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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Medicare Paid Amount PC067 December 1, 2010 - v2.1 Massachusetts
Medicare Paid Amount PC067 June 7, 2013 - v3.1 Massachusetts
Medicare Paid Amount PC067 October 1, 2014 - v4.0 Massachusetts
Data Element: Medicare Paid Amount PC067 - December 1, 2010 - v2.1
(Massachusetts)
Medicare Paid Amount PC067 - June 7, 2013 - v3.1
(Massachusetts)
Medicare Paid Amount PC067 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PC067 PC067 PC067
[Shared]Definition Amount Medicare paid on claim Amount Medicare paid on claim Amount Medicare paid on claim
[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 69 69 69
[Unshared]Threshold 0 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 Required when PC112 = 1 Required when PC112 = 1
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline If no Medicare payment is on the claim, code with 0. Code zero cents (00) where applicable. Example: 150.00 will be reported as 15000. Report the amount Medicare paid towards this claim line. Only report 0 here if Medicare paid 0. If Medicare did not pay towards this claim line 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 Medicare paid towards this claim line. Only report 0 here if Medicare paid 0. If Medicare did not pay towards this claim line 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: Medicare Paid Amount PC067 - December 1, 2010 - v2.1
(Massachusetts)
Medicare Paid Amount PC067 - June 7, 2013 - v3.1
(Massachusetts)
Medicare Paid Amount PC067 - October 1, 2014 - v4.0
(Massachusetts)
There are no enumerated permissible values for these data elements.
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