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 SampleExcel xlsx format of provider-payment-method-example-calc.xlsx

Network Average Dollar Amount

PDF pdf format of network-avg-dollar-amount-spec-manual.pdf
| Word docx format of network-avg-dollar-amount-spec-manual.docx

Network Average Dollar Amount Data Collection SheetExcel xlsx format of network-avg-dollar-collection-sheet.xlsx

 

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

Excel xlsx format of network-avg-dollar-amount-calc-example.xlsx

 

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.