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
 File Secure Instructions PDF | Word
 File Secure FAQ 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

 


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