United States Health Information Knowledgebase

 

Data Elements

The heart of the registry is the data element; a basic unit of information collected about anything of interest—for example, a pharmaceutical name or the city in which a patient lives. The data in the registry is not the drug name itself or the actual city name, but rather the metadata about how information is collected. Metadata is often defined as "data about data", a definition which is technically correct, but does not convey the richness of data information which must be recorded. In order to use a piece of data, one must know specific things precisely placing the data item in terms of meaning, quality, context, chronology, and source. The specific things—metadata—are expressed in the form of attributes.

The content of the attributes for each data element is found at the most specific level of the registry on the Data Element Details page. Not all attributes may be collected by each organization for each data element, although there is a subset, which is generally considered best practice and, for standards purposes, is required. Data elements within the Registry are documented within a standard format, using the ISO/IEC international standard 11179, "Information technology — Metadata Registries — Part 3, Registry Metamodel and basic attributes." According to the registry metamodel standard, a data element is essentially a unit of data for which the definition, identification, representation, and permissible values are specified by means of a set of attributes.


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Billing/Pay-to Provider Total Accepted Quantity Number of the accepted claims for this Billing/Pay-to Provider. 005010
Billing/Pay-to Provider Total Rejected Amount Dollar amount of the rejected claims for this Billing/Pay-to Provider. 005010
Billing/Pay-to Provider Total Rejected Quantity Number of the rejected claims for this Billing/Pay-to Provider. 005010
Billing Note Text Free-form text providing additional information about the bill or claim being submitted. 005010
Billing Provider Additional Identifier Identifies another or additional distinguishing code number associated with the billing provider. 005010
Billing Provider Additional Name Additional names or characters for the billing provider or billing entity for the transaction. 005010
Billing Provider Address Line Address line of the billing provider or billing entity address. 005010
Billing Provider City Name City of the billing provider or billing entity 005010
Billing Provider Contact Name Person at billing organization to contact regarding the billing transaction. 005010
Billing Provider First Name First name of the billing provider or billing entity 005010
Billing Provider Identifier Identification number for the provider or organization in whose name the bill is submitted and to whom payment should be made. 005010
Billing Provider Last or Organizational Name Last name or organization name of the provider billing or billing entity for services. 005010
Billing Provider License and/or UPIN Information License identification or Unique Provide Identification Number (UPIN) assigned to the Billing Provider. 005010
Billing Provider License Information Definition in development. 005010
Billing Provider Middle Name or Initial The middle name or initial of the provider billing for services. 005010
Billing Provider Name Suffix Suffix, including generation, for the name of the provider or billing entity submitting the claim. 005010
Billing Provider Organizational Name Organization name of the entity billing for services. 005010
Billing Provider Postal Zone or ZIP Code Postal zone code or ZIP code for the provider or billing entity billing for services. 005010
Billing Provider Secondary Identifier Secondary identification number for the provider or organization in whose name the bill is submitted and to whom payment should be made. 005010
Billing Provider State or Province Code State or province for provider or billing entity billing for services. 005010
Billing Provider Tax Identification Number Tax identification number for the provider or organization in whose name the bill is submitted and to whom payment should be made. 005010
Bill Type Identifier A code indicating the specific type of bill or claim. 005010
Birth Sequence Number A number indicating the order of birth for the identified person in relationship to family members with the same date of birth. 005010
Branch, Department, Section, or Program Name Name of branch, department, section or program of the Education or Training Facility. 005010
Bundled Line Number Identification of line item bundled by payer in payment of benefits. 005010
Bundled or Unbundled Line Number Identification of line item bundled or unbundled by non-destination (COB) payer in payment of benefits. 005010
Business Contact Name Information source contact name to whom business inquiries about this transaction should be directed. 005010
Care Plan Oversight Number Medicare provider number of the home health agency or hospice providing Medicare covered services to the patient for the period during which CPO services were furnished and for which the physician signed the plan of care. 005010
Certification Condition Code Applies Indicator Code indicating whether or not the condition codes apply to the patient or another entity. 005010
Certification Condition Indicator Code indicating whether or not the condition codes apply to the patient or another entity. 005010
Certification Date Date certification is valid. 005010
Certification Effective Date The date when the certification takes effect or the date range within which the certification is effective. 005010
Certification Expiration Date Date on which the certification will expire. 005010
Certification Issue Date The date when the certification was issued. 005010
Certification Revision or Recertification Date Date the certification was revised or recertified. 005010
Certification Type Code Code indicating the type of certification. 005010
Certifying Board Name Name of board through which a provider is certified. 005010
Check Issue or EFT Effective Date Date the check was issued or the electronic funds transfer (EFT) effective date. 005010
Check or EFT Trace Number Check number or Electronic Funds Transfer (EFT) number that is unique within the sender/receiver relationship. 005010
Citizenship Status Code Code indicating citizenship status 005010
City Name Free-form text for city name. 005010
City of Birth Name Name of the city of birth. 005010
Claim Adjustment Group Code Code identifying the general category of payment adjustment. 005010
Claim Contact Communications Number Complete claim contact communications number, including country or area code when applicable. 005010
Claim Contact Name Name of the payer's contact person associated with the claim. 005010
Claim Date Date associated with the claim. 005010
Claim Disproportionate Share Amount Sum of operating capital disproportionate share amounts for this claim. 005010
Claim DRG Amount Total of Prospective Payment System operating and capital amounts for this claim. 005010
Claim ESRD Payment Amount End Stage Renal Disease (ESRD) payment amount for the claim. 005010
Claim Filing Indicator Code Code identifying type of claim or expected adjudication process. 005010
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