United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Insured Group Number PC006 2010-03-16 Maine
Insured Group Number PC006 v1.2 Maine
Data Element: Insured Group Number PC006 - 2010-03-16
(Maine)
Insured Group Number PC006 - v1.2
(Maine)
[Shared]Data Element ID PC006 PC006
[Unshared]Definition Group or policy number - not the number that uniquely identifies The group or policy number is associated with the entity thaThas purchased the insurance. For self insured individuals this relates to the purchaser. For the majority of eligibility and claims data the group relates to the employer.
[Shared] State / Source Maine
Maine
[Unshared]Data Type varchar CHAR
[Unshared]Length 30 31
[Shared]Field Name IGROUP IGROUP
[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.
Data Element: Insured Group Number PC006 - 2010-03-16
(Maine)
Insured Group Number PC006 - v1.2
(Maine)
There are no enumerated permissible values for these data elements.
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