United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Copay Amount PC040 December 1, 2010 - v2.1 Massachusetts
Copay Amount PC040 June 7, 2013 - v3.1 Massachusetts
Copay Amount PC040 October 1, 2014 - v4.0 Massachusetts
Data Element: Copay Amount PC040 - December 1, 2010 - v2.1
(Massachusetts)
Copay Amount PC040 - June 7, 2013 - v3.1
(Massachusetts)
Copay Amount PC040 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PC040 PC040 PC040
[Shared]Definition Amount of Copay member/patient is responsible to pay Amount of Copay member/patient is responsible to pay Amount of Copay member/patient is responsible to pay
[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 42 42 42
[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 A1 A1
[Unshared]Condition Not Supplied All All
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline Defined as a preset, fixed amount. Example: $25.00 Copay for Office Visits. Code zero cents (00) where applicable. Example: 150.00 will be reported as 15000. Report the amount that defines a preset, fixed amount for this claim line service that the patient is responsible to pay. Report 0 if no Copay applies. 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 amount that defines a preset, fixed amount for this claim line service that the patient is responsible to pay. Report 0 if no Copay applies. 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 PC PC PC
[Unshared]Old Length 10 Not Supplied Not Supplied
Data Element: Copay Amount PC040 - December 1, 2010 - v2.1
(Massachusetts)
Copay Amount PC040 - June 7, 2013 - v3.1
(Massachusetts)
Copay Amount PC040 - October 1, 2014 - v4.0
(Massachusetts)
There are no enumerated permissible values for these data elements.
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