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 MC003 February 2014 - v1.1 Rhode Island
Insurance Type / Product Code MC003 June 2014 - v1.3 Rhode Island
Data Element: Insurance Type / Product Code MC003 - February 2014 - v1.1
(Rhode Island)
Insurance Type / Product Code MC003 - June 2014 - v1.3
(Rhode Island)
[Shared]Data Element ID MC003 MC003
[Shared]Definition Use this field to report the member's type of insurance or insurance product. Notes: The value reported for this field should be consistent with the value reported in ME003 ("Insurance Type / Product Code") in the eligibility file. To ensure reporting consistency between submitters, all Medicare Advantage plans should use the code "HN" to denote a Health Maintenance Organization (HMO) - Medicare Risk. Valid codes are maintained by the Accredited Standards Committee (ASC) and are available in the ASC X12 transaction set. Use this field to report the member's type of insurance or insurance product. Notes: The value reported for this field should be consistent with the value reported in ME003 ("Insurance Type / Product Code") in the eligibility file. To ensure reporting consistency between submitters, all Medicare Advantage plans should use the code "HN" to denote a Health Maintenance Organization (HMO) - Medicare Risk. Valid codes are maintained by the Accredited Standards Committee (ASC) and are available in the ASC X12 transaction set.
[Shared] State / Source Rhode Island
Rhode Island
[Shared]Data Type Text Text
[Shared]Length 2 2
[Shared]Column 3 3
[Shared]Threshold 100% 100%
[Shared]Denominator All All
[Shared]CMS 1500 REF N/A N/A
[Shared]HASHED? N N
[Shared]UB-04 REF N/A N/A
[Shared]X12 REF 271/2110C/EB/ /04, 271/2110D/EB/ /04 271/2110C/EB/ /04, 271/2110D/EB/ /04
Data Element: Insurance Type / Product Code MC003 - February 2014 - v1.1
(Rhode Island)
Insurance Type / Product Code MC003 - June 2014 - v1.3
(Rhode Island)
There are no enumerated permissible values for these data elements.
Scroll To Top