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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Disbursement Code PV065 October 1, 2014 - v4.0 Massachusetts
Filler PV065 June 7, 2013 - v3.1 Massachusetts
Data Element: Disbursement Code PV065 - October 1, 2014 - v4.0
(Massachusetts)
Filler PV065 - June 7, 2013 - v3.1
(Massachusetts)
[Shared]Data Element ID PV065 PV065
[Unshared]Definition MassHealth Disbursement Method Code Filler
[Shared] State / Source Massachusetts
Massachusetts
[Unshared]Data Type Lookup Table - Integer Filler
[Unshared]Data Type Description Filler
[Unshared]Format int[1] char[0]
[Unshared]Length 1 0
[Shared]Column 65 65
[Unshared]Threshold 1 0
[Unshared]Cat A2 Z
[Unshared]Condition Required when submitter is MassHealth All
[Unshared]Element Submission Guideline Report the value that defines the element. The APCD reserves this field for future use. Do not populate with any data.
[Shared]File PV PV
Data Element: Disbursement Code PV065 - October 1, 2014 - v4.0
(Massachusetts)
Filler PV065 - June 7, 2013 - v3.1
(Massachusetts)
[Unshared]0 Pay Not Utilized
[Unshared]1 State Agency Not Utilized
[Unshared]2 Muni-Med Not Utilized
[Unshared]3 Non-Billing Not Utilized
[Unshared]4 EHR Incentive provider only-No Pay Not Utilized
[Unshared]5 EHR incentive provider expenditure only Not Utilized
[Unshared]6 Health Safety Net Not Utilized
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