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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Plan Liability 25 February 20, 2013 Maryland
Plan Liability 25 September 13, 2013 Maryland
Source Company 25 January 9, 2014 Maryland
Data Element: Plan Liability 25 - February 20, 2013
(Maryland)
Plan Liability 25 - September 13, 2013
(Maryland)
Source Company 25 - January 9, 2014
(Maryland)
[Shared]Data Element ID 25 25 25
[Unshared]Definition Indicates if insurer is at risk for the patient's service use or the insurer is simply paying claims as an ASO. Indicates if insurer is at risk for the patient's service use or the insurer is simply paying claims as an ASO. Defines the payor company that holds the beneficiary's contract; for use in characterizing contract requirements under Maryland law.
[Shared] State / Source Maryland
Maryland
Maryland
[Unshared]Data Type numeric numeric alphanumeric
[Shared]Length 1 1 1
[Unshared]Threshold 95% 95% 99%
[Unshared]COMAR 10.25.06.10 C.(23) Not Supplied Not Supplied
[Unshared]End 88 93 70
[Unshared]Start 88 93 70
Data Element: Plan Liability 25 - February 20, 2013
(Maryland)
Plan Liability 25 - September 13, 2013
(Maryland)
Source Company 25 - January 9, 2014
(Maryland)
[Unshared]1 Risk (under Maryland contract) Risk (under Maryland contract) Health Maintenance Organization
[Unshared]2 Risk (under non-Maryland contract) Risk (under non-Maryland contract) Life & Health Insurance Company or Not-for-Profit Health Benefit Plan
[Unshared]3 ASO (employer self-insured) ASO (employer self-insured) Third-Party Administrator (TPA) Unit
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