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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Standardized Insurance Type/Product Code PC912 2010-03-16 Maine
Standardized Insurance Type/Product Code PC912 v1.2 Maine
Data Element: Standardized Insurance Type/Product Code PC912 - 2010-03-16
(Maine)
Standardized Insurance Type/Product Code PC912 - v1.2
(Maine)
[Shared]Data Element ID PC912 PC912
[Unshared]Definition Not Provided The insurance type or product code indicates the type of insurance coverage the individual has.
[Shared] State / Source Maine
Maine
[Unshared]Data Type varchar CHAR
[Shared]Length 2 2
[Shared]Field Name MHDO_PRODUCT MHDO_PRODUCT
[Unshared]Warnings Not Supplied The values in this field have been standardized across all the of Health Care Claims Data Bank Databases. This field contains the standardized values from the original submissions in field PC003.
Data Element: Standardized Insurance Type/Product Code PC912 - 2010-03-16
(Maine)
Standardized Insurance Type/Product Code PC912 - v1.2
(Maine)
[Unshared]11 Not Utilized Other non Federal program
[Unshared]12 Not Utilized Medicare secondary working aged beneficiary or spouse with employer group health plan
[Unshared]13 Not Utilized Medicare secondary end-stage renal disease beneficiary in the 12 month coordination period with an employer's group health plan
[Unshared]14 Not Utilized Medicare secondary, no-fault insurance including auto is primary
[Unshared]15 Not Utilized Medicare secondary worker's compensation
[Unshared]41 Not Utilized Medicare secondary black lung
[Unshared]42 Not Utilized Medicare secondary veteran's administration
[Unshared]43 Not Utilized Medicare secondary disabled beneficiary under age 65 with large group health plan (LGHP)
[Unshared]47 Not Utilized Medicare secondary, other liability insurance is primary
[Unshared]AM Not Utilized Auto insurance policy
[Unshared]CP Not Utilized Medicare conditionally primary
[Unshared]DB Not Utilized Disability benefits
[Unshared]DS Not Utilized Disability
[Unshared]EP Not Utilized Exclusive Provider Organization (EPO)
[Unshared]HM Not Utilized Health Maintenance Organization (HMO)
[Unshared]HN Not Utilized Health Maintenance Organization (HMO) Medicare risk
[Unshared]HS Not Utilized Special low income Medicare beneficiary
[Unshared]IN Not Utilized Indemnity Insurance
[Unshared]LC Not Utilized Long term care
[Unshared]LD Not Utilized Long term policy
[Unshared]LI Not Utilized Life insurance
[Unshared]LM Not Utilized Liability medical
[Unshared]LT Not Utilized Litigation
[Unshared]MA Not Utilized Medicare part A
[Unshared]MB Not Utilized Medicare part B
[Unshared]MC Not Utilized Medicaid
[Unshared]MH Not Utilized Medigap part A
[Unshared]MI Not Utilized Medigap part B
[Unshared]MP Not Utilized Medicare primary
[Unshared]OF Not Utilized Other federal program (e.g. black lung)
[Unshared]OT Not Utilized Other
[Unshared]PE Not Utilized Property Insurance - Personal
[Unshared]PR Not Utilized Preferred Provider Organization (PPO)
[Unshared]PS Not Utilized Point of Service (POS)
[Unshared]QM Not Utilized Qualified Medicare beneficiary
[Unshared]SP Not Utilized Supplemental policy
[Unshared]TV Not Utilized Title V
[Unshared]VA Not Utilized Veteran administration plan
[Unshared]WC Not Utilized Workers' compensation
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