United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Claim Line Type DC059 December 1, 2010 - v2.1 Massachusetts
Claim Line Type DC059 June 7, 2013 - v3.1 Massachusetts
Claim Line Type DC059 October 1, 2014 - v4.0 Massachusetts
Data Element: Claim Line Type DC059 - December 1, 2010 - v2.1
(Massachusetts)
Claim Line Type DC059 - June 7, 2013 - v3.1
(Massachusetts)
Claim Line Type DC059 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID DC059 DC059 DC059
[Shared]Definition Claim Line Activity Type Code Claim Line Activity Type Code Claim Line Activity Type Code
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Text Lookup Table - Text Lookup Table - Text
[Unshared]Data Type Description Lookup Table tlkpClaimLineType tlkpClaimLineType
[Unshared]Format tlkpClaimLineType char[1] char[1]
[Unshared]Length 10 1 1
[Shared]Column 60 60 60
[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 All All
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline Code Indicating Type of Record. Example: Original, Void, Replacement, Back Out, Amendment Report the code that defines the claim line status in terms of adjudication. EXAMPLE: O = Original Report the code that defines the claim line status in terms of adjudication. EXAMPLE: O = Original
[Shared]File DC DC DC
[Unshared]Old Length 10 Not Supplied Not Supplied
Data Element: Claim Line Type DC059 - December 1, 2010 - v2.1
(Massachusetts)
Claim Line Type DC059 - June 7, 2013 - v3.1
(Massachusetts)
Claim Line Type DC059 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]A Amendment Amendment Amendment
[Shared]B Back Out Back Out Back Out
[Shared]O Original Original Original
[Shared]R Replacement Replacement Replacement
[Shared]V Void Void Void
Scroll To Top