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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
APCD ID Code DC067 June 7, 2013 - v3.1 Massachusetts
APCD ID Code DC067 October 1, 2014 - v4.0 Massachusetts
Data Element: APCD ID Code DC067 - June 7, 2013 - v3.1
(Massachusetts)
APCD ID Code DC067 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID DC067 DC067
[Shared]Definition Member Enrollment Type Member Enrollment Type
[Shared] State / Source Massachusetts
Massachusetts
[Shared]Data Type Lookup Table - Integer Lookup Table - Integer
[Shared]Data Type Description tlkpAPCDIdentifier tlkpAPCDIdentifier
[Shared]Format int[1] int[1]
[Shared]Length 1 1
[Shared]Column 68 68
[Shared]Threshold 1 1
[Shared]Cat A2 A2
[Shared]Condition All All
[Shared]Element Submission Guideline Report the value that describes the member's / subscriber's enrollment into one of the predefined categories; aligns enrollment to appropriate editing and thresholds. EXAMPLE: 1 = FIG - Fully Insured Commercial Group Enrollee. Report the value that describes the member's / subscriber's enrollment into one of the predefined categories; aligns enrollment to appropriate editing and thresholds. EXAMPLE: 1 = FIG - Fully Insured Commercial Group Enrollee.
[Shared]File DC DC
Data Element: APCD ID Code DC067 - June 7, 2013 - v3.1
(Massachusetts)
APCD ID Code DC067 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]0 Unknown / Not Applicable Unknown / Not Applicable
[Shared]1 FIG - Fully-Insured Commercial Group Enrollee FIG - Fully-Insured Commercial Group Enrollee
[Shared]2 SIG - Self-Insured Group Enrollee SIG - Self-Insured Group Enrollee
[Shared]3 GIC - Group Insurance Commission Enrollee GIC - Group Insurance Commission Enrollee
[Shared]4 MCO - MassHealth Managed Care Organization Enrollee MCO - MassHealth Managed Care Organization Enrollee
[Shared]5 Supplemental Policy Enrollee Supplemental Policy Enrollee
[Unshared]6 ICO - Integrated Care Organization ICO - Integrated Care Organization or SCO - Senior Care Option
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