| HRS Provider Release Medicare |
| File Type | Description | All Years | Version H Years | Version I Years |
|---|---|---|---|---|
| Beneficiary Summary File (BSF) | Beneficiary Summary File: The Beneficiary Summary File contains demographic and enrollment information about each beneficiary enrolled in Medicare during a calendar year. The information in the Denominator File is 'frozen' in March of the following calendar year. Some of the information contained in this file includes the beneficiary unique identifier, state and county codes, zipcode, date of birth, date of death, sex, race, age, monthly entitlement indicators (A/B/C/D), reasons for entitlement, state buy-in indicators, and monthly managed care indicators (yes/no). As of 2006, it also includes variables specific to enrollment in Part D. They include a derived race/ethnicity code, an indicator for Other Credible Drug Coverage, and monthly indicators for MA-PD/PDP enrollment, Low Income Subsidy (LIS) enrollment, Retiree Drug Subsidy, and State Reported Dual Eligibility Status. | 1991-2008 | ||
| Carrier (PB) | Carrier claim file: The Carrier claim file (old file name Physician/Supplier Part B) contains final action claims data submitted by non-institutional providers. Examples of non-institutional providers include physicians, physician assistants, clinical social workers, nurse practitioners, independent clinical laboratories, ambulance providers, and free-standing ambulatory surgical centers. Some of the information contained in this file includes diagnosis and procedure (ICD-9 diagnosis, CMS Common Procedure Coding System (HCPCS) codes), dates of service, reimbursement amount, non-institutional provider numbers (e.g., UPIN, PIN, NPI), and beneficiary demographic information. Each observation in this file is at the claim level. | 1991-2008 | 1991-2008 | |
| Durable Medical Equipment (DM) | Durable Medical Equipment claim file: The Durable Medical Equipment (DME) claim file contains final action claims data submitted by Durable Medical Equipment suppliers. Some of the information contained in this file includes diagnosis, (ICD-9 diagnosis), services provided (CMS Common Procedure Coding System (HCPCS) codes), dates of service, reimbursement amount, DME provider number, and beneficiary demographic information. Each observation in this file is at the claim level. | 1992-2008 | 1992-2008 | |
| Home Health (HH) | Home Health Agency claim file: The Home Health Agency (HHA) claim file contains final action claims data submitted by HHA providers. Some of the information contained in this file includes the number of visits, type of visit (skilled-nursing care, home health aides, physical therapy, speech therapy, occupational therapy, and medical social services), diagnosis (ICD-9 diagnosis), the dates of visits, reimbursement amount, HHA provider number, and beneficiary demographic information. Each observation in this file is at the claim level. | 1991-2008 | 1998-1999 | 1991-1997, 2000-2008 |
| Hospice (HS) | Hospice claim file: The Hospice claim file contains final action claims data submitted by Hospice providers. Some of the information contained in this file includes the level of hospice care received (e.g., routine home care, inpatient respite care), terminal diagnosis (ICD-9 diagnosis), the dates of service, reimbursement amount, Hospice provider number, and beneficiary demographic information. Each observation in this file is at the claim level. | 1991-2008 | 1991-2008 | |
