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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Entity Name PV012 December 1, 2010 - v2.1 Massachusetts
Entity Name PV012 June 7, 2013 - v3.1 Massachusetts
Entity Name PV012 October 1, 2014 - v4.0 Massachusetts
Data Element: Entity Name PV012 - December 1, 2010 - v2.1
(Massachusetts)
Entity Name PV012 - June 7, 2013 - v3.1
(Massachusetts)
Entity Name PV012 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PV012 PV012 PV012
[Shared]Definition Group / Facility name Group / Facility name Group / Facility name
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Shared]Data Type Text Text Text
[Unshared]Data Type Description Name Entity Name Provider Entity Name Provider Entity
[Unshared]Format Free Text Name varchar[100] varchar[100]
[Shared]Length 100 100 100
[Shared]Column 12 12 12
[Shared]Threshold 1 1 1
[Unshared]Encrypted No
[Unshared]Required If ProviderIDCode=2
[Unshared]APCD - GIC Carrier Threshold 1 Not Supplied Not Supplied
[Unshared]Cat Not Supplied A1 A1
[Unshared]Condition Not Supplied Required when PV034 = 2, 3, 4, 5, 6, 7, or 0 Required when PV034 = 2, 3, 4, 5, 6, 7, or 0
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline Punctuation may be included. This should only be populated for facilities or groups. Report the Provider Entity Name when Punctuation may be included. This should only be populated for facilities or groups. Report the Provider Entity Name when Provider ID does not equal 1 (person). . This should only be populated for facilities or groups. Limited punctuation may be included.
[Shared]File PV PV PV
[Unshared]Old Length 100 Not Supplied Not Supplied
Data Element: Entity Name PV012 - December 1, 2010 - v2.1
(Massachusetts)
Entity Name PV012 - June 7, 2013 - v3.1
(Massachusetts)
Entity Name PV012 - October 1, 2014 - v4.0
(Massachusetts)
There are no enumerated permissible values for these data elements.
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