United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Product Type 50 February 20, 2013 Maryland
Product Type 50 September 13, 2013 Maryland
Product Type 50 January 9, 2014 Maryland
Data Element: Product Type 50 - February 20, 2013
(Maryland)
Product Type 50 - September 13, 2013
(Maryland)
Product Type 50 - January 9, 2014
(Maryland)
[Shared]Data Element ID 50 50 50
[Unshared]Definition Classifies the benefit plan by key product characteristics (scope of coverage, size of network, coverage for out-of-network benefits). (Please code based on how the product is primarily marketed, and most importantly be consistent from year to year. If not sure, send an e-mail describing the product to Larry Monroe at larry.monroe@maryland.gov) Classifies the benefit plan by key product characteristics (scope of coverage, size of network, coverage for out-of-network benefits).(Please code based on how the product is primarily marketed, and most importantly be consistent from year to year. If not sure, send an e-mail describing the product to Larry Monroe at larry.monroe@maryland.gov) Classifies the benefit plan by key product characteristics (scope of coverage, size of network, coverage for out-of- network benefits). (Please code based on how the product is primarily marketed, and most importantly be consistent from year to year. If not sure, send an e-mail describing the product to Larry Monroe at larry.monroe@maryland.gov)
[Shared] State / Source Maryland
Maryland
Maryland
[Shared]Data Type numeric numeric numeric
[Shared]Length 1 1 1
[Shared]Threshold 95% 95% 95%
[Unshared]End 280 310 310
[Unshared]Start 280 310 310
Data Element: Product Type 50 - February 20, 2013
(Maryland)
Product Type 50 - September 13, 2013
(Maryland)
Product Type 50 - January 9, 2014
(Maryland)
[Shared]1 Exclusive Provider Organization (in any form) Exclusive Provider Organization (in any form) Exclusive Provider Organization (in any form)
[Shared]2 Health Maintenance Organization Health Maintenance Organization Health Maintenance Organization
[Shared]3 Indemnity Indemnity Indemnity
[Shared]4 Point of Service (POS) Point of Service (POS) Point of Service (POS)
[Shared]5 Preferred Provider Organization (PPO) Preferred Provider Organization (PPO) Preferred Provider Organization (PPO)
[Shared]6 Limited Benefit Plan (Mini-Meds) Limited Benefit Plan (Mini-Meds) Limited Benefit Plan (Mini-Meds)
[Shared]7 Student Health Plan Student Health Plan Student Health Plan
[Shared]8 Catastrophic Catastrophic Catastrophic
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