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All Payer Claims Database Data Submission Guides

2024 APCD Data Submission Guides (Red Line Version)

(Updated March 11 2024)

 User Submission Guides

Format
 Medical Claims File Submission Guide
 Pharmacy Claims File Submission Guide
 Dental Claims File Submission Guide
 Member Eligibility File Submission Guide

 

 

2023 APCD Data Submission Guides (FINAL Version)

(Published April 25, 2023)

 User Submission Guides

Format
 Medical Claims File Submission Guide
 Pharmacy Claims File Submission Guide
 Dental Claims File Submission Guide
 Member Eligibility File Submission Guide
 Product File Submission Guide
 Provider File Submission Guide
 Benefit Plan Control Total File

 Other Submission Documents
 Provider Suffix Codes
 Carrier Defined Lookup Table Form
 APCD Submission FAQs
 File Secure Instructions
 File Secure FAQs

 File Edits
List of Version 2023 File Edits
 (includes edits to Medical Claims, Dental Claims, Pharmacy Claims, Member Eligibility, Product File, Provider File, Benefit Plan Control Total File)
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2019 APCD Data Submission Guides (FINAL Version)

 User Submission Guides

Format
 Medical Claims File Submission Guide
(Revision 2.0 - Published May 11, 2022)
 Pharmacy Claims File Submission Guide
(Revision 2.0 - Published May 11, 2022)
 Dental Claims File Submission Guide
 Member Eligibility File Submission Guide
(Revision 1.0 - Published July 21, 2020)
 Product File Submission Guide
 Provider File Submission Guide
(Revision 2.0 - Published May 11, 2022)
 Benefit Plan Control Total File

 Other Submission Documents
 Provider Suffix Codes
 Carrier Defined Lookup Table Form
 APCD Submission FAQs
 File Secure Instructions
(Updated September 2019)
 File Secure FAQs

 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)
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