Code of Massachusetts Regulations
129 CMR - HEALTH CARE QUALITY AND COST COUNCIL
Title 129 CMR 2.00 - Uniform Reporting System For Health Care Claims Data Sets
Section 2.10 - Registration and Transmission Requirements

Universal Citation: 129 MA Code of Regs 129.2

Current through Register 1543, March 14, 2025

(1) Registration Form.

(a) Each health care claims processor and each carrier shall submit a registration form to the Council, or its designee. The Council shall develop and publish the registration form, and may make changes from year to year. The form shall contain the information listed in 129 CMR 2.10(1)(a)1. through 6.:
1. Company name;

2. NAIC code;

3. Mailing address;

4. Information about whether the company conducts health insurance related business;

5. Number of Massachusetts members covered; and

6. Name, e-mail address and address of the person completing the form.

(b) Carriers shall submit a registration form by October 1, 2007, and annually thereafter on a date specified in the Statistical Plan developed pursuant to 129 CMR 2.08.

(2) File Organization. The member eligibility files, medical claims file, and the pharmacy claims file shall be:

(a) Submitted to the Council or its designee as separate ASCII files; and

(b) Each record terminated with a carriage return (ASCII 13), or a carriage return line feed (ASCII 13, ASCII 10).

(3) Filing Media.

(a) Data files shall be submitted utilizing one of the media listed in 129 CMR 2.10(3)(a)1. through 4.:
1. CD-ROM;

2. DVD-ROM;

3. Secure SSL web upload interface; or

4. Electronic transmission through a file-transfer program.

(b) E-mail attachments shall not be acceptable.

(c) Space permitting, multiple data files may be submitted utilizing the same media. If this is the case, the external label shall identify the multiple files.

(4) Transmittal Sheet.

(a) All data file submissions on physical media shall be accompanied by a hard copy transmittal sheet containing the information listed in 129 CMR 2.10(4)(a)1. through 7.:
1. Identification of the carrier;

2. File name;

3. Type of file;

4. Data period(s);

5. Date sent;

6. Record count(s) for the file(s); and

7. Contact person with telephone number and e-mail address.

(b) The information on the transmittal sheet shall:
1. Match the information on the header and trailer records; and

2. Conform to the following layout: Click to view imageClick to view image

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