Data Element: | Payor ID Number 28 - January 9, 2014
(Maryland) |
Source System 28 - February 20, 2013
(Maryland) |
Source System 28 - September 13, 2013
(Maryland) |
---|---|---|---|
Data Element ID | 28 | 28 | 28 |
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Payor assigned submission identification number. | Identify the source system (platforms or business units) from which the data was obtained by using an alphabet letter (A, B, C, D, etc...) For payers with all data coming from one system only, leave the field blank. | Identify the source system (platforms or business units) from which the data was obtained by using an alphabet letter (A, B, C, D, etc...) (Note: In your documentation on page 14, please be sure to list the source system that corresponds with the letter assigned.) For payors with all data coming from one system only, leave the field blank. |
State / Source | Maryland |
Maryland |
Maryland |
Data Type | alphanumeric | alphanumeric | alphanumeric |
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4 | 1 | 1 |
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100% | Not Supplied | Not Supplied |
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209 | 192 | 202 |
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Not Supplied | A - Z Leave the field blank if submitting data from one (1) platform or business unit only. | A - Z Leave the field blank if submitting data from one (1) platform or business unit only. |
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206 | 192 | 202 |
Data Element: | Payor ID Number 28 - January 9, 2014
(Maryland) |
Source System 28 - February 20, 2013
(Maryland) |
Source System 28 - September 13, 2013
(Maryland) |
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There are no enumerated permissible values for these data elements. |