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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Coverage Level Code ME007 2010-03-16 Maine
Coverage Level Code ME007 v1.1 Maine
Data Element: Coverage Level Code ME007 - 2010-03-16
(Maine)
Coverage Level Code ME007 - v1.1
(Maine)
[Shared]Data Element ID ME007 ME007
[Unshared]Definition Benefit coverage level This field indicates the type of coverage or type of contract.
[Shared] State / Source Maine
Maine
[Unshared]Data Type varchar CHAR
[Shared]Length 3 3
[Shared]Field Name XPLAN XPLAN
[Unshared]DATE AVAIL '1/1/2003 Not Supplied
[Unshared]Date Required Not Supplied 2003-01-31
[Unshared]Warnings Not Supplied The group number is required on a minimum of 99.9% of the records submitted. The contents of this field are not edited. Some payers are using this field to report the individual certificate number of the subscriber rather than the group number. This is difficult to determine if this is happening inappropriately because of persons purchasing individual coverage. The group number does not uniquely identify the subscriber. The group number is a personal health identifier (PHI) and is not released under Chapter 120.
Data Element: Coverage Level Code ME007 - 2010-03-16
(Maine)
Coverage Level Code ME007 - v1.1
(Maine)
[Unshared]CHD Not Utilized Children Only
[Unshared]DEP Not Utilized Dependents Only
[Unshared]ECH Not Utilized Employee and Children
[Unshared]EMP Not Utilized Employee Only
[Unshared]ESP Not Utilized Employee and Spouse
[Unshared]FAM Not Utilized Family
[Unshared]IND Not Utilized Individual
[Unshared]SPC Not Utilized Spouse and Children
[Unshared]SPO Not Utilized Spouse Only
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