United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Insurance type/ product code PC003 September 27, 2011 - v2011.1.1 Oregon
Insurance type/ product code PC003 June 25, 2012 - v2013.0.0 Oregon
Insurance type/ product code PC003 June 27, 2013 - v2014.0.0 Oregon
Insurance type/ product code PC003 2015.0.1 Oregon
Data Element: Insurance type/ product code PC003 - September 27, 2011 - v2011.1.1
(Oregon)
Insurance type/ product code PC003 - June 25, 2012 - v2013.0.0
(Oregon)
Insurance type/ product code PC003 - June 27, 2013 - v2014.0.0
(Oregon)
Insurance type/ product code PC003 - 2015.0.1
(Oregon)
[Shared]Data Element ID PC003 PC003 PC003 PC003
[Shared]Definition Not Provided Not Provided Not Provided Not Provided
[Shared] State / Source Oregon
Oregon
Oregon
Oregon
[Shared]Data Type Text Text Text Text
[Shared]Length 6 6 6 6
[Unshared]Threshold TBD TBD TBD 1%
[Shared]Required Yes Yes Yes Yes
[Shared]NCPDP Field New New New New
[Shared]NCPDP Source P P P P
Data Element: Insurance type/ product code PC003 - September 27, 2011 - v2011.1.1
(Oregon)
Insurance type/ product code PC003 - June 25, 2012 - v2013.0.0
(Oregon)
Insurance type/ product code PC003 - June 27, 2013 - v2014.0.0
(Oregon)
Insurance type/ product code PC003 - 2015.0.1
(Oregon)
[Shared]CHP Special Childrens Health Insurance Program (SCHIP) Special Childrens Health Insurance Program (SCHIP) Special Childrens Health Insurance Program (SCHIP) Special Childrens Health Insurance Program (SCHIP)
[Shared]EPO Commercial EPO Commercial EPO Commercial EPO Commercial EPO
[Shared]HMO Commercial HMO Commercial HMO Commercial HMO Commercial HMO
[Shared]IN Commercial indemnity Commercial indemnity Commercial indemnity Commercial indemnity
[Shared]MC Medicare Cost Medicare Cost Medicare Cost Medicare Cost
[Shared]MD Medicaid disabled HMO Medicaid disabled HMO Medicaid disabled HMO Medicaid disabled HMO
[Shared]MDE Medicaid dual eligible HMO Medicaid dual eligible HMO Medicaid dual eligible HMO Medicaid dual eligible HMO
[Shared]MDF Medicaid fee-for-service Medicaid fee-for-service Medicaid fee-for-service Medicaid fee-for-service
[Shared]MLI Medicaid low income HMO Medicaid low income HMO Medicaid low income HMO Medicaid low income HMO
[Shared]MP Medicare Advantage PPO Medicare Advantage PPO Medicare Advantage PPO Medicare Advantage PPO
[Unshared]MPD Not Utilized Not Utilized Not Utilized Medicare Part D only
[Shared]MR Medicare Advantage HMO Medicare Advantage HMO Medicare Advantage HMO Medicare Advantage HMO
[Shared]MRB Medicaid restricted benefit HMO Medicaid restricted benefit HMO Medicaid restricted benefit HMO Medicaid restricted benefit HMO
[Shared]PH Pharmacy benefits only Pharmacy benefits only Pharmacy benefits only Pharmacy benefits only
[Shared]POS Commercial POS Commercial POS Commercial POS Commercial POS
[Shared]PPO Commercial PPO Commercial PPO Commercial PPO Commercial PPO
[Shared]SIF Self insured POS Self insured POS Self insured POS Self insured POS
[Shared]SIH Self insured HMO Self insured HMO Self insured HMO Self insured HMO
[Shared]SIP Self insured PPO Self insured PPO Self insured PPO Self insured PPO
[Shared]SL Commercial stop loss Commercial stop loss Commercial stop loss Commercial stop loss
[Shared]SN1 Special needs plan - chronic condition Special needs plan - chronic condition Special needs plan - chronic condition Special needs plan - chronic condition
[Shared]SN2 Special needs plan - institutionalized Special needs plan - institutionalized Special needs plan - institutionalized Special needs plan - institutionalized
[Shared]SN3 Special needs plan - dual eligible Special needs plan - dual eligible Special needs plan - dual eligible Special needs plan - dual eligible
[Shared]ZZ Unknown Unknown Unknown Unknown
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