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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Coverage Type 24 January 9, 2014 Maryland
Dental Services Indicator 24 February 20, 2013 Maryland
Dental Services Indicator 24 September 13, 2013 Maryland
Data Element: Coverage Type 24 - January 9, 2014
(Maryland)
Dental Services Indicator 24 - February 20, 2013
(Maryland)
Dental Services Indicator 24 - September 13, 2013
(Maryland)
[Shared]Data Element ID 24 24 24
[Unshared]Definition Enrollee's type of insurance coverage. Dental Coverage Dental Coverage
[Shared] State / Source Maryland
Maryland
Maryland
[Unshared]Data Type alphanumeric numeric numeric
[Shared]Length 1 1 1
[Unshared]Threshold 99% 95% 95%
[Unshared]COMAR Not Supplied 10.25.06.10 C.(22) Not Supplied
[Unshared]End 69 87 92
[Unshared]Start 69 87 92
Data Element: Coverage Type 24 - January 9, 2014
(Maryland)
Dental Services Indicator 24 - February 20, 2013
(Maryland)
Dental Services Indicator 24 - September 13, 2013
(Maryland)
[Unshared]0 Not Utilized No No
[Unshared]1 Medicare Supplemental (i.e., Individual, Group, WRAP) Yes Yes
[Unshared]2 Medicare Advantage Plan Not Utilized Not Utilized
[Unshared]3 Individual Market (not MHIP; not sold in MHBE) Not Utilized Not Utilized
[Unshared]4 Maryland Health Insurance Plan (MHIP) Not Utilized Not Utilized
[Unshared]5 Private Employer Sponsored or Other Group (i.e. union or association plans) Not Utilized Not Utilized
[Unshared]6 Public Employee - Federal (FEHBP) Not Utilized Not Utilized
[Unshared]7 Public Employee - Other (state, county, local/municipal government and public school systems) Not Utilized Not Utilized
[Unshared]8 Comprehensive Standard Health Benefit Plan (not sold in MHBE) [a self employed individual or small businesses (public or private employers) with 2-50 eligible employees] Not Utilized Not Utilized
[Unshared]9 Health Insurance Partnership (HIP) Not Utilized Not Utilized
[Unshared]A Student Health Plan Not Utilized Not Utilized
[Unshared]B Individual Market (sold in MHBE) Not Utilized Not Utilized
[Unshared]C Small Business Options Program (SHOP) sold in MHBE Not Utilized Not Utilized
[Unshared]Z Unknown Not Utilized Not Utilized
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