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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Date of Disenrollment 26 January 9, 2014 Maryland
Source of Processing 26 February 20, 2013 Maryland
Source of Processing 26 September 13, 2013 Maryland
Data Element: Date of Disenrollment 26 - January 9, 2014
(Maryland)
Source of Processing 26 - February 20, 2013
(Maryland)
Source of Processing 26 - September 13, 2013
(Maryland)
[Shared]Data Element ID 26 26 26
[Unshared]Definition The end date of enrollment for the patient in this delivery system (in this data submission time period). (see Source Company on page 26) The source processing the pharmacy claim. The source processing the pharmacy claim.
[Shared] State / Source Maryland
Maryland
Maryland
[Unshared]Data Type numeric alphanumeric alphanumeric
[Unshared]Format CCYYMMDD
[Unshared]Length 8 1 1
[Unshared]Threshold 95% 100% 100%
[Unshared]End 204 187 197
[Unshared]Field Contents Leave blank if patient is still enrolled on the last day of the reporting period. If patient disenrolled before end of reporting period enter date disenrolled. Not Supplied Not Supplied
[Unshared]Start 197 187 197
Data Element: Date of Disenrollment 26 - January 9, 2014
(Maryland)
Source of Processing 26 - February 20, 2013
(Maryland)
Source of Processing 26 - September 13, 2013
(Maryland)
[Unshared]1 Not Utilized Processed Internally by Payer Processed Internally by Payor
[Unshared]2 Not Utilized Argus Health Systems, Inc. Argus Health Systems, Inc.
[Unshared]3 Not Utilized Caremark, LLC Caremark, LLC
[Unshared]4 Not Utilized Catalyst Rx, Inc. Catalyst Rx, Inc.
[Unshared]5 Not Utilized Envision Pharmaceutical Services, Inc. Envision Pharmaceutical Services, Inc.
[Unshared]6 Not Utilized Express Scripts, Inc. Express Scripts, Inc.
[Unshared]7 Not Utilized Medco Health, LLC Medco Health, LLC
[Unshared]8 Not Utilized National Employee Benefit Companies, Inc. dba/Ideal Scripts National Employee Benefit Companies, Inc. dba/Ideal Scripts
[Unshared]9 Not Utilized NextRx Services, Inc. NextRx Services, Inc.
[Unshared]A Not Utilized Atlantic Prescription Services, LLC Atlantic Prescription Services, LLC
[Unshared]B Not Utilized Benecard Services, Inc. Benecard Services, Inc.
[Unshared]C Not Utilized BioScrip PBM Services, LLC BioScrip PBM Services, LLC
[Unshared]D Not Utilized Futurescripts, LLC Futurescripts, LLC
[Unshared]E Not Utilized Health E Systems Health E Systems
[Unshared]F Not Utilized HealthTran, LLC HealthTran, LLC
[Unshared]G Not Utilized Innoviant, Inc. Innoviant, Inc.
[Unshared]H Not Utilized MaxorPlus MaxorPlus
[Unshared]I Not Utilized Medical Security Card Company Medical Security Card Company
[Unshared]J Not Utilized MedImpact Healthcare Systems, Inc. MedImpact Healthcare Systems, Inc.
[Unshared]K Not Utilized MemberHealth, LLC MemberHealth, LLC
[Unshared]L Not Utilized PharmaCare Management Services, LLC PharmaCare Management Services, LLC
[Unshared]M Not Utilized Prime Therapeutics, LLC Prime Therapeutics, LLC
[Unshared]N Not Utilized Progressive Medical, Inc. Progressive Medical, Inc.
[Unshared]O Not Utilized RxAmerica, LLC RxAmerica, LLC
[Unshared]P Not Utilized RxSolutions, Inc. RxSolutions, Inc.
[Unshared]Q Not Utilized Scrip World, LLC Scrip World, LLC
[Unshared]R Not Utilized Tmesys, Inc. Tmesys, Inc.
[Unshared]S Not Utilized WellDynerx, Inc. WellDynerx, Inc.
[Unshared]T Not Utilized Other Source Not Listed Other Source Not Listed
[Unshared]Z Not Utilized Unknown Unknown
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