| Inpatient (IP) | Inpatient claim file: The Inpatient claim file contains final action claims data submitted by inpatient hospital providers for reimbursement of facility costs. Some of the information contained in this file includes diagnosis, (ICD-9 diagnosis), procedure (ICD-9 procedure code), Diagnosis Related Group (DRG), dates of service, reimbursement amount, hospital provider, and beneficiary demographic information. Each observation in this file is at the claim level. | 1991-2008 | 1998-1999 | 1991-1997, 2000-2008 |
| Outpatient (OP) | Outpatient claim file: The Outpatient claim file contains final action claims data submitted by institutional outpatient providers. Examples of institutional outpatient providers include hospital outpatient departments, rural health clinics, renal dialysis facilities, outpatient rehabilitation facilities, comprehensive outpatient rehabilitation facilities, and community mental health centers. Some of the information contained in this file includes diagnosis and procedure (ICD-9 diagnosis, ICD-9 procedure code, CMS Common Procedure Coding System (HCPCS) codes), dates of service, reimbursement amount, outpatient provider number, revenue center codes and beneficiary demographic information. Each observation in this file is at the claim level. | 1991-2008 | 1997-1998 | 1991-1996, 1999-2008 |
| Skilled Nursing Facility (SN) | Skilled Nursing Facility claim file: The Skilled Nursing Facility (SNF) claim file contains final action claims data submitted by SNF providers. Some of the information contained in this file includes diagnosis and procedure (ICD-9 diagnosis and ICD-9 procedure code), dates of service, reimbursement amount, SNF provider number, and beneficiary demographic information. Each observation in this file is at the claim level. | 1991-2008 | 1998-1999 | 1991-1997, 2000-2008 |
| Denominator (DN) | Denominator File: The Denominator File contains demographic and enrollment information about each beneficiary enrolled in Medicare during a calendar year. The information in the Denominator File is 'frozen' in March of the following calendar year. Some of the information contained in this file includes the beneficiary unique identifier, state and county codes, zipcode, date of birth, date of death, sex, race, age, monthly entitlement indicators (A/B/Both), reasons for entitlement, state buy-in indicators, and monthly managed care indicators (yes/no). The Denominator File is used to determine beneficiary demographic characteristics, entitlement, and beneficiary participation in Medicare Managed Care Organizations. This file is not available after March of 2010. This file was incorporated into the Beneficiary Summary File. | 1991-2008 | ||
| MedPAR (MP) | MedPAR File: The MedPAR File contains inpatient hospital and skilled nursing facility (SNF) final action stay records. Each MedPAR record represents a stay in an inpatient hospital or SNF. An inpatient 'stay' record summarizes all services rendered to a beneficiary from the time of admission to a facility through discharge. Each MedPAR record may represent one claim or multiple claims, depending on the length of a beneficiary's stay and the amount of inpatient services used throughout the stay. The record unit of MedPAR file is the hospital or SNF stay. | 1991-2008 |
