All Payer Claims Database Data Submission Guides


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
 Other Submission Documents
Provider Suffix Codes PDF | Word
Carrier Defined Lookup Table Form Excel
APCD Submission FAQ

 

 

 

Version 6.0 (Redline)
Republished 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

 

 

Version 5.0
Published February 26, 2016

 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 5 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