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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Product Benefit Type PR006 October 22, 2010 - v2.0 Massachusetts
Product Benefit Type PR006 June 7, 2013 - v3.1 Massachusetts
Product Benefit Type PR006 October 1, 2014 - v4.0 Massachusetts
Data Element: Product Benefit Type PR006 - October 22, 2010 - v2.0
(Massachusetts)
Product Benefit Type PR006 - June 7, 2013 - v3.1
(Massachusetts)
Product Benefit Type PR006 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PR006 PR006 PR006
[Unshared]Definition Indicates combinations of offerings. Benefit Options Benefit Options
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Integer Lookup Table - Integer Lookup Table - Integer
[Unshared]Data Type Description Lookup Table tlkpProductBenefitType tlkpProductBenefitType
[Unshared]Format tlkpProductBenefitType int[1] int[1]
[Shared]Length 1 1 1
[Shared]Column 6 6 6
[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) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline Indicates if the product is Medical only, Pharmacy Only, or Medical and Pharmacy combined, or whether the product is a vision or dental or behavioral health only product. Report the value that defines the types of benefits covered under this product. EXAMPLE: 1 = Medical Only Report the value that defines the types of benefits covered under this product. EXAMPLE: 1 = Medical Only
[Shared]File PR PR PR
[Unshared]Old Length 1 Not Supplied Not Supplied
Data Element: Product Benefit Type PR006 - October 22, 2010 - v2.0
(Massachusetts)
Product Benefit Type PR006 - June 7, 2013 - v3.1
(Massachusetts)
Product Benefit Type PR006 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]0 Other Other Other
[Shared]1 Medical Only Medical Only Medical Only
[Shared]2 Pharmacy Only Pharmacy Only Pharmacy Only
[Shared]3 Medical and Pharmacy bundled Medical and Pharmacy bundled Medical and Pharmacy bundled
[Shared]4 Dental Dental Dental
[Shared]5 Behavioral Health Behavioral Health Behavioral Health
[Shared]6 Vision Vision Vision
[Shared]7 Accident Only Accident Only Accident Only
[Shared]8 Medical Comprehensive Medical Comprehensive Medical Comprehensive
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