Will data sent to State agencies, be separated by submitting plan? Either they will send a consolidated file or will send separate files per submitter. Presuming they will send a consolidate single file per day, where the data is identified at a high level loop per submitter. Please confirm if this is the case and where the iteration will be based (loop-wise).
Answer:
Data is identified by submitter and plan ID; however, files will be separated by Payer Code. Palmetto GBA will be sending a consolidated single file per day. Within this file, data will be identified by Submitter ID in the ISA segment, within this envelope the unique Plan ID is identified in the 2010 BB Loop, Ref 2U segment.
Last Updated: 04/15/2014