| Data Element: | Insurance Type / Product Code PC003 - February 2014 - v1.1
(Rhode Island) |
Insurance Type / Product Code PC003 - June 2014 - v1.3
(Rhode Island) |
|---|---|---|
![[Shared]](/images/icons/button-tick_16.png){kind=icon} Data Element ID |
PC003 | PC003 |
|
Definition |
Use this field to report the member's type of insurance or insurance product. Notes: The value reported for this field should be consistent with the value reported in ME003 ("Insurance Type / Product Code") in the eligibility file. To ensure reporting consistency between submitters, all Medicare Advantage plans should use the code "HN" to denote a Health Maintenance Organization (HMO) - Medicare Risk. Valid codes are maintained by the Accredited Standards Committee (ASC) and are available in the ASC X12 transaction set. | Use this field to report the member's type of insurance or insurance product. Notes: The value reported for this field should be consistent with the value reported in ME003 ("Insurance Type / Product Code") in the eligibility file. To ensure reporting consistency between submitters, all Medicare Advantage plans should use the code "HN" to denote a Health Maintenance Organization (HMO) - Medicare Risk. Valid codes are maintained by the Accredited Standards Committee (ASC) and are available in the ASC X12 transaction set. |
|
State / Source
|
Rhode Island |
Rhode Island |
| Data Type |
Text | Text |
| Length |
2 | 2 |
| Column |
3 | 3 |
| Threshold |
100% | 100% |
| Denominator |
All | All |
| HASHED? |
N | N |
| NCPDP REFERENCE |
271/2110C/EB/ /04, 271/2110D/EB/ /04 | 271/2110C/EB/ /04, 271/2110D/EB/ /04 |
| Data Element: | Insurance Type / Product Code PC003 - February 2014 - v1.1
(Rhode Island) |
Insurance Type / Product Code PC003 - June 2014 - v1.3
(Rhode Island) |
|---|---|---|
| There are no enumerated permissible values for these data elements. | ||
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