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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Individual Relationship Code DC011 December 1, 2010 - v2.1 Massachusetts
Individual Relationship Code DC011 June 7, 2013 - v3.1 Massachusetts
Individual Relationship Code DC011 October 1, 2014 - v4.0 Massachusetts
Data Element: Individual Relationship Code DC011 - December 1, 2010 - v2.1
(Massachusetts)
Individual Relationship Code DC011 - June 7, 2013 - v3.1
(Massachusetts)
Individual Relationship Code DC011 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID DC011 DC011 DC011
[Unshared]Definition Member/Patient to Subscriber Relationship Code Patient to Subscriber Relationship Code Patient to Subscriber Relationship Code
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Integer Lookup Table - Numeric Lookup Table - Numeric
[Unshared]Data Type Description Lookup Table tlkpIndividualRelathionshipCode tlkpIndividualRelathionshipCode
[Unshared]Format tlkpIndividualRelathionshipCode varchar[2] varchar[2]
[Shared]Length 2 2 2
[Shared]Column 12 12 12
[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 B B
[Unshared]Condition Not Supplied All All
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline Indicator to define the Member/Patient's relationship to the Subscriber Report the value that defines the Patient's relationship to the Subscriber. EXAMPLE: 20 = Self / Employee Report the value that defines the Patient's relationship to the Subscriber. EXAMPLE: 20 = Self / Employee
[Shared]File DC DC DC
[Unshared]Old Length 2 Not Supplied Not Supplied
Data Element: Individual Relationship Code DC011 - December 1, 2010 - v2.1
(Massachusetts)
Individual Relationship Code DC011 - June 7, 2013 - v3.1
(Massachusetts)
Individual Relationship Code DC011 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]1 Spouse Spouse Spouse
[Shared]4 Grandfather or Grandmother Grandfather or Grandmother Grandfather or Grandmother
[Shared]5 Grandson or Granddaughter Grandson or Granddaughter Grandson or Granddaughter
[Shared]7 Nephew or Niece Nephew or Niece Nephew or Niece
[Shared]10 Foster Child Foster Child Foster Child
[Shared]15 Ward Ward Ward
[Shared]17 Stepson or Stepdaughter Stepson or Stepdaughter Stepson or Stepdaughter
[Shared]19 Child Child Child
[Shared]20 Self/Employee Self/Employee Self/Employee
[Shared]21 Unknown Unknown Unknown
[Shared]22 Handicapped Dependent Handicapped Dependent Handicapped Dependent
[Shared]23 Sponsored Dependent Sponsored Dependent Sponsored Dependent
[Shared]24 Dependent of a Minor Dependent Dependent of a Minor Dependent Dependent of a Minor Dependent
[Shared]29 Significant Other Significant Other Significant Other
[Shared]32 Mother Mother Mother
[Shared]33 Father Father Father
[Shared]36 Emancipated Minor Emancipated Minor Emancipated Minor
[Shared]39 Organ Donor Organ Donor Organ Donor
[Shared]40 Cadaver Donor Cadaver Donor Cadaver Donor
[Shared]41 Injured Plaintiff Injured Plaintiff Injured Plaintiff
[Shared]43 Child Where Insured Has No Financial Responsibility Child Where Insured Has No Financial Responsibility Child Where Insured Has No Financial Responsibility
[Shared]53 Life Partner Life Partner Life Partner
[Shared]76 Dependent Dependent Dependent
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