United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Payer ID Number 27 February 20, 2013 Maryland
PayorID Number 27 September 13, 2013 Maryland
Source of Processing 27 January 9, 2014 Maryland
Data Element: Payer ID Number 27 - February 20, 2013
(Maryland)
PayorID Number 27 - September 13, 2013
(Maryland)
Source of Processing 27 - January 9, 2014
(Maryland)
[Shared]Data Element ID 27 27 27
[Unshared]Definition Payer assigned submission identification number Payor assigned submission identification number The source processing the pharmacy claim.
[Shared] State / Source Maryland
Maryland
Maryland
[Shared]Data Type alphanumeric alphanumeric alphanumeric
[Unshared]Length 4 4 1
[Shared]Threshold 100% 100% 100%
[Unshared]End 191 201 205
[Unshared]Start 188 198 205
Data Element: Payer ID Number 27 - February 20, 2013
(Maryland)
PayorID Number 27 - September 13, 2013
(Maryland)
Source of Processing 27 - January 9, 2014
(Maryland)
[Unshared]1 Not Utilized Not Utilized Processed Internally by Payor
[Unshared]2 Not Utilized Not Utilized Argus Health Systems, Inc.
[Unshared]3 Not Utilized Not Utilized Caremark, LLC
[Unshared]4 Not Utilized Not Utilized Catalyst Rx, Inc.
[Unshared]5 Not Utilized Not Utilized Envision Pharmaceutical Services, Inc.
[Unshared]6 Not Utilized Not Utilized Express Scripts, Inc.
[Unshared]7 Not Utilized Not Utilized Medco Health, LLC
[Unshared]8 Not Utilized Not Utilized National Employee Benefit Companies, Inc. dba/Ideal Scripts
[Unshared]9 Not Utilized Not Utilized NextRx Services, Inc.
[Unshared]A Not Utilized Not Utilized Atlantic Prescription Services, LLC B Benecard Services, Inc.
[Unshared]C Not Utilized Not Utilized BioScrip PBM Services, LLC D Futurescripts, LLC
[Unshared]E Not Utilized Not Utilized Health E Systems
[Unshared]F Not Utilized Not Utilized HealthTran, LLC
[Unshared]G Not Utilized Not Utilized Innoviant, Inc.
[Unshared]H Not Utilized Not Utilized MaxorPlus
[Unshared]I Not Utilized Not Utilized Medical Security Card Company
[Unshared]J Not Utilized Not Utilized MedImpact Healthcare Systems, Inc.
[Unshared]K Not Utilized Not Utilized MemberHealth, LLC
[Unshared]L Not Utilized Not Utilized PharmaCare Management Services, LLC
[Unshared]M Not Utilized Not Utilized Prime Therapeutics, LLC
[Unshared]N Not Utilized Not Utilized Progressive Medical, Inc.
[Unshared]O Not Utilized Not Utilized RxAmerica, LLC
[Unshared]P Not Utilized Not Utilized RxSolutions, Inc.
[Unshared]P020 Aetna Life Insurance Co. Aetna Life Insurance Co. Not Utilized
[Unshared]P030 Aetna Health, Inc. Aetna Health, Inc. Not Utilized
[Unshared]P070 American Republic Insurance Co. Not Utilized Not Utilized
[Unshared]P130 CareFirst BlueChoice, Inc. CareFirst BlueChoice, Inc. Not Utilized
[Unshared]P131 CareFirst of Maryland, Inc. CareFirst of Maryland, Inc. Not Utilized
[Unshared]P132 Group Hospitalization & Medical Services, Inc. (GHMSI) Group Hospitalization & Medical Services, Inc. (GHMSI) Not Utilized
[Unshared]P160 CIGNA Healthcare Mid-Atlantic, Inc. Cigna Health and Life Insurance Co., Inc. Not Utilized
[Unshared]P180 Connecticut General Life Ins. Co. Connecticut General Life Insurance Co. Not Utilized
[Unshared]P220 Corporate Health Insurance Co. Corporate Health Insurance Co. Not Utilized
[Unshared]P280 Assurant Health/Time Insurance Co. Assurant Health/Time Insurance Co. Not Utilized
[Unshared]P320 Golden Rule Insurance Co. Golden Rule Insurance Co. Not Utilized
[Unshared]P480 Kaiser Permanente Mid-Atlantic States Kaiser Permanente Mid-Atlantic States Not Utilized
[Unshared]P500 MAMSI Life and Health Ins. Co. MAMSI Life and Health Insurance Co. Not Utilized
[Unshared]P520 MD-Individual Practice Association, Inc. MD-Individual Practice Association, Inc. Not Utilized
[Unshared]P530 MEGA Life & Health Insurance Co. MEGA Life and Health Insurance Co. Not Utilized
[Unshared]P620 Optimum Choice, Inc. Optimum Choice, Inc. Not Utilized
[Unshared]P680 Coventry Healthcare of Delaware, Inc. Coventry Healthcare of Delaware, Inc. Not Utilized
[Unshared]P760 State Farm Mutual Automobile Ins. Co. State Farm Mutual Automobile Insurance Co. Not Utilized
[Unshared]P820 United Healthcare Insurance Co. UnitedHealthcare Insurance Co. Not Utilized
[Unshared]P870 United Healthcare of the Mid-Atlantic, Inc. United Healthcare of the Mid-Atlantic, Inc. Not Utilized
[Unshared]Q Not Utilized Not Utilized Scrip World, LLC
[Unshared]R Not Utilized Not Utilized Tmesys, Inc.
[Unshared]S Not Utilized Not Utilized WellDynerx, Inc.
[Unshared]T Not Utilized Not Utilized Other Source Not Listed
[Unshared]Z Not Utilized Not Utilized Unknown
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