United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Payment Indicator MC063A February 2014 - v1.1 Rhode Island
Payment Indicator MC063A June 2014 - v1.3 Rhode Island
Data Element: Payment Indicator MC063A - February 2014 - v1.1
(Rhode Island)
Payment Indicator MC063A - June 2014 - v1.3
(Rhode Island)
[Shared]Data Element ID MC063A MC063A
[Unshared]Definition Use this field to report whether the payment is reported on the header or line. Notes: If "H," populate all lines included in the global payment with an "H." Note that some claims may have a combination of lines paid at the Header and Line level and so may have both "H" and "L" records reported. If "L," populate each line as necessary. As payers' systems are updated to store this information, it should be reported to the APCD. Use this field to report whether the payment is reported on the header or line. Notes: If "H," populate all lines included in the global payment with an "H." Note that some claims may have a combination of lines paid at the Header and Line level and so may have both "H" and "L" records reported. If "L," populate each line as necessary. As payers' systems are updated to store this information, it should be reported to the APCD.
[Shared] State / Source Rhode Island
Rhode Island
[Shared]Data Type Text Text
[Shared]Length 1 1
[Shared]Column 97 97
[Shared]Threshold 100% 100%
[Shared]Denominator All All
[Shared]CMS 1500 REF Administrative Element Administrative Element
[Shared]HASHED? N N
[Shared]UB-04 REF Administrative Element Administrative Element
[Shared]X12 REF Administrative element Administrative element
Data Element: Payment Indicator MC063A - February 2014 - v1.1
(Rhode Island)
Payment Indicator MC063A - June 2014 - v1.3
(Rhode Island)
[Shared]H Header (global payment) Header (global payment)
[Shared]L Line (fee-for-service) Line (fee-for-service)
[Shared]U Unavailable information Unavailable information
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