| Extract Counts |
| Dataset | # Observations | File Size (Bytes) | # Unique Beneficiaries |
|---|---|---|---|
| BASF_1991_2008 | 202,899 | 195,608,576 | 18,140 |
| BISF_1991_2008 | 98,441 | 100,876,288 | 18,123 |
| BQSF_1991_2008 | 811,596 | 782,254,080 | 18,140 |
| DM_1992 | 30 | 229,376 | 12 |
| DM_1993 | 539 | 933,888 | 244 |
| DM_1994 | 6,628 | 9,371,648 | 1,463 |
| DM_1995 | 9,058 | 12,795,904 | 1,727 |
| DM_1996 | 9,798 | 13,926,400 | 1,806 |
| DM_1997 | 10,682 | 15,499,264 | 1,931 |
| DM_1998 | 12,488 | 18,726,912 | 2,065 |
| DM_1999 | 13,047 | 19,578,880 | 2,204 |
| DM_2000 | 13,722 | 20,561,920 | 2,282 |
| DM_2001 | 15,518 | 23,298,048 | 2,527 |
| DM_2002 | 17,280 | 25,952,256 | 2,670 |
| DM_2003 | 18,097 | 27,213,824 | 2,887 |
| DM_2004 | 19,260 | 28,917,760 | 3,060 |
| DM_2005 | 19,448 | 29,212,672 | 3,086 |
| DM_2006 | 20,251 | 30,425,088 | 3,021 |
| DM_2007 | 19,996 | 30,146,560 | 3,001 |
| DM_2008 | 18,930 | 28,655,616 | 2,851 |
| DN_1991 | 8,777 | 729,088 | 8,775 |
| DN_1992 | 9,350 | 770,048 | 9,347 |
| DN_1993 | 9,993 | 827,392 | 9,992 |
| DN_1994 | 10,577 | 884,736 | 10,577 |
| DN_1995 | 10,941 | 917,504 | 10,941 |
| DN_1996 | 11,302 | 942,080 | 11,302 |
| DN_1997 | 11,590 | 974,848 | 11,590 |
| DN_1998 | 11,781 | 991,232 | 11,781 |
| DN_1999 | 11,899 | 1,007,616 | 11,899 |
| DN_2000 | 11,925 | 966,656 | 11,925 |
| DN_2001 | 12,025 | 999,424 | 12,025 |
| DN_2002 | 12,070 | 991,232 | 12,070 |
| DN_2003 | 12,095 | 1,007,616 | 12,095 |
| DN_2004 | 12,057 | 1,007,616 | 12,056 |
| DN_2005 | 11,966 | 999,424 | 11,966 |
| DN_2006 | 11,845 | 991,232 | 11,845 |
| DN_2007 | 11,569 | 974,848 | 11,569 |
| DN_2008 | 11,144 | 933,888 | 11,144 |
| HH_1991 | 1,451 | 6,340,608 | 387 |
| HH_1992 | 1,961 | 8,437,760 | 482 |
| HH_1993 | 2,916 | 12,337,152 | 684 |
| HH_1994 | 4,024 | 16,875,520 | 887 |
| HH_1995 | 4,967 | 20,742,144 | 1,016 |
| HH_1996 | 5,258 | 21,938,176 | 1,060 |
| HH_1997 | 5,777 | 24,068,096 | 1,057 |
| HH_1998 | 3,726 | 7,061,504 | 943 |
| HH_1999 | 2,759 | 5,357,568 | 831 |
| HH_2000 | 2,326 | 9,322,496 | 741 |
| HH_2001 | 1,381 | 5,275,648 | 776 |
| HH_2002 | 1,567 | 5,963,776 | 852 |
| HH_2003 | 1,614 | 6,045,696 | 858 |
| HH_2004 | 1,946 | 7,290,880 | 972 |
| HH_2005 | 2,181 | 8,192,000 | 1,013 |
| HH_2006 | 2,141 | 8,011,776 | 947 |
| HH_2007 | 2,509 | 9,175,040 | 975 |
| HH_2008 | 2,635 | 9,568,256 | 955 |
| HS_1991 | 3 | 409,600 | 1 |
| HS_1992 | 19 | 475,136 | 2 |
| HS_1993 | 23 | 491,520 | 7 |
| HS_1994 | 182 | 1,146,880 | 44 |
| HS_1995 | 234 | 1,359,872 | 77 |
| HS_1996 | 190 | 1,179,648 | 78 |
| HS_1997 | 197 | 1,212,416 | 84 |
| HS_1998 | 262 | 1,474,560 | 101 |
| HS_1999 | 349 | 1,835,008 | 150 |
| HS_2000 | 412 | 2,080,768 | 158 |
| HS_2001 | 552 | 2,654,208 | 180 |
| HS_2002 | 615 | 2,916,352 | 200 |
| HS_2003 | 673 | 3,145,728 | 225 |
| HS_2004 | 815 | 3,719,168 | 257 |
| HS_2005 | 1,003 | 4,489,216 | 308 |
| HS_2006 | 1,063 | 4,685,824 | 291 |
| HS_2007 | 1,023 | 4,554,752 | 295 |
| HS_2008 | 1,014 | 4,538,368 | 339 |
