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Data Elements

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Adjustment Type Code ADJ_TYP_CD Tennessee Medical File Submission
Adjustment Type Code ADJ_TYP_CD Tennessee Pharmacy Claims File Submission
Admission Date MC018 Tennessee Medical Claims File Submission
Admission Date ADMIT_DATE Tennessee Medical File Submission
Admission Hour MC019 Tennessee Medical Claims File Submission
Admission Hour ADMIT_HOUR Tennessee Medical File Submission
Admission Source ADMIT_SOURCE Tennessee Medical File Submission
Admission Type MC020 Tennessee Medical Claims File Submission
Admission Type ADMIT_TYPE Tennessee Medical File Submission
Admitting Diagnosis MC039 Tennessee Medical Claims File Submission
Admitting Diagnosis ADMIT_DX Tennessee Medical File Submission
Admitting Diagnosis Present on Admission Indicator ADMDX_POA Tennessee Medical File Submission
Age AGE Tennessee Member File Submission
APC MC073 Tennessee Medical Claims File Submission
APC Submitted by Payer APC Tennessee Medical File Submission
APC Version MC074 Tennessee Medical Claims File Submission
Billing Provider Last Name or Organization Name MC078 Tennessee Medical Claims File Submission
Billing Provider Number MC076 Tennessee Medical Claims File Submission
Billing Provider Number BILLING_PRVIDN Tennessee Medical File Submission
Charge Amount MC062 Tennessee Medical Claims File Submission
Charge Amount CHARGE Tennessee Medical File Submission
Claim Status MC038 Tennessee Medical Claims File Submission
Claim Status PC025 Tennessee Pharmacy Claims File Submission
Claim Status CLAIM_STATUS Tennessee Medical File Submission
Claim Status CLAIM_STATUS Tennessee Pharmacy Claims File Submission
Claim Type CLAIM_TYPE Tennessee Medical File Submission
Claim Version VERSION_NUM Tennessee Medical File Submission
Claim Version VERSION_NUM Tennessee Pharmacy Claims File Submission
Coinsurance Amount MC066 Tennessee Medical Claims File Submission
Coinsurance Amount PC041 Tennessee Pharmacy Claims File Submission
Coinsurance Amount COINSURANCE Tennessee Medical File Submission
Coinsurance amount COINSURANCE Tennessee Pharmacy Claims File Submission
Comments HD008 Tennessee Medical Eligibility File Submission
Comments HD008 Tennessee Medical Claims File Submission
Comments HD008 Tennessee Pharmacy Claims File Submission
Compound Drug Indicator PC031 Tennessee Pharmacy Claims File Submission
Compound Drug Indicator COMPOUND_DRUG Tennessee Pharmacy Claims File Submission
Copay MC065 Tennessee Medical Claims File Submission
Copay PC040 Tennessee Pharmacy Claims File Submission
Copay Amount COPAY Tennessee Medical File Submission
Copay Amount COPAY Tennessee Pharmacy Claims File Submission
Coverage Effective Date COVG_EFF_DATE Tennessee Member File Submission
Coverage Level COVERAGE_LEVEL Tennessee Member File Submission
Coverage Level Code ME007 Tennessee Medical Eligibility File Submission
Coverage Termination Date COVG_TERM_DATE Tennessee Member File Submission
Coverage Type ME029 Tennessee Medical Eligibility File Submission
Coverage Type COVERAGE_TYPE Tennessee Member File Submission
CPT Procedure Code CPT Tennessee Medical File Submission
Date of Service - From MC059 Tennessee Medical Claims File Submission
Date of Service - From FIRST_SVC_DATE Tennessee Medical File Submission
Results 1 - 50 of 407
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