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APCD-CDL™ Maintenance and Change Request Form
The APCD Council is accepting maintenance and change requests for consideration during the 2024 maintenance cycle.
Please complete the following form with your request. If you have more than one request, you'll be given an option to provide another response after you submit. Feel free to email any additional information or documentation to
info@nahdo.org
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Email
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Your email
Name
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Your answer
Organization
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Your answer
Please describe your maintenance request.
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Your answer
Applicable to which files? (Mark all that apply)
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Header (HR)
Trailer (TR)
Eligibility (ME)
Medical (MC)
Pharmacy (PC)
Dental (DC)
Provider (MP)
Appendix G-1: Insurance Type/Product Code
Appendix G-2: Race 1/Race 2/Race 3
Appendix G-3: Market Category Codes
Appendix H: External Code Sources
Other:
Required
APCD-CDL™ Data Element Number of affected elements (Separate with commas and use NA for corrections, requests to add new elements, changes to an appendix, etc.)
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Your answer
APCD-CDL™ Data Element Description of affected elements (Separate with commas and use NA for corrections, requests to add new elements, changes to an appendix, etc.)
Your answer
Please provide justification for this maintenance request.
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Your answer
Links to references (separated by commas)
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A copy of your responses will be emailed to the address you provided.
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