United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
National Plan ID ME002 2010-03-16 Maine
National Plan ID ME002 v1.1 Maine
Data Element: National Plan ID ME002 - 2010-03-16
(Maine)
National Plan ID ME002 - v1.1
(Maine)
[Shared]Data Element ID ME002 ME002
[Unshared]Definition CMS National Plan ID. Set as null if unavailable. CMS National Plan ID
[Shared] State / Source Maine
Maine
[Unshared]Data Type varchar CHAR
[Shared]Length 30 30
[Shared]Field Name NPLAN NPLAN
[Unshared]DATE AVAIL 4/1/2004 Not Supplied
[Unshared]Date Required Not Supplied 2004-03-31
[Unshared]Warnings Not Supplied A single payer may have multiple submitter codes because the payer is submitting from more than one system or from more than one location. All submitter codes associated with a single payer will have the same first 5 characters. A suffix will be used to distinguish the location and/or system variations. For a variety of reasons, the Data Bank may include submissions from unlicensed entities. The unlicensed entities will have a payer code beginning with the letter U. If the submitter does become licensed in Maine, the first letter of the payer code will be changed to the appropriate value of C or T and the trailing four characters will remain unchanged. Therefore, a payer code of U0756 may become T0756 in the future. Note that due to administrative relationships between payers, it is possible that one or more payers are responsible for submitting eligibility data that applies to a single claims submission and vice versa. The use of payer code alone may not be sufficient to identify all claims and eligibility data associated with that payer.
Data Element: National Plan ID ME002 - 2010-03-16
(Maine)
National Plan ID ME002 - v1.1
(Maine)
There are no enumerated permissible values for these data elements.
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