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Data Elements

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Multiple versions Benefit Plan Name BP002 Massachusetts Benefit Plan Control Total File Submission
Benefit Plan Start Date BP008 Massachusetts Benefit Plan Control Total File Submission
Benefit Status ME063 Connecticut Medical Eligibility File Submission
Multiple versions Benefit Status ME063 Massachusetts Member Eligibility File Submission
BHT01 Hierarchical Structure Code BHT06 1 Utah Medical Claims File Submission 837I
BHT Beginning of Hierarchical Transaction BHT06 1 Utah Medical Claims File Submission 837P
Billable Member ME127 Connecticut Medical Eligibility File Submission
Multiple versions Billable Member ME127 Massachusetts Member Eligibility File Submission
Multiple versions Billed Charge 39 Maryland Professional Services Fixed Format File Submission
Multiple versions Billed Charge 32 Maryland Professional Services Variable Format File Submission
Multiple versions Billed Charge 17 Maryland Pharmacy Fixed Format File Submission
Multiple versions Billed Charge 133 Maryland Institutional Services File Submission
Billed Charge 23 Maryland Dental Services Fixed Format File Submission
Billing Provider ID 2010AA NM109 10 Utah Medical Claims File Submission 837P
Billing Provider ID 2010AA NM109 10 Utah Medical Claims File Submission 837I
Multiple versions Billing provider ID MC076 Oregon Medical Claims File Submission
Billing Provider LastName or Organization Name MC078 Virginia Medical Claims File Submission
Billing Provider Last Name MC078 Minnesota Medical Claims File Submission
Billing Provider Last Name MC078 New Hampshire Medical Claims File Submission
Billing Provider Last Name DC044 New Hampshire Dental Claims File Submission
Billing Provider Last Name MC078 Vermont Medical Claims File Submission
Billing Provider Last Name or Organization Name MC078 APCD Council Medical Claims File Submission
Multiple versions Billing Provider Last Name or Organization Name MC078 Colorado Medical Claims File Submission
Billing Provider Last Name or Organization Name MC078 Connecticut Medical Claims File Submission
Billing Provider Last Name or Organization Name MC078 Maine Medical Claims File Submission
Billing Provider Last Name or Organization Name DC044 Maine Dental Claims File Submission
Billing Provider Last Name or Organization Name 78 Pennsylvania Medical Claims File Submission
Multiple versions Billing Provider Last Name or Organization Name MC078 Rhode Island Medical Claims File Submission
Billing Provider Last Name or Organization Name MC078 Tennessee Medical Claims File Submission
Billing Provider Last Name or Organization Name MC078 Utah Medical Claims File Submission
Multiple versions Billing Provider Last Name or Organization Name MC078 Massachusetts Medical Claims File Submission
Billing Provider Name 2010AA NM103 9 Utah Medical Claims File Submission 837P
Billing Provider Name 2010AA NM103 9 Utah Medical Claims File Submission 837I
Multiple versions Billing Provider NPI MC077 Rhode Island Medical Claims File Submission
Billing Provider Number MC076 APCD Council Medical Claims File Submission
Multiple versions Billing Provider Number MC076 Colorado Medical Claims File Submission
Billing Provider Number MC076 Connecticut Medical Claims File Submission
Billing Provider Number MC076 Maine Medical Claims File Submission
Billing Provider Number MC076 Minnesota Medical Claims File Submission
Billing Provider Number MC076 New Hampshire Medical Claims File Submission
Billing Provider Number DC042 New Hampshire Dental Claims File Submission
Billing Provider Number 76 Pennsylvania Medical Claims File Submission
Billing Provider Number MC076 Tennessee Medical Claims File Submission
Billing Provider Number BILLING_PRVIDN Tennessee Medical File Submission
Billing Provider Number MC076 Utah Medical Claims File Submission
Billing Provider Number MC076 Vermont Medical Claims File Submission
Billing Provider Number MC076 Virginia Medical Claims File Submission
Multiple versions Billing Provider Number MC076 Massachusetts Medical Claims File Submission
Multiple versions Billing Provider Plan ID MC076 Rhode Island Medical Claims File Submission
Billing Provider Secondary Identification 2010AA REF02 11 Utah Medical Claims File Submission 837P
Results 201 - 250 of 5577
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