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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Source System 33 February 20, 2013 Maryland
Source System 33 September 13, 2013 Maryland
Dental Services Indicator 33 January 9, 2014 Maryland
Data Element: Source System 33 - February 20, 2013
(Maryland)
Source System 33 - September 13, 2013
(Maryland)
Dental Services Indicator 33 - January 9, 2014
(Maryland)
[Shared]Data Element ID 33 33 33
[Unshared]Definition Identify the source system (platforms or business units) from which the data was obtained by using an alphabet letter (A, B, C, D, etc...) For payers with all data coming from one system only, leave the field blank. Identify the source system (platforms or business units) from which the data was obtained by using an alphabet letter (A, B, C, D, etc...) (Note: In your documentation on page 14, please be sure to list the source system that corresponds with the letter assigned.) For payors with all data coming from one system only, leave the field blank. Dental Coverage
[Shared] State / Source Maryland
Maryland
Maryland
[Unshared]Data Type alphanumeric alphanumeric numeric
[Shared]Length 1 1 1
[Unshared]Threshold Not Supplied Not Supplied 95%
[Unshared]End 127 132 105
[Unshared]Field Contents A - Z Leave the field blank if submitting data from one (1) platform or business unit only. A - Z Leave the field blank if submitting data from one (1) platform or business unit only. Not Supplied
[Unshared]Start 127 132 105
Data Element: Source System 33 - February 20, 2013
(Maryland)
Source System 33 - September 13, 2013
(Maryland)
Dental Services Indicator 33 - January 9, 2014
(Maryland)
[Unshared]0 Not Utilized Not Utilized No
[Unshared]1 Not Utilized Not Utilized Yes
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