| IP_1991 | 1,705 | 6,520,832 | 1,224 |
| IP_1992 | 1,972 | 7,733,248 | 1,319 |
| IP_1993 | 2,355 | 9,322,496 | 1,574 |
| IP_1994 | 2,946 | 11,534,336 | 1,872 |
| IP_1995 | 3,233 | 12,582,912 | 1,996 |
| IP_1996 | 3,331 | 12,713,984 | 2,068 |
| IP_1997 | 3,473 | 13,172,736 | 2,077 |
| IP_1998 | 3,563 | 6,815,744 | 2,084 |
| IP_1999 | 3,606 | 6,864,896 | 2,084 |
| IP_2000 | 3,540 | 13,074,432 | 2,069 |
| IP_2001 | 3,810 | 13,991,936 | 2,167 |
| IP_2002 | 4,014 | 14,548,992 | 2,276 |
| IP_2003 | 3,851 | 13,844,480 | 2,284 |
| IP_2004 | 4,001 | 14,352,384 | 2,349 |
| IP_2005 | 4,027 | 14,532,608 | 2,323 |
| IP_2006 | 3,620 | 13,139,968 | 2,132 |
| IP_2007 | 3,596 | 13,139,968 | 2,056 |
| IP_2008 | 3,975 | 14,483,456 | 2,339 |
| MP_1991 | 1,744 | 655,360 | 1,235 |
| MP_1992 | 2,034 | 737,280 | 1,326 |
| MP_1993 | 2,448 | 868,352 | 1,583 |
| MP_1994 | 3,185 | 1,130,496 | 1,882 |
| MP_1995 | 3,569 | 1,261,568 | 2,010 |
| MP_1996 | 3,733 | 1,310,720 | 2,086 |
| MP_1997 | 3,997 | 1,392,640 | 2,100 |
| MP_1998 | 4,134 | 1,441,792 | 2,123 |
| MP_1999 | 4,181 | 1,458,176 | 2,139 |
| MP_2000 | 3,993 | 1,392,640 | 2,089 |
| MP_2001 | 4,409 | 1,556,480 | 2,185 |
| MP_2002 | 4,698 | 1,654,784 | 2,295 |
| MP_2003 | 4,555 | 1,605,632 | 2,296 |
| MP_2004 | 4,701 | 1,638,400 | 2,350 |
| MP_2005 | 4,850 | 1,687,552 | 2,334 |
| MP_2006 | 4,377 | 1,556,480 | 2,147 |
| MP_2007 | 4,422 | 1,572,864 | 2,087 |
| MP_2008 | 4,706 | 1,654,784 | 2,353 |
| OP_1991 | 13,160 | 54,345,728 | 3,971 |
| OP_1992 | 15,526 | 64,028,672 | 4,555 |
| OP_1993 | 18,406 | 75,825,152 | 4,927 |
| OP_1994 | 21,614 | 88,997,888 | 5,335 |
| OP_1995 | 24,525 | 100,909,056 | 5,722 |
| OP_1996 | 28,160 | 115,769,344 | 6,069 |
| OP_1997 | 30,241 | 55,312,384 | 6,112 |
| OP_1998 | 31,457 | 57,638,912 | 6,202 |
| OP_1999 | 32,445 | 133,234,688 | 6,236 |
| OP_2000 | 33,337 | 136,937,472 | 6,358 |
| OP_2001 | 34,565 | 142,016,512 | 6,640 |
| OP_2002 | 37,455 | 153,878,528 | 6,931 |
| OP_2003 | 38,629 | 158,695,424 | 7,011 |
| OP_2004 | 40,791 | 167,559,168 | 7,030 |
| OP_2005 | 41,494 | 170,459,136 | 7,053 |
| OP_2006 | 39,574 | 162,578,432 | 6,730 |
| OP_2007 | 38,315 | 157,384,704 | 6,348 |
| OP_2008 | 37,267 | 153,124,864 | 5,943 |
| PB_1991 | 105,618 | 173,391,872 | 7,158 |
| PB_1992 | 123,466 | 204,554,240 | 7,733 |
| PB_1993 | 135,192 | 224,919,552 | 8,284 |
| PB_1994 | 154,754 | 258,736,128 | 8,748 |
| PB_1995 | 165,096 | 276,250,624 | 9,011 |
| PB_1996 | 171,425 | 286,425,088 | 9,120 |
| PB_1997 | 176,478 | 303,185,920 | 9,146 |
| PB_1998 | 182,261 | 328,564,736 | 9,023 |
| PB_1999 | 185,625 | 335,118,336 | 8,943 |
| PB_2000 | 187,465 | 335,839,232 | 9,039 |
| PB_2001 | 202,791 | 368,017,408 | 9,330 |
| PB_2002 | 221,677 | 402,735,104 | 9,552 |
| PB_2003 | 224,918 | 408,829,952 | 9,658 |
| PB_2004 | 234,080 | 425,508,864 | 9,615 |
| PB_2005 | 237,837 | 432,668,672 | 9,442 |
| PB_2006 | 233,303 | 424,296,448 | 9,216 |
| PB_2007 | 226,980 | 413,433,856 | 8,763 |
| PB_2008 | 217,410 | 396,263,424 | 8,169 |
| SN_1991 | 56 | 638,976 | 35 |
| SN_1992 | 97 | 802,816 | 61 |
| SN_1993 | 173 | 1,114,112 | 86 |
| SN_1994 | 455 | 2,277,376 | 220 |
| SN_1995 | 649 | 3,063,808 | 286 |
| SN_1996 | 775 | 3,588,096 | 363 |
| SN_1997 | 899 | 4,096,000 | 423 |
| SN_1998 | 922 | 1,966,080 | 430 |
