United States Health Information Knowledgebase

 

APCD To ASC X12 Relationship Mapping

The APCD to ASC X12 Relationship Mapping provides an alignment of APCD Council Exit Disclaimer [www.apcdcouncil.org] data elements to ASC X12 5010 data elements and to state APCD data elements for medical claims. A checkmark example of usage icon in a state column indicates that the state collects the data element corresponding to the APCD data element on a particular row. Note that one APCD data element may map to multiple ASC X12 data elements.

Grouping /
APCD Element
ASC X12 Element APCD Data Element ID ME MA MN NH TN VT
Claim
Claim StatusClaim Status Code
MC038Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Insurance Type/Product CodeClaim Filing Indicator Code
MC003Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Line CounterAssigned Number
MC005Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
National Plan IDOther Payer Primary Identifier
Payer Identifier
MC002Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Patient Account/Control NumberPatient Control Number
MC068Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data element-Vermont uses the data element
PayerOther Payer Primary Identifier
Submitter Identifier
MC001Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Payer Claim Control NumberDescription
Payer Claim Control Number
Reference Identification Qualifier
MC004Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Record TypeMC899-Massachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Type of Bill - InstitutionalClaim Frequency Code
Facility Code Qualifier
Facility Type Code
MC036Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Subscriber
Encrypted Subscriber First NameSubscriber First Name
MC102Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data element-Vermont uses the data element
Encrypted Subscriber Last NameSubscriber Last Name
MC101Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data element-Vermont uses the data element
Encrypted Subscriber Middle InitialSubscriber Middle Name or Initial
MC103Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data element-Vermont uses the data element
Insured Group or Policy NumberInsured Group or Policy Number
Subscriber Group or Policy Number
MC006Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Plan Specific Contract NumberSubscriber Primary Identifier
MC008Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Subscriber Social Security NumberReference Identification Qualifier
Subscriber Social Security Number
MC007Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data element-Vermont uses the data element
Patient
Encrypted Member First NamePatient First Name
MC105Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data element-Vermont uses the data element
Encrypted Member Last NamePatient Last Name
MC104Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data element-Vermont uses the data element
Encrypted Member Middle InitialPatient Middle Name or Initial
MC106Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data element-Vermont uses the data element
Individual Relationship CodeIndividual Relationship Code
MC011Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Member City Name (Patient)Patient City Name
Subscriber City Name
MC014Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Member Date of Birth (Patient)Date Time Period Format Qualifier
Patient Birth Date
Subscriber Birth Date
MC013Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data element-Vermont uses the data element
Member Gender (Patient)Patient Gender Code
Subscriber Gender Code
MC012Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Member Identification Code (Patient)Identification Code
Identification Code Qualifier
Subscriber Primary Identifier
MC010Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data element-Vermont uses the data element
Member State or Province (Patient)Patient State Code
Subscriber State Code
MC015Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Member Suffix or Sequence NumberMC009Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Member ZIP Code (Patient)Patient Postal Zone or ZIP Code
Subscriber Postal Zone or ZIP Code
MC016Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Subscriber Social Security NumberReference Identification Qualifier
Subscriber Social Security Number
MC007Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data element-Vermont uses the data element
Service
Dates
Date of Service - FromDate Time Period Format Qualifier
Date Time Qualifier
Statement From and To Date
MC059Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Date of Service - ThruDate Time Period Format Qualifier
Date Time Qualifier
Statement From and To Date
MC060Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Date Service Approved/Accounts Payable Date/ActualAdjudication or Payment Date
Date Time Period Format Qualifier
Date Time Qualifier
MC017Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Admission
Admission DateAdmission Date/Hour or Start of Care Date
Date Time Period Format Qualifier
Date Time Qualifier
MC018Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Admission HourAdmission Date/Hour or Start of Care Date
Date Time Period Format Qualifier
Date Time Qualifier
MC019Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Admission TypeAdmission Type Code
MC020Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
National Billing Provider ID - "Biller"Billing Provider Identifier
Identification Code Qualifier
MC077Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Point of OriginAdmission Type Code
Date Time Period Format Qualifier
Date Time Qualifier
Discharge Time
MC021Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Discharge
Discharge DateMC069Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data element-Vermont uses the data element
Discharge HourMC022Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Discharge StatusPatient Status Code
