Control Total File
PDF | Word

 Other Submission Documents

 Provider Suffix Codes PDF | Word
 Carrier Defined Lookup Table Form Excel
 APCD Submission FAQs
 File Secure Instructions
(Updated September 2019)
PDF | Word
 File Secure FAQs PDF | Word

 File Edits

List of Version 2019 File Edits
 (includes edits to Medical Claims, Dental Claims, Pharmacy Claims, Member Eligibility, Product File, Provider File, Benefit Plan Control Total File)
(Coming Soon)

 


2019 APCD Data Submission Guides (Red Line Version)
Published February 1, 2019

 User Submission Guides

Format

 Medical Claims File Submission Guide
PDF | Word
 Pharmacy Claims File Submission Guide
PDF | Word
 Dental Claims File Submission Guide
PDF | Word
 Member Eligibility File Submission Guide
PDF | Word
 Product File Submission Guide
PDF | Word
 Provider File Submission Guide
PDF | Word
 Benefit Plan Control Total File
PDF | Word

 


Version 6.0
Published February 27, 2017

 User Submission Guides

Format

 Medical Claims File Submission Guide
PDF | Word
 Pharmacy Claims File Submission Guide
PDF | Word
 Dental Claims File Submission Guide
PDF | Word
 Member Eligibility File Submission Guide
PDF | Word
 Product File Submission Guide
PDF | Word
 Provider File Submission Guide
PDF | Word
 Benefit Plan Control Total File
PDF | Word
 Supplemental Diagnosis File Submission Guide
PDF | Word

 File Edits

List of Version 6 File Edits
 (includes edits to Medical Claims, Dental Claims, Pharmacy Claims, Member Eligibility, Product File, Provider File, Benefit Plan Control Total File and Supplemental Diagnosis File)
Excel