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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Claim Status PC025 August 2011 - v3 Colorado
Claim Status PC025 March 2013 - v5 Colorado
Claim Status PC025 March 2014 - v6 Colorado
Data Element: Claim Status PC025 - August 2011 - v3
(Colorado)
Claim Status PC025 - March 2013 - v5
(Colorado)
Claim Status PC025 - March 2014 - v6
(Colorado)
[Shared]Data Element ID PC025 PC025 PC025
[Shared]Definition Not Provided Not Provided Not Provided
[Shared] State / Source Colorado
Colorado
Colorado
[Shared]Data Type char char char
[Shared]Length 2 2 2
[Shared]Required O O O
[Shared]National Council for Prescription Drug Programs Field # N/A N/A N/A
Data Element: Claim Status PC025 - August 2011 - v3
(Colorado)
Claim Status PC025 - March 2013 - v5
(Colorado)
Claim Status PC025 - March 2014 - v6
(Colorado)
[Shared]01 Processed as primary Processed as primary Processed as primary
[Shared]02 Processed as secondary Processed as secondary Processed as secondary
[Shared]03 Processed as tertiary Processed as tertiary Processed as tertiary
[Shared]19 Processed as primary, forwarded to additional payer(s) Processed as primary, forwarded to additional payer(s) Processed as primary, forwarded to additional payer(s)
[Shared]20 Processed as secondary, forwarded to additional payer(s) Processed as secondary, forwarded to additional payer(s) Processed as secondary, forwarded to additional payer(s)
[Shared]21 Processed as tertiary, forwarded to additional payer(s) Processed as tertiary, forwarded to additional payer(s) Processed as tertiary, forwarded to additional payer(s)
[Shared]22 Reversal of previous payment Reversal of previous payment Reversal of previous payment
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