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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Insurance Type Code/Product PC003 December 1, 2010 - v2.1 Massachusetts
Insurance Type Code/Product PC003 June 7, 2013 - v3.1 Massachusetts
Insurance Type Code/Product PC003 October 1, 2014 - v4.0 Massachusetts
Data Element: Insurance Type Code/Product PC003 - December 1, 2010 - v2.1
(Massachusetts)
Insurance Type Code/Product PC003 - June 7, 2013 - v3.1
(Massachusetts)
Insurance Type Code/Product PC003 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PC003 PC003 PC003
[Shared]Definition Type / Product Identification Code Type / Product Identification Code Type / Product Identification Code
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Text Lookup Table - Text Lookup Table - Text
[Unshared]Data Type Description Lookup Table tlkpClaimInsuranceType tlkpClaimInsuranceType
[Unshared]Format tlkpClaimInsuranceType char[2] char[2]
[Shared]Length 2 2 2
[Shared]Column 3 3 3
[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 C A2
[Unshared]Condition Not Supplied All All
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline This field indicates the type of product the member has, such as HMO, PPO, POS, Auto Medical, Indemnity, and Workers Compensation. Report the code that defines the type of insurance under which this patient's claim line was processed. EXAMPLE: HM = HMO Report the code that defines the type of insurance under which this patient's claim line was processed. EXAMPLE: HM = HMO
[Shared]File PC PC PC
[Unshared]Old Length 2 Not Supplied Not Supplied
Data Element: Insurance Type Code/Product PC003 - December 1, 2010 - v2.1
(Massachusetts)
Insurance Type Code/Product PC003 - June 7, 2013 - v3.1
(Massachusetts)
Insurance Type Code/Product PC003 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]09 Self-pay Self-pay Self-pay
[Shared]10 Central Certification Central Certification Central Certification
[Shared]11 Other Non-Federal Programs Other Non-Federal Programs Other Non-Federal Programs
[Shared]12 Preferred Provider Organization (PPO) Preferred Provider Organization (PPO) Preferred Provider Organization (PPO)
[Shared]13 Point of Service (POS) Point of Service (POS) Point of Service (POS)
[Shared]14 Exclusive Provider Organization (EPO) Exclusive Provider Organization (EPO) Exclusive Provider Organization (EPO)
[Shared]15 Indemnity Insurance Indemnity Insurance Indemnity Insurance
[Shared]16 Health Maintenance Organization (HMO) Medicare Risk Health Maintenance Organization (HMO) Medicare Risk Health Maintenance Organization (HMO) Medicare Risk
[Shared]17 Dental Maintenance Organization (DMO) Dental Maintenance Organization (DMO) Dental Maintenance Organization (DMO)
[Shared]AM Automobile Medical Automobile Medical Automobile Medical
[Shared]BL Blue Cross / Blue Shield Blue Cross / Blue Shield Blue Cross / Blue Shield
[Shared]CC Commonwealth Care Commonwealth Care Commonwealth Care
[Shared]CE Commonwealth Choice Commonwealth Choice Commonwealth Choice
[Shared]CH Champus Champus Champus
[Shared]CI Commercial Insurance Co. Commercial Insurance Co. Commercial Insurance Co.
[Shared]DS Disability Disability Disability
[Shared]HM Health Maintenance Organization Health Maintenance Organization Health Maintenance Organization
[Shared]LI Liability Liability Liability
[Shared]LM Liability Medical Liability Medical Liability Medical
[Shared]MA Medicare Part A Medicare Part A Medicare Part A
[Shared]MB Medicare Part B Medicare Part B Medicare Part B
[Shared]MC Medicaid Medicaid Medicaid
[Shared]OF Other Federal Program Other Federal Program Other Federal Program
[Unshared]TF Not Utilized HSN Trust Fund HSN Trust Fund
[Shared]TV Title V Title V Title V
[Shared]VA Veterans Administration Plan Veterans Administration Plan Veterans Administration Plan
[Shared]WC Workers' Compensation Workers' Compensation Workers' Compensation
[Unshared]ZZ Not Utilized Other Other
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