Code of Massachusetts Regulations
129 CMR - HEALTH CARE QUALITY AND COST COUNCIL
Title 129 CMR 3.00 - Disclosure Of Health Care Claims Data
Section 3.03 - Data Release Review Board and Review Procedures
Current through Register 1531, September 27, 2024
(1) Public Use Files. The Council shall create three public use files of the Health Care Claims Data, including the Member Eligibility (ME) data, Medical Claims (MC) data, and Pharmacy Claims (PC) data.
Data Element # |
Data Element Name |
ME003 |
Insurance Type |
ME004 |
Year of Reported Eligibility |
ME005 |
Month of Reported Eligibility |
ME007 |
Coverage Level Code |
ME012 |
Individual Relationship Code |
ME013 |
Member Gender |
ME016 |
Member State or Province |
ME018 |
Medical Coverage -Yes/No |
ME019 |
Prescription Drug Coverage -Yes/No |
ME020 |
Race 1 |
ME021 |
Race 2 |
ME022 |
Other Race |
ME023 |
Hispanic Indicator -Yes/No |
ME024 |
Ethnicity 1 |
ME025 |
Ethnicity 2 |
ME026 |
Other Ethnicity |
MC003 |
Insurance Type/Product Code |
MC011 |
Individual Relationship Code |
MC012 |
Member Gender |
MC019 |
Admission Hour |
MC020 |
Admission Type |
MC021 |
Admission Source |
MC022 |
Discharge Hour |
MC023 |
Discharge Status Length of Stay (LOS) |
MC027 |
Service Provider Entity Type Qualifier |
MC031 |
Service Provider Suffix |
MC034 |
Service Provider State |
MC035A |
Service Provider Country Name |
MC036 |
Type of Bill -on Facility Claims |
MC037 |
Site of Service -on NSF/CMS 1500 Claims |
MC038 |
Claim Status |
MC039 |
Admitting Diagnosis |
MC040 |
E-Code |
MC041 |
Principal Diagnosis |
MC042 |
Other Diagnosis -1 |
MC043 |
Other Diagnosis -2 |
MC044 |
Other Diagnosis -3 |
MC045 |
Other Diagnosis -4 |
MC046 |
Other Diagnosis -5 |
MC047 |
Other Diagnosis -6 |
MC048 |
Other Diagnosis -7 |
MC049 |
Other Diagnosis -8 |
MC050 |
Other Diagnosis -9 |
MC051 |
Other Diagnosis -10 |
MC052 |
Other Diagnosis -11 |
MC053 |
Other Diagnosis -12 |
MC054 |
Revenue Code |
MC055 |
Procedure 1 Code |
MC056 |
Procedure 1 Modifier- 1 |
MC057 |
Procedure 1 Modifier -2 |
MC058 |
ICD-9-CM Procedure 1 Code |
MC061 |
Quantity |
MC065 |
Copay Amount |
MC067 |
Deductible Amount |
PC003 |
Insurance Type/Product Code |
PC011 |
Individual Relationship Code |
PC012 |
Member Gender |
PC017 |
Date Service Approved (AP Date) |
PC024A |
Pharmacy Country Name |
PC025 |
Claim Status |
PC026 |
Drug Code |
PC027 |
Drug Name |
PC028 |
New Prescription |
PC028A |
Refill Number |
PC029 |
Generic Drug Indicator |
PC030 |
Dispense as Written Code |
PC031 |
Compound Drug Indicator |
PC033 |
Quantity Dispensed |
PC034 |
Days Supply |
PC037 |
Average Wholesale Price (AWP) |
PC038 |
Postage Amount Claimed |
PC039 |
Dispensing Fee |
PC040 |
Copay Amount |
PC042 |
Deductible Amount |
Data Element # |
Data Element Name |
ME001 |
Payer |
ME002 |
National Plan ID |
ME008 |
Encrypted Subscriber Unique Identification Number |
ME009 |
Plan Specific Contract Number |
ME010 |
Member Suffice or Sequence Number |
ME011 |
Member Identification Code |
Member Age in Years |
|
Member Age in Months |
|
ME015 |
Member City Name |
ME017 |
Member ZIP Code |
MC001 |
Payer |
MC002 |
National Plan ID |
MC004 |
Payer Claim Control Number |
MC005 |
Line Counter |
MC005A |
Version Number |
MC007 |
Encrypted Subscriber Unique Identification Number |
MC008 |
Plan Specific Contract Number |
MC009 |
Member Suffix or Sequence Number |
MC010 |
Member Identification Code |
MC014 |
Member City Name |
MC015 |
Member State or Province |
MC016 |
Member ZIP Code |
MC017 |
Date Service Approved (AP Date) |
MC018 |
Admission Date |
MC022A |
Discharge Date |
Member Age in Years at Discharge |
|
Member Age in Months at Discharge |
|
MC024 |
Service Provider Number |
MC025 |
Service Provider Tax ID Number |
MC026 |
National Service Provider ID |
MC028 |
Service Provider First Name |
MC029 |
Service Provider Middle Name |
MC030 |
Service Provider Last Name or Organization Name |
MC032 |
Service Provider Specialty |
MC033 |
Service Provider City Name |
MC035 |
Service Provider ZIP Code |
MC059 |
Date of Service -From |
MC060 |
Date of Service -Thru |
MC062 |
Charge Amount |
MC063 |
Paid Amount |
MC064 |
Prepaid Amount |
MC066 |
Coinsurance Amount |
Data Element # |
Data Element Name |
ME006 |
Insured Group or Policy Number |
ME014 |
Member Date of Birth |
MC006 |
Insured Group or Policy Number |
MC013 |
Member Date of Birth |
PC006 |
Insured Group Number |
PC013 |
Member Date of Birth |
(2) Data Release Review Board. The Council shall designate a Data Release Review Board to review applications for Health Care Claims Data filed pursuant to M.G.L. c. 6A, § 16K.
(3) Application Review Procedures.
(4) Data Release Procedures.
(4) Data Release to State Agencies. The Council may release to state agencies Level 1 and Level 2 data for uses that promote the public interest; and Level 3 data as authorized by M.G.L. c. 6A, § 16K.