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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Participating Provider Flag 13 February 20, 2013 Maryland
Participating Provider Status 13 September 13, 2013 Maryland
Participating Provider Status 13 January 9, 2014 Maryland
Data Element: Participating Provider Flag 13 - February 20, 2013
(Maryland)
Participating Provider Status 13 - September 13, 2013
(Maryland)
Participating Provider Status 13 - January 9, 2014
(Maryland)
[Shared]Data Element ID 13 13 13
[Unshared]Definition Indicates if the service was provided by a provider that participates in the payer's network. Indicates if the service was provided by a provider that participates in the payor's network. Indicates if the service was provided by a provider that participates in the payor's network.
[Shared] State / Source Maryland
Maryland
Maryland
[Shared]Data Type numeric numeric numeric
[Shared]Length 1 1 1
[Shared]Threshold 95% 95% 95%
[Unshared]COMAR 10.25.06.06 D.(12) Not Supplied Not Supplied
[Unshared]End 54 59 59
[Unshared]Start 54 59 59
Data Element: Participating Provider Flag 13 - February 20, 2013
(Maryland)
Participating Provider Status 13 - September 13, 2013
(Maryland)
Participating Provider Status 13 - January 9, 2014
(Maryland)
[Shared]1 Participating Participating Participating
[Shared]2 Non-Participating Non-Participating Non-Participating
[Shared]3 Unknown/Not Coded Unknown/Not Coded Unknown/Not Coded
[Unshared]9 Not Utilized No Network for this Plan No Network for this Plan
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