United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Market Category Code ME030 December 1, 2010 - v2.1 Massachusetts
Market Category Code ME030 June 7, 2013 - v3.1 Massachusetts
Market Category Code ME030 October 1, 2014 - v4.0 Massachusetts
Data Element: Market Category Code ME030 - December 1, 2010 - v2.1
(Massachusetts)
Market Category Code ME030 - June 7, 2013 - v3.1
(Massachusetts)
Market Category Code ME030 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID ME030 ME030 ME030
[Shared]Definition Market Category Code Market Category Code Market Category Code
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Text Lookup Table - Text Lookup Table - Text
[Unshared]Data Type Description Lookup Table tlkpMarketCategoryCode tlkpMarketCategoryCode
[Unshared]Format tlkpMarketCategoryCode varchar[4] varchar[4]
[Shared]Length 4 4 4
[Shared]Column 30 30 30
[Shared]Threshold 1 1 1
[Unshared]Encrypted No
[Unshared]Required All
[Unshared]APCD - GIC Carrier Threshold 1 Not Supplied Not Supplied
[Unshared]Cat Not Supplied A0 A0
[Unshared]Condition Not Supplied All All
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline The market the policy is sold into. See lookup table for definitions and valid values related to size of employer group. Report the code that defines the market, by size and or association, to which the policy is directly sold and issued Report the code that defines the market, by size and or association, to which the policy is directly sold and issued
[Shared]File ME ME ME
[Unshared]Old Length 4 Not Supplied Not Supplied
Data Element: Market Category Code ME030 - December 1, 2010 - v2.1
(Massachusetts)
Market Category Code ME030 - June 7, 2013 - v3.1
(Massachusetts)
Market Category Code ME030 - October 1, 2014 - v4.0
(Massachusetts)
[Unshared]FCH Policies sold and issued directly to individuals on a franchise basis Individuals on a franchise basis Individuals on a franchise basis
[Unshared]GCV Policies sold and issued directly to individuals as group conversion Policies Individuals as group conversion Policies Individuals as group conversion Policies
[Unshared]GLG1 Policies sold and issued directly to employers having between 51 and 99 employees Employers having 51 thru 100 employees Employers having 51 thru 100 employees
[Unshared]GLG2 Policies sold and issued directly to employers having between 100 and 249 employees Employers having 101 thru 250 employees Employers having 101 thru 250 employees
[Unshared]GLG3 Policies sold and issued directly to employers having between 250 and 499 employees Employers having 251 thru 500 employees Employers having 251 thru 500 employees
[Unshared]GLG4 Policies sold and issued directly to employers having 500 or more employees Employers having more than 500 employees Employers having more than 500 employees
[Unshared]GS1 Policies sold and issued directly to employers having exactly one employee Employers having exactly 1 employee Employers having exactly 1 employee
[Unshared]GS2 Policies sold and issued directly to employers having between two and nine employees Employers having 2 thru 9 employees Employers having 2 thru 9 employees
[Unshared]GS3 Policies sold and issued directly to employers having between 10 and 25 employees Employers having 10 thru 25 employees Employers having 10 thru 25 employees
[Unshared]GS4 Policies sold and issued directly to employers having between 26 and 50 employees Employers having 26 thru 50 employees Employers having 26 thru 50 employees
[Unshared]GSA Policies sold and issued directly to small employers through a qualified association trust Small employers through a qualified association trust Small employers through a qualified association trust
[Unshared]IND Policies sold and issued directly to individuals (non-group) Individuals (non-group) Individuals (non-group)
[Unshared]ISCO Not Utilized Individuals as a Senior Care Option Individuals as a Senior Care Option
[Unshared]OTH Policies sold to other types of entities. Insurers using this market code shall obtain prior approval. Other types of entities. Insurers using this market code shall obtain prior approval. Other types of entities. Insurers using this market code shall obtain prior approval.
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