ACO Required Files

Required Files Checklist is located in your Implementation Plan checklist.

All CCLF files (12 files per set, usually 1 set per month)                                                                                                                               

Submitted

CCLFA Part A Bene Enhancement Demo Codes File
P.A****.ACO.CCLFA.DYYMMDD.THHMMSS


CCLFB Part B Bene Enhancement Demo Codes File
P.A****.ACO.CCLFB.DYYMMDD.THHMMSS


CCLF0 Summary Statistics
P.A****.ACO.CCLF0.DYYMMDD.THHMMSS


CCLF1 Part A Claims Header File
P.A****.ACO.CCLF1.DYYMMDD.THHMMSS


CCLF2 Part A Claims Revenue Center Detail File
P.A****.ACO.CCLF2.DYYMMDD.THHMMSS


CCLF3 Part A Procedure Code File
P.A****.ACO.CCLF3.DYYMMDD.THHMMSS


CCLF4 Part A Diagnosis Code File
P.A****.ACO.CCLF4.DYYMMDD.THHMMSS


CCLF5 Part B Physicians File
P.A****.ACO.CCLF5.DYYMMDD.THHMMSS


CCLF6 Part B DME File
P.A****.ACO.CCLF6.DYYMMDD.THHMMSS


CCLF7 Part D File
P.A****.ACO.CCLF7.DYYMMDD.THHMMSS


CCLF8 Beneficiary Demographics File
P.A****.ACO.CCLF8.DYYMMDD.THHMMSS


CCLF9 Bene XREF File
P.A****.ACO.CCLF9.DYYMMDD.THHMMSS


All QASSGN files (1 per quarter 2018 and prior)

Submitted

Quarterly Assignment List
P.A****.ACO.QASSGN.DYYMMDD.THHMMSS


All QALR files (1 per quarter 2019 and after)

Submitted

Quarterly Assignment List
P.A****.ACO.QALR.DYYMMDD.THHMMSS


All QEXPU files (1 per quarter)

Submitted

Quarterly Expenditure / Utilization Trend Report
P.A****.ACO.QEXPU.DYYMMDD.THHMMSS


All BNEXC files (1 per month)

Submitted

Beneficiary Data Sharing Exclusion File
P.A****.BNEXC.LIST.DYYMMDD.THHMMSS or
T.A****.BNEXC.LIST.DYYMMDD.THHMMSS


All HASSGN files (1 per year 2018 and prior)

Submitted

Annual Assignment List
P.A****.ACO.HASSGN.DYYMMDD.THHMMSS


All HALR files (1 per year 2019 and after)

Submitted

Annual Assignment List
P.A****.ACO.HALR.DYYMMDD.THHMMSS


Most Recent BNMRK file

Submitted

Historical Benchmark Report
P.A****.ACO.BNMRK.DYYMMDD.THHMMSS


ACO-MS Participant List (Optional)

Submitted

TIN List


CCN List including the TIN each CCN maps to


NPI List including the TIN each NPI maps to



*Extract the contents of the QEXPU.zip file and then save the file and append “.zip” to the end of the HASSGN or QASSGN file name in order to open the .zip file and its contents.

HASSGN.zip (2019)QASSGN.zip (2019)

Assignment List Reports Data Dictionary (Excel file named “ALR Data Dictionary”)

Assignment List Report Parameters (Excel file named “ALR Parameters”)

Assignment List Report, Table 1-1 (CSV file named “P.Axxxx.ACO.HASSGN.DDMMYYYY.HHMMSSS_1”)

Assignment List Report, Table 1-2 (CSV file named “P.Axxxx.ACO.HASSGN.DDMMYYYY.HHMMSSS_2”)

Assignment List Report, Table 1-3 (CSV file named “P.Axxxx.ACO.HASSGN.DDMMYYYY.HHMMSSS_3”)

Assignment List Report, Table 1-4 (CSV file named “P.Axxxx.ACO.HASSGN.DDMMYYYY.HHMMSSS_4”)

Assignment List Report, Table 1-5 (CSV file named “P.Axxxx.ACO.HASSGN.DDMMYYYY.HHMMSSS_5”)

Assignment List Report, Table 1-6 (CSV file named “P.Axxxx.ACO.HASSGN.DDMMYYYY.HHMMSSS_6”)

Assignment List Reports Data Dictionary (Excel file named “ALR Data Dictionary”)

Assignment List Report Parameters (Excel file named “ALR Parameters”)

Assignment List Report, Table 1-1 (CSV file named “P.Axxxx.ACO.QASSGN.DDMMYYYY.HHMMSSS_1”)

Assignment List Report, Table 1-2 (CSV file named “P.Axxxx.ACO.QASSGN.DDMMYYYY.HHMMSSS_2”)

Assignment List Report, Table 1-3 (CSV file named “P.Axxxx.ACO.QASSGN.DDMMYYYY.HHMMSSS_3”)

Assignment List Report, Table 1-4 (CSV file named “P.Axxxx.ACO.QASSGN.DDMMYYYY.HHMMSSS_4”)

Assignment List Report, Table 1-5 (CSV file named “P.Axxxx.ACO.QASSGN.DDMMYYYY.HHMMSSS_5”)

Assignment List Report, Table 1-6 (CSV file named “P.Axxxx.ACO.QASSGN.DDMMYYYY.HHMMSSS_6”)


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