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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Out-of-Network Indicator PC020B February 2014 - v1.1 Rhode Island
Out-of-Network Indicator PC020B June 2014 - v1.3 Rhode Island
Data Element: Out-of-Network Indicator PC020B - February 2014 - v1.1
(Rhode Island)
Out-of-Network Indicator PC020B - June 2014 - v1.3
(Rhode Island)
[Shared]Data Element ID PC020B PC020B
[Shared]Definition Use this field to report whether or not the pharmacy at which the prescription was filled was out of network. Use this field to report whether or not the pharmacy at which the prescription was filled was out of network.
[Shared] State / Source Rhode Island
Rhode Island
[Shared]Data Type Text Text
[Shared]Length 1 1
[Shared]Column 25 25
[Shared]Threshold 100% 100%
[Shared]Denominator All All
[Shared]HASHED? N N
[Shared]NCPDP REFERENCE N/A N/A
Data Element: Out-of-Network Indicator PC020B - February 2014 - v1.1
(Rhode Island)
Out-of-Network Indicator PC020B - June 2014 - v1.3
(Rhode Island)
[Shared]I In network In network
[Unshared]N Not Utilized Not applicable
[Shared]O Out of network Out of network
[Shared]U Unknown Unknown
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