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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Provider Street Address 2 PV017 June 7, 2013 - v3.1 Massachusetts
Provider Street Address 2 PV017 October 1, 2014 - v4.0 Massachusetts
Street Address2 Name PV017 December 1, 2010 - v2.1 Massachusetts
Data Element: Provider Street Address 2 PV017 - June 7, 2013 - v3.1
(Massachusetts)
Provider Street Address 2 PV017 - October 1, 2014 - v4.0
(Massachusetts)
Street Address2 Name PV017 - December 1, 2010 - v2.1
(Massachusetts)
[Shared]Data Element ID PV017 PV017 PV017
[Unshared]Definition Street Address 2 of the Provider Street Address 2 of the Provider Secondary Street Address of the Provider
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Shared]Data Type Text Text Text
[Unshared]Data Type Description Address 2 Provider Address 2 Provider Address 2
[Unshared]Format varchar[50] varchar[50] Free Text Address
[Shared]Length 50 50 50
[Shared]Column 17 17 17
[Shared]Threshold 0 0 0
[Unshared]Encrypted No
[Unshared]Required All
[Unshared]APCD - GIC Carrier Threshold Not Supplied Not Supplied
[Unshared]Cat A0 A0 Not Supplied
[Unshared]Condition All All Not Supplied
[Unshared]Date Active (version) Not Supplied Not Supplied '6/24/2010
[Unshared]Element Submission Guideline Report the physical street address where provider sees plan members. If only mailing address is available, please send the mailing address in this element in addition to putting it in the mailing address element. If the provider sees members at two locations the provider should have a unique record for each to capture each site where the provider practices. Report the physical street address where provider sees plan members. If only mailing address is available, please send the mailing address in this element in addition to putting it in the mailing address element. If the provider sees members at two locations the provider should have a unique record for each to capture each site where the provider practices. Physical street address where provider sees plan members. If only mailing address is available, please send the mailing address in this field in addition to putting it in the mailing address field. If the provider sees members at two locations the provider should have a unique record for each to capture each site where the provider practices.
[Shared]File PV PV PV
[Unshared]Old Length Not Supplied Not Supplied 50
Data Element: Provider Street Address 2 PV017 - June 7, 2013 - v3.1
(Massachusetts)
Provider Street Address 2 PV017 - October 1, 2014 - v4.0
(Massachusetts)
Street Address2 Name PV017 - December 1, 2010 - v2.1
(Massachusetts)
There are no enumerated permissible values for these data elements.
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