United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Payer Claim Control Number MC004 February 2014 - v1.1 Rhode Island
Payer Claim Control Number MC004 June 2014 - v1.3 Rhode Island
Data Element: Payer Claim Control Number MC004 - February 2014 - v1.1
(Rhode Island)
Payer Claim Control Number MC004 - June 2014 - v1.3
(Rhode Island)
[Shared]Data Element ID MC004 MC004
[Shared]Definition Use this field to report the claim number used by the data submitter to internally track the claim. Notes: In general, the claim number is associated with all service lines of the claim. It must apply to the entire claim and be unique within the data submitter's system. The value reported in this field should remain consistent over time. If reporting multiple versions of the same claim, this number should remain the same; use MC005A (Version Number) to report multiple versions of the same claim subject to subsequent changes/adjustments. Use this field to report the claim number used by the data submitter to internally track the claim. Notes: In general, the claim number is associated with all service lines of the claim. It must apply to the entire claim and be unique within the data submitter's system. The value reported in this field should remain consistent over time. If reporting multiple versions of the same claim, this number should remain the same; use MC005A (Version Number) to report multiple versions of the same claim subject to subsequent changes/adjustments.
[Shared] State / Source Rhode Island
Rhode Island
[Shared]Data Type Text Text
[Shared]Length 50 50
[Shared]Column 4 4
[Shared]Threshold 99.9% 99.9%
[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 835/2100/CLP/ /07 835/2100/CLP/ /07
Data Element: Payer Claim Control Number MC004 - February 2014 - v1.1
(Rhode Island)
Payer Claim Control Number MC004 - June 2014 - v1.3
(Rhode Island)
There are no enumerated permissible values for these data elements.
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