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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
License Id PV006 December 1, 2010 - v2.1 Massachusetts
License Id PV006 June 7, 2013 - v3.1 Massachusetts
License Id PV006 October 1, 2014 - v4.0 Massachusetts
Data Element: License Id PV006 - December 1, 2010 - v2.1
(Massachusetts)
License Id PV006 - June 7, 2013 - v3.1
(Massachusetts)
License Id PV006 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PV006 PV006 PV006
[Unshared]Definition State practice license for the Provider in PV002 State practice license ID State practice license ID
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Shared]Data Type Text Text Text
[Unshared]Data Type Description ID License PV002 ID License ID License
[Unshared]Format varchar[25] varchar[25]
[Shared]Length 25 25 25
[Shared]Column 6 6 6
[Shared]Threshold 1 1 1
[Unshared]Encrypted No
[Unshared]Required All
[Unshared]APCD - GIC Carrier Threshold 1 Not Supplied Not Supplied
[Unshared]Cat Not Supplied B A2
[Unshared]Condition Not Supplied All All
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline If not available, or not applicable, such as for a group or corporate entity, default to null. For a doctor this is the medical license for a non doctor this is the practice license. Do not use zeros. Report the state license number for the provider identified in PV002. For a doctor this is the medical license for a non-doctor this is the practice license. Do not use zero-fill. If not available, or not applicable, such as for a group or corporate entity, do not report any value here. Report the state license number for the provider identified in PV002. For a doctor this is the medical license for a non-doctor this is the practice license. Do not use zero-fill. If not available, or not applicable, such as for a group or corporate entity, do not report any value here.
[Shared]File PV PV PV
[Unshared]Old Length 25 Not Supplied Not Supplied
Data Element: License Id PV006 - December 1, 2010 - v2.1
(Massachusetts)
License Id PV006 - June 7, 2013 - v3.1
(Massachusetts)
License Id PV006 - October 1, 2014 - v4.0
(Massachusetts)
There are no enumerated permissible values for these data elements.
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