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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Other Insurance Paid Amount PC066 December 1, 2010 - v2.1 Massachusetts
Other Insurance Paid Amount PC066 June 7, 2013 - v3.1 Massachusetts
Other Insurance Paid Amount PC066 October 1, 2014 - v4.0 Massachusetts
Data Element: Other Insurance Paid Amount PC066 - December 1, 2010 - v2.1
(Massachusetts)
Other Insurance Paid Amount PC066 - June 7, 2013 - v3.1
(Massachusetts)
Other Insurance Paid Amount PC066 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PC066 PC066 PC066
[Unshared]Definition Amount paid by a Primary Carrier Amount paid by a Primary / Prior Carrier Amount paid by a Primary / Prior Carrier
[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 68 68 68
[Shared]Threshold 1 1 1
[Unshared]Encrypted No
[Unshared]Required Where PrimaryInsuranceIndicator=Secondary
[Unshared]APCD - GIC Carrier Threshold 1 Not Supplied Not Supplied
[Unshared]Cat Not Supplied A2 A2
[Unshared]Condition Not Supplied Required when PC025 = 02, 03, 20, or 21 Required when PC025 = 02, 03, 20, or 21
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline The amount paid/collected for the claim line that another carrier paid. Code zero cents (00) where applicable. Example: 150.00 will be reported as 15000. Report the amount that a prior payer has paid for this claim line. Indicates the submitting Payer is 'secondary' to the prior payer. Only report 0 if the Prior Payer paid 0 towards this claim line, else do not report any value here. 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 a prior payer has paid for this claim line. Indicates the submitting Payer is 'secondary' to the prior payer. Only report 0 if the Prior Payer paid 0 towards this claim line, else do not report any value here. 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: Other Insurance Paid Amount PC066 - December 1, 2010 - v2.1
(Massachusetts)
Other Insurance Paid Amount PC066 - June 7, 2013 - v3.1
(Massachusetts)
Other Insurance Paid Amount PC066 - October 1, 2014 - v4.0
(Massachusetts)
There are no enumerated permissible values for these data elements.
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