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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Entity Code PV013 December 1, 2010 - v2.1 Massachusetts
Entity Code PV013 June 7, 2013 - v3.1 Massachusetts
Entity Code PV013 October 1, 2014 - v4.0 Massachusetts
Data Element: Entity Code PV013 - December 1, 2010 - v2.1
(Massachusetts)
Entity Code PV013 - June 7, 2013 - v3.1
(Massachusetts)
Entity Code PV013 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PV013 PV013 PV013
[Unshared]Definition Provider facility code Provider entity code Provider entity code
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Text Lookup Table - Text Lookup Table - Text
[Unshared]Data Type Description Lookup Table tlkpEntityCode tlkpEntityCode
[Unshared]Format tlkpEntityCode char[2] char[2]
[Unshared]Length 10 2 2
[Shared]Column 13 13 13
[Shared]Threshold 1 1 1
[Unshared]Encrypted No
[Unshared]Required If ProviderIDCode not = 1
[Unshared]APCD - GIC Carrier Threshold 1 Not Supplied Not Supplied
[Unshared]Cat Not Supplied A0 A0
[Unshared]Condition Not Supplied Required when PV034 does not = 1 Required when PV034 does not = 1
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline DHCFP will provide lookup values in the carrier submission guide which will allow DHCFP to understand if the entity is a facility, a group, a provider business entity or some other type of pay to provider. Report the value that defines the entity provider type. EXAMPLE: 12 = Acute Hospital Report the value that defines the entity provider type. EXAMPLE: 12 = Acute Hospital
[Shared]File PV PV PV
[Unshared]Old Length 10 Not Supplied Not Supplied
Data Element: Entity Code PV013 - December 1, 2010 - v2.1
(Massachusetts)
Entity Code PV013 - June 7, 2013 - v3.1
(Massachusetts)
Entity Code PV013 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]01 Academic Institution Academic Institution Academic Institution
[Shared]02 Adult Foster Care Adult Foster Care Adult Foster Care
[Shared]03 Ambulance Services Ambulance Services Ambulance Services
[Shared]04 Hospital Based Clinic Hospital Based Clinic Hospital Based Clinic
[Shared]05 Stand-Alone, Walk-In/Urgent Care Clinic Stand-Alone, Walk-In/Urgent Care Clinic Stand-Alone, Walk-In/Urgent Care Clinic
[Shared]06 Other Clinic Other Clinic Other Clinic
[Shared]07 Community Health Center - General Community Health Center - General Community Health Center - General
[Shared]08 Community Health Center - Urgent Care Community Health Center - Urgent Care Community Health Center - Urgent Care
[Shared]09 Government Agency Government Agency Government Agency
[Shared]10 Health Care Corporation Health Care Corporation Health Care Corporation
[Shared]11 Home Health Agency Home Health Agency Home Health Agency
[Shared]12 Acute Hospital Acute Hospital Acute Hospital
[Shared]13 Chronic Hospital Chronic Hospital Chronic Hospital
[Shared]14 Rehabilitation Hospital Rehabilitation Hospital Rehabilitation Hospital
[Shared]15 Psychiatric Hospital Psychiatric Hospital Psychiatric Hospital
[Shared]16 DPH Hospital DPH Hospital DPH Hospital
[Shared]17 State Hospital State Hospital State Hospital
[Shared]18 Veterans Hospital Veterans Hospital Veterans Hospital
[Shared]19 DMH Hospital DMH Hospital DMH Hospital
[Shared]20 Sub-Acute Hospital Sub-Acute Hospital Sub-Acute Hospital
[Shared]21 Licensed Hospital Satellite Emergency Facility Licensed Hospital Satellite Emergency Facility Licensed Hospital Satellite Emergency Facility
[Shared]22 Hospital Emergency Center Hospital Emergency Center Hospital Emergency Center
[Shared]23 Nursing Home Nursing Home Nursing Home
[Shared]24 Freestanding Ambulatory Surgery Center Freestanding Ambulatory Surgery Center Freestanding Ambulatory Surgery Center
[Shared]25 Hospital Licensed Ambulatory Surgery Center Hospital Licensed Ambulatory Surgery Center Hospital Licensed Ambulatory Surgery Center
[Shared]26 Non-Health Corporations Non-Health Corporations Non-Health Corporations
[Shared]27 School Based Health Center School Based Health Center School Based Health Center
[Shared]28 Rest Home Rest Home Rest Home
[Shared]29 Licensed Hospital Satellite Facility Licensed Hospital Satellite Facility Licensed Hospital Satellite Facility
[Shared]30 Hospital Licensed Health Center Hospital Licensed Health Center Hospital Licensed Health Center
[Unshared]31 Other Other Facility Other Facility
[Unshared]40 Not Utilized Physician (PV034 = 1) Physician (PV034 = 1)
[Unshared]50 Not Utilized Physician Group (PV034 = 3) Physician Group (PV034 = 3)
[Unshared]60 Not Utilized Nurse (PV034 = 1) Nurse (PV034 = 1)
[Unshared]70 Not Utilized Clinician (PV034 = 1) Clinician (PV034 = 1)
[Unshared]80 Not Utilized Technician (PV034 = 1) Technician (PV034 = 1)
[Unshared]90 Not Utilized Pharmacy / Site or Mail Order (PV034 = 4 or 5) Pharmacy / Site or Mail Order (PV034 = 4 or 5)
[Unshared]99 Not Utilized Other Individual or Group (PV034 = 1 or 3) Other Individual or Group (PV034 = 1 or 3)
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