Connect: Direct Applications for RAPS, Encounter, PDE, and MMP

Palmetto GBA

OMB No. 0938-1152

(Expires: TBD)

Connect:Direct Parameters for the
Submission of Encounter Data

The submitters will require the following parameters in order to setup Connect:Direct tables to allow connectivity to Palmetto GBA. Palmetto GBA uses RACF security to enforce data security. The Encounter technical team will provide a User ID and Password to the submitter during the connectivity testing phase.

NAT’d IP Address:	158.73.33.160
Listener Port:	1369
Node ID:	SCA.A70NDM.MC
System Platform:	OS390 - z/OS
AGNS ID:	PGBA

Submitter’s Connect:Direct Parameters

Please provide the parameters Palmetto GBA will need in order to establish connectivity to the submitter:

NAT’d IP Address:
Listener Port:
Node ID:
System Platform:	OS390, z/OS AS/400 Windows, Unix, or Server
AGNS ID:

If the Submitter requires a User ID and Password to access their system, please provide these parameters in the table below:

User ID:		Password:

Please provide the contact information CSSC will require in order to coordinate the setup and testing with:

Technical Contact Name:
Phone Number:
E-mail Address:

Encounter Transaction Submission Dataset:

Listed below are the file parameter values that you, as the submitter, need to code in your CONNECT:DIRECT SCL. The CSSC Help Desk will provide the submitter with the Submitter Id value that will be used in the dataset name.

DSN:	MAB.PROD.NDM.PROD.EDST<submitter id>(+1)
DISP:	(NEW,CATLG,DELETE)
UNIT:	SYSDG
SPACE:	(CYL,(100,100),RLSE)
DCB:	(RECFM=FB,LRECL=80,BLKSIZE=27920)

Note: For testing, use MAB.PROD.NDM.TEST.EDST.<submitter id>(+1)

Encounter Responses/Reports

Please provide the dataset names for each report being returned to you by Palmetto GBA:

Invalid Response:
Record Format is 80 bytes per record.
TA1 Response:
Record Format is 80 bytes per record.
999R and 999E Responses:
Record Format is 80 bytes per record.
277CA Response:
Record Format is 80 bytes per record.
Data Duplicates Report:
Record Format is 287 bytes per record.
Data Duplicates File:
Record Format is 287 bytes per record.
Data Processing Status Report:
Record Format is 154 bytes per record.

Data Processing Status File:
Record Format is 154 bytes per record.
Data Pricing Status Report:
Record Format is 174 bytes per record.
Data Pricing Status File:
Record Format is 174 bytes per record.
Data Risk Adjustment Filter Report:
Record Format is 194 bytes per record.
Data Risk Adjustment Filter File:
Record Format is 194 bytes per record.
Data Summary Report:
Record Format is 76 bytes per record.
Data Summary File:
Record Format is 76 bytes per record.
Edit Disposition Summary Report:
Record Format is 112 bytes per record.
Edit Disposition Summary File:
Record Format is 112 bytes per record.
Detail Report:
Record Format is 331 bytes per record.
Detail File:
Record Format is 331 bytes per record.

Please contact the CSSC Help Desk with any questions using the following contact information:

Phone Number - 1-877-534-2772

E-mail Address – [email protected]

(Please include “Encounter Question” in the subject line)

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1152. The time required to complete this information collection is estimated to average 7 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Baltimore, Maryland 21244-1850. CMS-10340( / )

Enrollment Package/2016 8