MC023Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Diagnosis
Admitting DiagnosisAdmitting Diagnosis Code
Code List Qualifier Code
Date Time Period Format Qualifier
MC039Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
E-CodeCode List Qualifier Code
External Cause of Injury Code
MC040Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Other Diagnosis - 1Code List Qualifier Code
Other Diagnosis
MC042Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Other Diagnosis - 10Code List Qualifier Code
Other Diagnosis
MC051Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Other Diagnosis - 11Code List Qualifier Code
Other Diagnosis
MC052Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Other Diagnosis - 12Code List Qualifier Code
Other Diagnosis
MC053Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Other Diagnosis - 2Code List Qualifier Code
Date Time Period Format Qualifier
Other Diagnosis
MC043Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Other Diagnosis - 3Code List Qualifier Code
Date Time Period Format Qualifier
Other Diagnosis
MC044Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Other Diagnosis - 4Code List Qualifier Code
Other Diagnosis
MC045Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Other Diagnosis - 5Code List Qualifier Code
Other Diagnosis
MC046Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Other Diagnosis - 6Code List Qualifier Code
Other Diagnosis
MC047Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Other Diagnosis - 7Code List Qualifier Code
Other Diagnosis
MC048Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Other Diagnosis - 8Code List Qualifier Code
Other Diagnosis
MC049Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Other Diagnosis - 9Code List Qualifier Code
Other Diagnosis
MC050Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Principal DiagnosisCode List Qualifier Code
Principal Diagnosis Code
MC041Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Billing Provider
Billing Provider Last Name or Organization NameBilling Provider Organizational Name
MC078Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Billing Provider NumberMC076Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
National Billing Provider ID - "Biller"Billing Provider Identifier
Identification Code Qualifier
MC077Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Service Provider
National Service Provider IDAttending Provider Primary Identifier
Rendering Provider Identifier
MC026-Massachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Service Provider City NameLaboratory or Facility City Name
MC033-Massachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Service Provider Entity Type QualifierEntity Type Qualifier
MC027-Massachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Service Provider First NameAttending Provider First Name
Rendering Provider First Name
MC028-Massachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Service Provider Last Name or Organization NameAttending Provider Last Name
Rendering Provider Last Name
MC030-Massachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Service Provider Middle NameAttending Provider Middle Name or Initial
Rendering Provider Middle Name or Initial
MC029-Massachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Service Provider NumberReference Identification Qualifier
Rendering Provider Secondary Identifier
MC024-Massachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Service Provider SpecialtyProvider Taxonomy Code
MC032-Massachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Service Provider State or ProvinceLaboratory or Facility State or Province Code
MC034-Massachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Service Provider SuffixAttending Provider Name Suffix
Rendering Provider Name Suffix
MC031-Massachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Service Provider Tax ID NumberMC025-Massachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Service Provider ZIP CodeLaboratory or Facility Postal Zone or ZIP Code
MC035-Massachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Lines
APCMC073Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
APC VersionMC074Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Charge AmountLine Item Charge Amount
MC062Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Co-pay AmountCode List Qualifier Code
Value Code
MC065Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Coinsurance AmountCode List Qualifier Code
Value Code
MC066Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Deductible AmountCode List Qualifier Code
Value Code
MC067Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
DRGCode List Qualifier Code
Diagnosis Related Group (DRG) Code
MC071Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
DRG VersionMC072Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Drug CodeNational Drug Code
Product or Service ID Qualifier
MC075Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
ICD-9-CM Procedure CodeCode List Qualifier Code
Principal Procedure Code
MC058Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Paid AmountService Line Paid Amount
MC063Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Prepaid AmountMC064Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Procedure CodeProcedure Code
Product or Service ID Qualifier
MC055Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Procedure Modifier - 1Procedure Modifier
MC056Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Procedure Modifier - 2Procedure Modifier
MC057Maine uses the data elementMassachusetts uses the data element-New Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
QuantityMC061Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
Revenue CodeService Line Revenue Code
MC054Maine uses the data elementMassachusetts uses the data elementMinnesota uses the data elementNew Hampshire uses the data elementTennessee uses the data elementVermont uses the data element
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