129 CMR 2.10
Registration and Transmission Requirements
(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:
Health Care Quality and Cost Council Data Transmission Form
Carrier:
________________________________________________________________________
Council Submitter Code: _________________________
Contact Person Name: ________________________________________________________________
Address: ___________________________________________________________________________
Telephone: ____________________________ E-Mail: _______________________________
File Name
Eligibility
Medical
Prescription Drugs
Period Beginning Date
Period Ending Date
Record Count
Date Processed
Original Submission
Resubmission
(c) In addition to the transmittal sheet, carriers submitting data on physical media shall affix an
external label to CD-ROM or DVD on which data are sent that includes:
1. Health plan name;
2. Council submitted code;
3. Contact person name;
4. Contact person address;
5. Contact person telephone number;
6. Contact person e-mail address;
7. Shipping date;
8. Unique tracking identifier number for each file;
9. Period beginning date;
10. Period ending date;
11. Record count;
12. Date proposed;
13. Submission date; and
14. Any date of resubmission.