Code of Massachusetts Regulations
957 CMR - CENTER FOR HEALTH INFORMATION AND ANALYSIS
Title 957 CMR 10.00 - HEALTH CARE PAYERS PREMIUMS AND CLAIMS DATA REPORTING REQUIREMENTS
Section 10.04 - Data Submission Procedures

(1) General. Payers shall submit annually health care data and information to the Center in accordance with the procedures provided in 957 CMR 10.00, a Data Submission Manual, or an Administrative Bulletin.

(2) Data Submission Manual. The Center will release a draft Data Submission Manual prior to requiring data submissions from Payers. Payers will be given at least 14 days to submit written comments on the draft Data Submission Manual. The Center will issue a final Data Submission Manual following the deadline for written comments and will notify Payers of its availability.

(3) Data Submission Process. Each Payer shall submit data directly to the Center or the Center's designated contractor in the format specified by the Data Submission Manual. Data submissions must conform to specifications set forth in the Data Submission Manual by the Center. The Center or its contractor will notify a Payer whether the submission has been accepted or rejected. Payers must correct and resubmit rejected data in a timely manner until notified that the submission has been accepted.

(4) Data Review and Verification. Data submissions are subject to review and verification through whatever mechanisms the Center deems necessary, including but not limited to matching and validating data from the Massachusetts Division of Insurance's "Annual Comprehensive Financial Statement", the US Consumer Information and Insurance Oversight's (CCIIO) "Medical Loss Ratio Reporting Form", the National Association of Insurance Commissioners (NAIC) "Supplemental Health Care Exhibit", the Center's "Enrollment Trends" reporting, and the Center's "Total Medical Expenses" reporting.

(5) Filing Deadlines. Each Reporting Year, Payers must submit finalized, acceptable data (per 957 CMR 10.04(3)) for the previous three Calendar Years by May 10th, unless otherwise instructed in the Data Submission Manual or by Administrative Bulletin.

(6) Extension Requests. The Center may grant, for good cause, data submission extensions for Payers to submit health care data and information.