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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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Claim Frequency Code Code specifying the frequency of the claim. This is the third position of the Uniform Billing Claim Form Bill Type. 005010
Claim Handler First Name Definition in development. 005010
Claim Handler Last Name Definition in development. 005010
Claim Handler Middle Name Definition in development. 005010
Claim HCPCS Payable Amount Sum of payable line item amounts for HCPCs codes billed on this claim. 005010
Claim Identifier Identifies type of claims in this transaction. 005010
Claim Indirect Teaching Amount Total of operating and capital indirect teaching amounts for this claim. 005010
Claim MSP Pass-through Amount Interim cost pass-though amount used to determine Medicare Secondary Payer liability. 005010
Claim Note Text Narrative text providing additional information related to the claim. 005010
Claim Number Definition in development. 005010
Claim or Encounter Identifier Code indicating whether the transaction is a claim or reporting encounter information. 005010
Claim Payment Amount Net provider reimbursement amount for this claim (includes all payment to the provider). 005010
Claim Payment Remark Code Code identifying the remark associated with the payment. 005010
Claim PPS Capital Amount Total Prospective Payment System (PPS) capital amount payable for this claim as output by PPS PRICER. 005010
Claim PPS Capital Outlier Amount Total Prospective Payment System capital day or cost outlier payable for this claim, excluding operating outlier amount. 005010
Claim Service Period The beginning and end dates for the service period covered by a claim. 005010
Claim Status Code Code specifying the status of a claim submitted by the provider to the payor for processing. 005010
Claim Supplemental Information Amount Amount of supplemental information values associated with the claim. 005010
Claim Supplemental Information Quantity Numeric value of the quantity of supplemental information associated with the claim. 005010
Claim Transaction Batch Number This field corresponds to the BHT03 data element from the submitted claim transaction. 005010
Clearinghouse Trace Number Unique tracking number for the transaction assigned by a clearinghouse. 005010
Clinical Laboratory Improvement Amendment Number The CLIA Certificate of Waiver or the CLIA Certificate of Registration Identification Number assigned to the laboratory testing site that rendered the services on this claim. 005010
Co-Pay Status Code A code indicating the status of the co-payment requirements for this service. 005010
COB Verification Failure Code The codified response from the primary payer to the secondary payer identifying the reason for failure of the COB Verification. 005010
COB Verification Response The codified response from the primary payer to the secondary payer answering a COB verification request. 005010
Code Category Specifies the situation or category to which the code applies. 005010
Code List Qualifier Code Code identifying a specific industry code list. 005010
Code Qualifier Code identifying the type of unit or measurement. 005010
Code Qualifier Code identifying the type of unit or measurement. 005010
Collection Method Code Describes the method in which the race and ethnicity codes were collected. 005010
Communication Number Complete communications number including country or area code when applicable 005010
Communication Number Extension Extension for the previous communications number. 005010
Communication Number Qualifier Code identifying the type of communication number. 005010
Company or Office Name Identifier Definition in development. 005010
Complication Indicator A code to indicate whether the Patient's condition is Complicated or Uncomplicated. 005010
Condition Code Code(s) used to identify condition(s) relating to this bill or relating to the patient. 005010
Condition Code Code(s) used to identify condition(s) relating to this bill or relating to the patient. 005010
Condition Code Code(s) used to identify condition(s) relating to this bill or relating to the patient. 005010
Condition Indicator Code indicating a condition 005010
Confidentiality Code Code indicating the access to insured information. 005010
Consolidated Omnibus Budget Reconciliation Act (COBRA) Qualifying Event Code A Qualifying Event is an event under the law which results in loss of coverage for a Qualified Beneficiary. 005010
Contact Function Code Code identifying the major duty or responsibility of the person or group named. 005010
Context Loop Identifier Code Used to indicate the loop that triggered an error in another element. 005010
Contract, Invoice, Account, Group, or Policy Number The reference number to which this premium payment is associated, such as an account number, contract number , invoice number, group number, or policy number. 005010
Contract Amount Fixed monetary amount pertaining to the contract 005010
Contract Code Code identifying the specific contract, established by the payer. 005010
Contract Code Code identifying the specific contract, established by the payer. 005010
Contract Percentage Percent of charges payable under the contract 005010
Contract Type Code Code identifying a contract type 005010
Contract Version Identifier Identification of additional or supplemental contract provisions, or identification of a particular version or modification of contract. 005010
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