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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Carrier License Type PR003 October 22, 2010 - v2.0 Massachusetts
Carrier License Type PR003 June 7, 2013 - v3.1 Massachusetts
Carrier License Type PR003 October 1, 2014 - v4.0 Massachusetts
Data Element: Carrier License Type PR003 - October 22, 2010 - v2.0
(Massachusetts)
Carrier License Type PR003 - June 7, 2013 - v3.1
(Massachusetts)
Carrier License Type PR003 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PR003 PR003 PR003
[Shared]Definition Carrier License Type Carrier License Type Carrier License Type
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Text Lookup Table - Text Lookup Table - Text
[Unshared]Data Type Description Lookup Table tlkpCarrierLicenseType tlkpCarrierLicenseType
[Unshared]Format tlkpCarrierLicenseType char[3] char[3]
[Unshared]Length 10 3 3
[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 A0 A0
[Unshared]Condition Not Supplied All All
[Unshared]Date Active (version) '10/3/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline License type associated with the Product filing with the Division of Insurance Report the code that defines the License Type of this Product. EXAMPLE: COM = Commercial Report the code that defines the License Type of this Product. EXAMPLE: COM = Commercial
[Shared]File PR PR PR
[Unshared]Old Length 10 Not Supplied Not Supplied
Data Element: Carrier License Type PR003 - October 22, 2010 - v2.0
(Massachusetts)
Carrier License Type PR003 - June 7, 2013 - v3.1
(Massachusetts)
Carrier License Type PR003 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]176 Chapter 176 Chapter 176 Chapter 176
[Shared]BLU Blue Cross and Blue Shield Licensee Blue Cross and Blue Shield Licensee Blue Cross and Blue Shield Licensee
[Shared]COM Commercial Carrier Commercial Carrier Commercial Carrier
[Shared]HMO Health Maintenance Organization Health Maintenance Organization Health Maintenance Organization
[Shared]MAO Medicare Advantage Organization Medicare Advantage Organization Medicare Advantage Organization
[Unshared]OTH Not Utilized Other License Type Other License Type
[Unshared]PBM Not Utilized Pharmacy Benefit Manager Pharmacy Benefit Manager
[Shared]SCO Senior Care Option Senior Care Option Senior Care Option
[Shared]TPA Third Party Administrator Third Party Administrator Third Party Administrator
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