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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Other Product Benefit Description PR007 October 22, 2010 - v2.0 Massachusetts
Other Product Benefit Description PR007 June 7, 2013 - v3.1 Massachusetts
Other Product Benefit Description PR007 October 1, 2014 - v4.0 Massachusetts
Data Element: Other Product Benefit Description PR007 - October 22, 2010 - v2.0
(Massachusetts)
Other Product Benefit Description PR007 - June 7, 2013 - v3.1
(Massachusetts)
Other Product Benefit Description PR007 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID PR007 PR007 PR007
[Shared]Definition Benefit Description Benefit Description Benefit Description
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Shared]Data Type Text Text Text
[Shared]Data Type Description Free Text Field Free Text Field Free Text Field
[Unshared]Format Free Text Description varchar[80] varchar[80]
[Shared]Length 80 80 80
[Shared]Column 7 7 7
[Shared]Threshold 1 1 1
[Unshared]Encrypted No
[Unshared]Required Where PR006=Other
[Unshared]APCD - GIC Carrier Threshold 1 Not Supplied Not Supplied
[Unshared]Cat Not Supplied A2 A2
[Unshared]Condition Not Supplied Required when PR006 = 0 Required when PR006 = 0
[Unshared]Date Active (version) '6/25/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline Free text field that further explains Benefit Type PR006 when Other is selected. Example: Chiropractor Report the Other Product description when the product's Product Benefit does not fall within the standard listing for PR006 Product Benefit Type EXAMPLE: Chiropractic Services Report the Other Product description when the product's Product Benefit does not fall within the standard listing for PR006 Product Benefit Type EXAMPLE: Chiropractic Services
[Shared]File PR PR PR
[Unshared]Old Length 80 Not Supplied Not Supplied
Data Element: Other Product Benefit Description PR007 - October 22, 2010 - v2.0
(Massachusetts)
Other Product Benefit Description PR007 - June 7, 2013 - v3.1
(Massachusetts)
Other Product Benefit Description PR007 - October 1, 2014 - v4.0
(Massachusetts)
There are no enumerated permissible values for these data elements.
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