Payer Data Reporting Instructions and Supporting Materials

Data Specification Manuals

Total Medical Expenses Data Specification Manual

PDF pdf format of data-spec-manual-tme.pdf | Word docx format of data-spec-manual-tme.docx

Relative Prices Data Specification Manual

PDF pdf format of data-spec-manual-rp.pdf | Word docx format of data-spec-manual-rp.docx

Alternative Payment Methods Data Specification Manual

PDF pdf format of data-spec-manual-apm.pdf | Word docx format of data-spec-manual-apm.docx

Provider Payment Methods Data Specification Manual

PDF pdf format of provider-payment-method-spec-manual.pdf | Word docx format of provider-payment-method-spec-manual.docx

Provider Payment Methods Data Sample Excel xlsx format of provider-payment-method-example-calc.xlsx

Network Average Dollar Amount

Available Soon

 

Reference Materials

Standardized Physician Group OrgID List 
(For reference purposes only)

Excel xlsx format of physician-group-orgid-list.xlsx

Uniform Provider OrgID List

Excel xlsx format of uniform-provider-orgIid-list.xlsx

Massachusetts Zip Codes

Excel xlsx format of Massachusetts Zip Code List for Data Filings.xls

 

Calculation Examples

Total Medical Expenses Calculation Example

Excel xlsx format of example-tme-calculation.xlsx

Relative Prices Calculation Example Excel xlsx format of example-rp-calculation.xlsx
Alternative Payment Methods Data Example

Excel xlsx format of example-apm-calculation.xlsx

Network Average Dollar Amount Calculation Example

Available Soon

 

Questions and Contact

For any questions related to Payer Data Reporting please email the Center for Health Information and Analysis at TMERP@state.ma.us.