United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Rendering Provider Plan ID MC024 February 2014 - v1.1 Rhode Island
Rendering Provider Plan ID MC024 June 2014 - v1.3 Rhode Island
Data Element: Rendering Provider Plan ID MC024 - February 2014 - v1.1
(Rhode Island)
Rendering Provider Plan ID MC024 - June 2014 - v1.3
(Rhode Island)
[Shared]Data Element ID MC024 MC024
[Unshared]Definition Use this field to report the submitter-assigned or legacy provider plan ID for the rendering provider. Note: The provider data reported in the eligibility, claims, and provider files are used to create a Provider Master Index that is used to match the data across all file types. It is expected that a provider's identifiers (e.g., plan-assigned ID, NPI, etc.) will be reported consistently by a submitter across file types as this is the payer-assigned provider ID (ME051, MC024, PC048A, PV006). Use this field to report the submitter-assigned or legacy provider plan ID for the rendering provider. Note: The provider data reported in the eligibility, claims, and provider files are used to create a Provider Master Index that is used to match the data across all file types. It is expected that a provider's identifiers (e.g., plan-assigned ID, NPI, etc.) will be reported consistently by a submitter across file types as this is the payer-assigned provider ID (ME051, MC024, PC048A, PV006).
[Shared] State / Source Rhode Island
Rhode Island
[Shared]Data Type Text Text
[Shared]Length 50 50
[Shared]Column 27 27
[Shared]Threshold 90% 90%
[Shared]Denominator All All
[Shared]CMS 1500 REF 24J 24J
[Shared]HASHED? N N
[Shared]UB-04 REF 57 57
[Shared]X12 REF 835/2100/REF/1A/02, 835/2100/REF/1B/02, 835/2100/REF/1C/02, 835/2100/REF/1D/02, 835/2100/REF/G2/02, 835/2100/NM1/BD/09, 835/2100/NM1/PC/09, 835/2100/NM1/MC/09, 835/2100/NM1/BS/09 835/2100/REF/1A/02, 835/2100/REF/1B/02, 835/2100/REF/1C/02, 835/2100/REF/1D/02, 835/2100/REF/G2/02, 835/2100/NM1/BD/09, 835/2100/NM1/PC/09, 835/2100/NM1/MC/09, 835/2100/NM1/BS/09
Data Element: Rendering Provider Plan ID MC024 - February 2014 - v1.1
(Rhode Island)
Rendering Provider Plan ID MC024 - June 2014 - v1.3
(Rhode Island)
There are no enumerated permissible values for these data elements.
Scroll To Top