United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Denial Reason DC064 June 7, 2013 - v3.1 Massachusetts
Denial Reason DC064 October 1, 2014 - v4.0 Massachusetts
Data Element: Denial Reason DC064 - June 7, 2013 - v3.1
(Massachusetts)
Denial Reason DC064 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID DC064 DC064
[Shared]Definition Denial Reason Code Denial Reason Code
[Shared] State / Source Massachusetts
Massachusetts
[Shared]Data Type Carrier Defined Table - OR - External Code Source 16 Carrier Defined Table - OR - External Code Source 16
[Shared]Data Type Description External Code Source 16 - Reason Codes OR - Carrier Defined Table - External Code Source 16 - Reason Codes OR - Carrier Defined Table -
[Shared]Format varchar[20] varchar[20]
[Shared]Length 20 20
[Shared]Column 65 65
[Shared]Threshold 1 1
[Shared]Cat A2 A2
[Shared]Condition Required when DC063 = 1 Required when DC063 = 1
[Shared]Element Submission Guideline Report the code that defines the reason for denial of the claim line. Carrier must submit denial reason codes in separate table to the APCD. Report the code that defines the reason for denial of the claim line. Carrier must submit denial reason codes in separate table to the APCD.
[Shared]File DC DC
Data Element: Denial Reason DC064 - June 7, 2013 - v3.1
(Massachusetts)
Denial Reason DC064 - October 1, 2014 - v4.0
(Massachusetts)
There are no enumerated permissible values for these data elements.
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