United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Claim Status PC025 December 1, 2010 - v2.1 Massachusetts
Claim Status PC025 June 7, 2013 - v3.1 Massachusetts
Claim Status PC025 October 1, 2014 - v4.0 Massachusetts
Data Element: Claim Status PC025 - December 1, 2010 - v2.1
(Massachusetts)
Claim Status PC025 - June 7, 2013 - v3.1
(Massachusetts)
Claim Status PC025 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PC025 PC025 PC025
[Shared]Definition Claim Line Status Claim Line Status Claim Line Status
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Integer Lookup Table - Numeric Lookup Table - Numeric
[Unshared]Data Type Description Lookup Table tlkpClaimStatus tlkpClaimStatus
[Unshared]Format tlkpClaimStatus varchar[2] varchar[2]
[Shared]Length 2 2 2
[Shared]Column 27 27 27
[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 Claim processed as primary, secondary, etc. Report the value that defines the payment status of this claim line Report the value that defines the payment status of this claim line
[Shared]File PC PC PC
[Unshared]Old Length 2 Not Supplied Not Supplied
Data Element: Claim Status PC025 - December 1, 2010 - v2.1
(Massachusetts)
Claim Status PC025 - June 7, 2013 - v3.1
(Massachusetts)
Claim Status PC025 - October 1, 2014 - v4.0
(Massachusetts)
[Unshared]01 Processed as primary Not Utilized Not Utilized
[Unshared]1 Not Utilized Processed as primary Processed as primary
[Unshared]02 Processed as secondary Not Utilized Not Utilized
[Unshared]2 Not Utilized Processed as secondary Processed as secondary
[Unshared]03 Processed as tertiary Not Utilized Not Utilized
[Unshared]3 Not Utilized Processed as tertiary Processed as tertiary
[Unshared]04 Denied Not Utilized Not Utilized
[Unshared]4 Not Utilized Denied Denied
[Shared]19 Processed as primary, forwarded to additional payer(s) Processed as primary, forwarded to additional payer(s) Processed as primary, forwarded to additional payer(s)
[Shared]20 Processed as secondary, forwarded to additional payer(s) Processed as secondary, forwarded to additional payer(s) Processed as secondary, forwarded to additional payer(s)
[Shared]21 Processed as tertiary, forwarded to additional payer(s) Processed as tertiary, forwarded to additional payer(s) Processed as tertiary, forwarded to additional payer(s)
[Shared]22 Reversal of previous payment Reversal of previous payment Reversal of previous payment
[Unshared]23 Not Utilized Not our claim, forwarded to additional payer(s) Not our claim, forwarded to additional payer(s)
[Unshared]25 Not Utilized Predetermination Pricing Only - no payment Predetermination Pricing Only - no payment
Scroll To Top