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Data Elements

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Payer 1 Pennsylvania Medical Eligibility File Submission
Payer 1 Pennsylvania Medical Claims File Submission
Record Type 1 Utah Medical Eligibility File Submission
BHT Beginning of Hierarchical Transaction BHT06 1 Utah Medical Claims File Submission 837P
BHT01 Hierarchical Structure Code BHT06 1 Utah Medical Claims File Submission 837I
Payer Name 1 Utah Pharmacy Claims File Submission
Multiple versions Record Identifier 1 Maryland Professional Services Fixed Format File Submission
Multiple versions Record Identifier 1 Maryland Professional Services Variable Format File Submission
Multiple versions Record Identifier 1 Maryland Pharmacy Fixed Format File Submission
Multiple versions Record Identifier 1 Maryland Provider Fixed Format File Submission
Multiple versions Record Identifier 1 Maryland Institutional Services File Submission
Multiple versions Record Identifier 1 Maryland Medical Eligibility File Submission
Record Identifier 1 Maryland Dental Services Fixed Format File Submission
National Plan ID 2 Pennsylvania Medical Eligibility File Submission
National Plan ID 2 Pennsylvania Medical Claims File Submission
Transaction Code 2 Utah Medical Eligibility File Submission
Functional Group Header GS08 2 Utah Medical Claims File Submission 837P
Functional Group Header GS08 2 Utah Medical Claims File Submission 837I
Insured Group or Policy Number 2 Utah Pharmacy Claims File Submission
Multiple versions Patient IdentifierP (payor encrypted) 2 Maryland Professional Services Fixed Format File Submission
Multiple versions Patient IdentifierP (payor encrypted) 2 Maryland Professional Services Variable Format File Submission
Multiple versions Patient IdentifierP (payor encrypted) 2 Maryland Pharmacy Fixed Format File Submission
Multiple versions Practitioner/Supplier ID 2 Maryland Provider Fixed Format File Submission
Multiple versions Patient IdentifierP (payor encrypted) 2 Maryland Institutional Services File Submission
Multiple versions Encrypted Enrollee IdentifierP (payor encrypted) 2 Maryland Medical Eligibility File Submission
Patient IdentifierP (payer encrypted) 2 Maryland Dental Services Fixed Format File Submission
Insurance Type Code/Product 3 Pennsylvania Medical Eligibility File Submission
Insurance Type/Product Code 3 Pennsylvania Medical Claims File Submission
File Create Date 3 Utah Medical Eligibility File Submission
Functional Group Header GS01 3 Utah Medical Claims File Submission 837P
Functional Group Header GS01 3 Utah Medical Claims File Submission 837I
Subscriber Last name 3 Utah Pharmacy Claims File Submission
Multiple versions Patient IdentifierU (UUID encrypted) 3 Maryland Professional Services Fixed Format File Submission
Multiple versions Patient IdentifierU (UUID encrypted) 3 Maryland Professional Services Variable Format File Submission
Multiple versions Patient IdentifierU (UUID encrypted) 3 Maryland Pharmacy Fixed Format File Submission
Multiple versions Practitioner/Supplier Federal Tax ID 3 Maryland Provider Fixed Format File Submission
Multiple versions Patient IdentifierU (UUID encrypted) 3 Maryland Institutional Services File Submission
Multiple versions Encrypted Enrollee IdentifierU (UUID encrypted) 3 Maryland Medical Eligibility File Submission
Patient IdentifierU (UUID encrypted) 3 Maryland Dental Services Fixed Format File Submission
Year 4 Pennsylvania Medical Eligibility File Submission
Payer Claim Control Number 4 Pennsylvania Medical Claims File Submission
Member ID 4 Utah Medical Eligibility File Submission
Submitter Name 1000A NM103 4 Utah Medical Claims File Submission 837P
Submitter Name 1000A NM103 4 Utah Medical Claims File Submission 837I
Subscriber First name 4 Utah Pharmacy Claims File Submission
Multiple versions Patient Year and Month of Birth 4 Maryland Professional Services Fixed Format File Submission
Multiple versions Patient Year and Month of Birth 4 Maryland Professional Services Variable Format File Submission
Multiple versions Patient Sex 4 Maryland Pharmacy Fixed Format File Submission
Multiple versions Practitioner/Supplier Last Name or Multi-practitioner Health Care Organization 4 Maryland Provider Fixed Format File Submission
Multiple versions Patient Year and Month of Birth 4 Maryland Institutional Services File Submission
Results 1 - 50 of 5577
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