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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Dental Services Indicator 33 January 9, 2014 Maryland
Source System 33 February 20, 2013 Maryland
Source System 33 September 13, 2013 Maryland
Data Element: Dental Services Indicator 33 - January 9, 2014
(Maryland)
Source System 33 - February 20, 2013
(Maryland)
Source System 33 - September 13, 2013
(Maryland)
[Shared]Data Element ID 33 33 33
[Unshared]Definition Dental Coverage 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.
[Shared] State / Source Maryland
Maryland
Maryland
[Unshared]Data Type numeric alphanumeric alphanumeric
[Shared]Length 1 1 1
[Unshared]Threshold 95% Not Supplied Not Supplied
[Unshared]End 105 127 132
[Unshared]Field Contents 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.
[Unshared]Start 105 127 132
Data Element: Dental Services Indicator 33 - January 9, 2014
(Maryland)
Source System 33 - February 20, 2013
(Maryland)
Source System 33 - September 13, 2013
(Maryland)
[Unshared]0 No Not Utilized Not Utilized
[Unshared]1 Yes Not Utilized Not Utilized
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