United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Insurance Plan Market PR005 October 22, 2010 - v2.0 Massachusetts
Insurance Plan Market PR005 June 7, 2013 - v3.1 Massachusetts
Insurance Plan Market PR005 October 1, 2014 - v4.0 Massachusetts
Data Element: Insurance Plan Market PR005 - October 22, 2010 - v2.0
(Massachusetts)
Insurance Plan Market PR005 - June 7, 2013 - v3.1
(Massachusetts)
Insurance Plan Market PR005 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PR005 PR005 PR005
[Shared]Definition Insurance Plan Market Code Insurance Plan Market Code Insurance Plan Market Code
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Text Lookup Table - Text Lookup Table - Text
[Unshared]Data Type Description Lookup Table tlkpInsurancePlanMarket tlkpInsurancePlanMarket
[Unshared]Format tlkpInsurancePlanMarket char[4] char[4]
[Unshared]Length 10 4 4
[Shared]Column 5 5 5
[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 Values such as Group, Individual, Medicare, etc. Report the code that defines the market this product is sold into. EXAMPLE: GEMP = Group - Employer Report the code that defines the market this product is sold into. EXAMPLE: GEMP = Group - Employer
[Shared]File PR PR PR
[Unshared]Old Length 10 Not Supplied Not Supplied
Data Element: Insurance Plan Market PR005 - October 22, 2010 - v2.0
(Massachusetts)
Insurance Plan Market PR005 - June 7, 2013 - v3.1
(Massachusetts)
Insurance Plan Market PR005 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]COBR COBRA COBRA COBRA
[Shared]GCCH Group-Commonwealth Choice Group-Commonwealth Choice Group-Commonwealth Choice
[Shared]GCOB Group COBRA Group COBRA Group COBRA
[Shared]GEMP Group-Employer Group-Employer Group-Employer
[Shared]GFED Group-Federal Group-Federal Group-Federal
[Shared]GGIC Group-GIC Group-GIC Group-GIC
[Shared]GMMK Group-Merged Market Group-Merged Market Group-Merged Market
[Shared]GMUN Group-Municipality Group-Municipality Group-Municipality
[Shared]GPOS Group - POS Group - POS Group - POS
[Shared]GPRT Group-Retiree Group-Retiree Group-Retiree
[Shared]GRUP Group Group Group
[Shared]GSC0 Group-Senior Care Option Group-Senior Care Option Group-Senior Care Option
[Shared]GUNN Group-Union Group-Union Group-Union
[Shared]HEXC Health Exchange Health Exchange Health Exchange
[Shared]ICCA Individual - Commonwealth Care Individual - Commonwealth Care Individual - Commonwealth Care
[Shared]ICCH Individual - Commonwealth Choice Individual - Commonwealth Choice Individual - Commonwealth Choice
[Shared]ICLO Individual Closed Individual Closed Individual Closed
[Shared]ICOB Individual COBRA Individual COBRA Individual COBRA
[Unshared]ISCO Not Utilized Individual Senior Care Option Individual Senior Care Option
[Shared]ITHR Other Other Other
[Shared]IYGA Individual Young Adult Individual Young Adult Individual Young Adult
[Shared]MCRA Medicare Part A Medicare Part A Medicare Part A
[Shared]MCRB Medicare Part B Medicare Part B Medicare Part B
[Shared]MCRC Medicare Part C Medicare Part C Medicare Part C
[Shared]MCRD Medicare Part D Medicare Part D Medicare Part D
[Shared]MEDX MediGap/Medicare Supplemental/Medex MediGap/Medicare Supplemental/Medex MediGap/Medicare Supplemental/Medex
[Shared]OTMC Other Medicare Other Medicare Other Medicare
[Shared]STUD Student Student Student
Scroll To Top