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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Service Provider Number MC024 August 2011 - v3 Colorado
Service Provider Number MC024 March 2013 - v5 Colorado
Service Provider Number MC024 March 2014 - v6 Colorado
Data Element: Service Provider Number MC024 - August 2011 - v3
(Colorado)
Service Provider Number MC024 - March 2013 - v5
(Colorado)
Service Provider Number MC024 - March 2014 - v6
(Colorado)
[Shared]Data Element ID MC024 MC024 MC024
[Unshared]Definition Payer assigned service provider number, preferably for the individual provider but alternately for the clinic where the service occurred. Payer assigned service provider number. Submit facility for institutional claims; physician or healthcare professional for professional claims. Payer assigned service provider number. Submit facility for institutional claims; physician or healthcare professional for professional claims.
[Shared] State / Source Colorado
Colorado
Colorado
[Shared]Data Type varchar varchar varchar
[Shared]Length 30 30 30
[Shared]Required R R R
[Shared]Reference 835/2100/NM1/BD/ 09, 835/2100/NM1/BS/ 09, 835/2100/NM1/MC /09, 835/2100/NM1/PC/ 09 835/2100/NM1/BD/ 09, 835/2100/NM1/BS/ 09, 835/2100/NM1/MC /09, 835/2100/NM1/PC/ 09 835/2100/NM1/BD/ 09, 835/2100/NM1/BS/ 09, 835/2100/NM1/MC /09, 835/2100/NM1/PC/ 09
Data Element: Service Provider Number MC024 - August 2011 - v3
(Colorado)
Service Provider Number MC024 - March 2013 - v5
(Colorado)
Service Provider Number MC024 - March 2014 - v6
(Colorado)
There are no enumerated permissible values for these data elements.
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