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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Service Provider Entity Type Qualifier MC027 December 1, 2010 - v2.1 Massachusetts
Service Provider Entity Type Qualifier MC027 June 7, 2013 - v3.1 Massachusetts
Service Provider Entity Type Qualifier MC027 October 1, 2014 - v4.0 Massachusetts
Data Element: Service Provider Entity Type Qualifier MC027 - December 1, 2010 - v2.1
(Massachusetts)
Service Provider Entity Type Qualifier MC027 - June 7, 2013 - v3.1
(Massachusetts)
Service Provider Entity Type Qualifier MC027 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID MC027 MC027 MC027
[Shared]Definition Service Provider Entity Identifier Code Service Provider Entity Identifier Code Service Provider Entity Identifier Code
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Integer Lookup Table - integer Lookup Table - integer
[Unshared]Data Type Description Lookup Table tlkpServProvEntityTypeQualifier tlkpServProvEntityTypeQualifier
[Unshared]Format tlkpServProvEntityTypeQualifier int[1] int[1]
[Shared]Length 1 1 1
[Shared]Column 28 28 28
[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 HIPAA Provider Taxonomy classifies provider groups (clinicians who bill as a group practice or under a corporate name, even if that group is composed of one provider) as "Person". Report the value that defines the Service Provider entity type. Only individuals should be identified with a 1. Facilities, professional groups and clinic sites should all be identified with a 2. EXAMPLE: 1 = Person Report the value that defines the Service Provider entity type. Only individuals should be identified with a 1. Facilities, professional groups and clinic sites should all be identified with a 2. EXAMPLE: 1 = Person
[Shared]File MC MC MC
[Unshared]Old Length 1 Not Supplied Not Supplied
Data Element: Service Provider Entity Type Qualifier MC027 - December 1, 2010 - v2.1
(Massachusetts)
Service Provider Entity Type Qualifier MC027 - June 7, 2013 - v3.1
(Massachusetts)
Service Provider Entity Type Qualifier MC027 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]1 Person Person Person
[Shared]2 Non-person entity Non-person entity Non-person entity
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