United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Insured Group or Policy Number MC006 February 2014 - v1.1 Rhode Island
Insured Group or Policy Number MC006 June 2014 - v1.3 Rhode Island
Data Element: Insured Group or Policy Number MC006 - February 2014 - v1.1
(Rhode Island)
Insured Group or Policy Number MC006 - June 2014 - v1.3
(Rhode Island)
[Shared]Data Element ID MC006 MC006
[Shared]Definition Use this field to report the group or policy number. Notes: This is not the number that uniquely identifies the subscriber. The value reported for this field should be consistent with the value reported in the Insured Group or Policy Number fields across all file types (ME006, MC006, PC006). If a policy is sold to an individual as a non-group policy, then this field should be reported with a value of "IND". This principle pertains to all claim types: commercial, Medicaid, and Medicare. Use this field to report the group or policy number. Notes: This is not the number that uniquely identifies the subscriber. The value reported for this field should be consistent with the value reported in the Insured Group or Policy Number fields across all file types (ME006, MC006, PC006). If a policy is sold to an individual as a non-group policy, then this field should be reported with a value of "IND". This principle pertains to all claim types: commercial, Medicaid, and Medicare.
[Shared] State / Source Rhode Island
Rhode Island
[Shared]Data Type Text Text
[Shared]Length 50 50
[Shared]Column 8 8
[Shared]Threshold 99.5% 99.5%
[Shared]Denominator All All
[Shared]CMS 1500 REF 11C 11C
[Shared]HASHED? N N
[Shared]UB-04 REF 62 (A-C) 62 (A-C)
[Shared]X12 REF 837/2000B/SBR/ /03 837/2000B/SBR/ /03
Data Element: Insured Group or Policy Number MC006 - February 2014 - v1.1
(Rhode Island)
Insured Group or Policy Number MC006 - June 2014 - v1.3
(Rhode Island)
There are no enumerated permissible values for these data elements.
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