Code of Maine Rules
90 - INDEPENDENT AGENCIES
590 - MAINE HEALTH DATA ORGANIZATION
Chapter 243 - UNIFORM REPORTING SYSTEM FOR HEALTH CARE CLAIMS DATA SETS
Appendix 590-243-B-2 - Maine Health Data Organization Trailer Record Specifications

Universal Citation: 90 ME Code Rules ยง 590-243-B-2
Current through 2024-38, September 18, 2024

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

Disclaimer: These regulations may not be the most recent version. Maine may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.