United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Allowed Amount DC046 December 1, 2010 - v2.1 Massachusetts
Allowed Amount DC046 June 7, 2013 - v3.1 Massachusetts
Allowed Amount DC046 October 1, 2014 - v4.0 Massachusetts
Data Element: Allowed Amount DC046 - December 1, 2010 - v2.1
(Massachusetts)
Allowed Amount DC046 - June 7, 2013 - v3.1
(Massachusetts)
Allowed Amount DC046 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID DC046 DC046 DC046
[Shared]Definition Allowed Amount Allowed Amount Allowed Amount
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Shared]Data Type Integer Integer Integer
[Shared]Data Type Description Currency Currency Currency
[Unshared]Format DDDDCC varchar[10] ┬▒varchar[10]
[Shared]Length 10 10 10
[Shared]Column 47 47 47
[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 A2 A2
[Unshared]Condition Not Supplied Required when DC031 does not = 4, 22, or 23 Required when DC031 does not = 4, 22, or 23
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline The maximum amount contractually allowed, which a carrier will pay to a provider for a particular procedure or service. This will vary by provider contract and most often it is less than or equal to the fee charged by the provider. Code zero cents (00) where applicable. Example: 150.00 will be reported as 15000. Report the maximum amount contractually allowed, and that a carrier will pay to a provider for a particular procedure or service. This will vary by provider contract and most often it is less than or equal to the fee charged by the provider. Report 0 when the claim line is denied. Do not code decimal or round up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 Report the maximum amount contractually allowed, and that a carrier will pay to a provider for a particular procedure or service. This will vary by provider contract and most often it is less than or equal to the fee charged by the provider. Report 0 when the claim line is denied. Do not code decimal or round up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070
[Shared]File DC DC DC
[Unshared]Old Length 10 Not Supplied Not Supplied
Data Element: Allowed Amount DC046 - December 1, 2010 - v2.1
(Massachusetts)
Allowed Amount DC046 - June 7, 2013 - v3.1
(Massachusetts)
Allowed Amount DC046 - October 1, 2014 - v4.0
(Massachusetts)
There are no enumerated permissible values for these data elements.
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