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Data Elements

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Accident Indicator MC126 Connecticut Medical Claims File Submission
Actuarial Value ME120 Connecticut Medical Eligibility File Submission
Admission Date MC018 Connecticut Medical Claims File Submission
Admission Hour MC019 Connecticut Medical Claims File Submission
Admission Source MC021 Connecticut Medical Claims File Submission
Admission Type MC020 Connecticut Medical Claims File Submission
Admitting Diagnosis MC039 Connecticut Medical Claims File Submission
Allowed amount MC098 Connecticut Medical Claims File Submission
Allowed amount PC068 Connecticut Pharmacy Claims File Submission
Allowed Amount DC046 Connecticut Dental Claims File Submission
APCD ID Code ME134 Connecticut Medical Eligibility File Submission
APCD ID Code MC241 Connecticut Medical Claims File Submission
APCD ID Code PC120 Connecticut Pharmacy Claims File Submission
APCD ID Code DC067 Connecticut Dental Claims File Submission
APCD Version Number HD009 Connecticut Medical Eligibility File Submission
APCD Version Number HD009 Connecticut Medical Claims File Submission
APCD Version Number HD009 Connecticut Pharmacy Claims File Submission
APCD Version Number HD009 Connecticut Dental Claims File Submission
APCD Version Number HD009 Connecticut Provider File Submission
APC MC073 Connecticut Medical Claims File Submission
APC Version MC074 Connecticut Medical Claims File Submission
Attending Provider MC125 Connecticut Medical Claims File Submission
Authorization Needed MC117 Connecticut Medical Claims File Submission
Behavioral Health Benefit Flag ME051 Connecticut Medical Eligibility File Submission
Benefit Status ME063 Connecticut Medical Eligibility File Submission
Billable Member ME127 Connecticut Medical Eligibility File Submission
Billing Provider Last Name or Organization Name MC078 Connecticut Medical Claims File Submission
Billing Provider Number MC076 Connecticut Medical Claims File Submission
Billing Provider Tax ID Number PC062 Connecticut Pharmacy Claims File Submission
Billing Provider Tax ID Number DC044 Connecticut Dental Claims File Submission
Bill Frequency Code MC133 Connecticut Medical Claims File Submission
Bill Frequency Code DC068 Connecticut Dental Claims File Submission
Business Type Code ME055 Connecticut Medical Eligibility File Submission
Capitated Encounter Flag MC081 Connecticut Medical Claims File Submission
Carrier Specific Unique Member ID ME107 Connecticut Medical Eligibility File Submission
Carrier Specific Unique Member ID MC137 Connecticut Medical Claims File Submission
Carrier Specific Unique Member ID PC107 Connecticut Pharmacy Claims File Submission
Carrier Specific Unique Member ID DC056 Connecticut Dental Claims File Submission
Carrier Specific Unique Subscriber ID ME117 Connecticut Medical Eligibility File Submission
Carrier Specific Unique Subscriber ID MC141 Connecticut Medical Claims File Submission
Carrier Specific Unique Subscriber ID PC108 Connecticut Pharmacy Claims File Submission
Carrier Specific Unique Subscriber ID DC057 Connecticut Dental Claims File Submission
Carve Out Vendor CT APCD ID MC100 Connecticut Medical Claims File Submission
Carve Out Vendor CT APCD ID PC072 Connecticut Pharmacy Claims File Submission
Carve Out Vendor CT APCD ID DC025 Connecticut Dental Claims File Submission
CDT Code DC032 Connecticut Dental Claims File Submission
Charge Amount MC062 Connecticut Medical Claims File Submission
Charge Amount PC035 Connecticut Pharmacy Claims File Submission
Charge Amount DC037 Connecticut Dental Claims File Submission
City Name PV018 Connecticut Provider File Submission
Results 1 - 50 of 668
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