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

Available Soon

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 ExampleExcel 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.