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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Member Last Name MC104 February 2014 - v1.1 Rhode Island
Member Last Name MC104 June 2014 - v1.3 Rhode Island
Data Element: Member Last Name MC104 - February 2014 - v1.1
(Rhode Island)
Member Last Name MC104 - June 2014 - v1.3
(Rhode Island)
[Shared]Data Element ID MC104 MC104
[Shared]Definition Use this field to report the member's last name. Notes: If the member is the subscriber, report the subscriber's last name again in this field. The value reported for this field should be consistent with the value reported in ME104 ("Member Last Name") in the eligibility file. This field will be rendered non-recoverable through the use of a one-way hashing algorithm prior to transmission to Onpoint. Upon receipt by Onpoint, this field will be a text field with a length of 128. Use this field to report the member's last name. Notes: If the member is the subscriber, report the subscriber's last name again in this field. The value reported for this field should be consistent with the value reported in ME104 ("Member Last Name") in the eligibility file. This field will be rendered non-recoverable through the use of a one-way hashing algorithm prior to transmission to Onpoint. Upon receipt by Onpoint, this field will be a text field with a length of 128.
[Shared] State / Source Rhode Island
Rhode Island
[Shared]Data Type Text Text
[Shared]Length 60 60
[Shared]Column 122 122
[Shared]Threshold 100% 100%
[Shared]Denominator All All
[Shared]CMS 1500 REF 2 2
[Shared]HASHED? Y Y
[Shared]UB-04 REF 8a 8a
[Shared]X12 REF 837/2010CA/NM1/ /03, 837/2010BA/NM1/ /03 837/2010CA/NM1/ /03, 837/2010BA/NM1/ /03
Data Element: Member Last Name MC104 - February 2014 - v1.1
(Rhode Island)
Member Last Name MC104 - June 2014 - v1.3
(Rhode Island)
There are no enumerated permissible values for these data elements.
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