| SN_1999 | 983 | 2,064,384 | 452 |
| SN_2000 | 910 | 4,128,768 | 411 |
| SN_2001 | 1,122 | 4,997,120 | 468 |
| SN_2002 | 1,225 | 5,406,720 | 530 |
| SN_2003 | 1,272 | 5,603,328 | 510 |
| SN_2004 | 1,305 | 5,718,016 | 543 |
| SN_2005 | 1,517 | 6,602,752 | 584 |
| SN_2006 | 1,452 | 6,356,992 | 550 |
| SN_2007 | 1,593 | 6,930,432 | 589 |
| SN_2008 | 1,520 | 6,602,752 | 544 |
HRS Provider Release Medicare
| Beneficiary Summary File (BSF) |
| SAS Alias | Variable Name(s) | Type | Documentation | Label |
|---|---|---|---|---|
| BID_HRS | BID_HRS | CHAR | Documentation | Beneficiary Identification Number |
| START_DT | START_DT | NUM | Documentation | Start of Reporting Period |
| START_GAP_TYPE | START_GAP_TYPE | CHAR | Documentation | Interview Gap Type at first date of interview |
| END_DT | END_DT | NUM | Documentation | End of Reporting Period |
| END_GAP_TYPE | END_GAP_TYPE | CHAR | Documentation | Interview Gap Type at final date of interview |
| RACE | RACE | CHAR | Documentation | Beneficiary race code |
| SEX | SEX | CHAR | Documentation | Sex |
| BENE_DOB | BENE_DOB | NUM | Documentation | Date of birth |
| BENE_DOD | BENE_DOD | NUM | Documentation | Date of death |
| MS_CD | MS_CD | CHAR | Documentation | Medicare status code |
| A_MO_CNT | A_MO_CNT | NUM | Documentation | Number of months enrolled in Part A |
| B_MO_CNT | B_MO_CNT | NUM | Documentation | Number of months enrolled in Part B |
| AB_MO_CNT | AB_MO_CNT | NUM | Documentation | Number of months enrolled in both Part A and B |
| HMO_MO | HMO_MO | NUM | Documentation | Number of non FFS months |
| BUYIN_MO | BUYIN_MO | NUM | Documentation | Number of months Medicare State Buy-in coverage |
| BSTATE_MO_CNT | BSTATE_MO_CNT | NUM | Documentation | Number of months enrolled in Part B, state buy-in |
| STATE_CD | STATE_CD | CHAR | Documentation | State code (SSA) |
| CNTY_CD | CNTY_CD | CHAR | Documentation | County code (SSA) |
| BENE_ZIP | BENE_ZIP | CHAR | Documentation | Zip code of residence |
| METRO | METRO | CHAR | Documentation | Metro Status |
| RDDC_CCG_1 | RDDC_CCG_1 | NUM | Documentation | Condition Code: Infectious and Parasitic |
| RDDC_CCG_2 | RDDC_CCG_2 | NUM | Documentation | Condition Code: Malignant Neoplasm |
| RDDC_CCG_3 | RDDC_CCG_3 | NUM | Documentation | Condition Code: Benign/In Situ/Uncertain Neoplasm |
| RDDC_CCG_4 | RDDC_CCG_4 | NUM | Documentation | Condition Code: Diabetes |
| RDDC_CCG_5 | RDDC_CCG_5 | NUM | Documentation | Condition Code: Nutritional and Metabolic |
| RDDC_CCG_6 | RDDC_CCG_6 | NUM | Documentation | Condition Code: Liver |
| RDDC_CCG_7 | RDDC_CCG_7 | NUM | Documentation | Condition Code: Gastrointestinal |
| RDDC_CCG_8 | RDDC_CCG_8 | NUM | Documentation | Condition Code: Musculoskeletal and Connective Tis. |
| RDDC_CCG_9 | RDDC_CCG_9 | NUM | Documentation | Condition Code: Hematological |
| RDDC_CCG_10 | RDDC_CCG_10 | NUM | Documentation | Condition Code: Cognitive Disorders |
| RDDC_CCG_11 | RDDC_CCG_11 | NUM | Documentation | Condition Code: Substance Abuse |
| RDDC_CCG_12 | RDDC_CCG_12 | NUM | Documentation | Condition Code: Mental |
| RDDC_CCG_13 | RDDC_CCG_13 | NUM | Documentation | Condition Code: Developmental Disability |
| RDDC_CCG_14 | RDDC_CCG_14 | NUM | Documentation | Condition Code: Neurological |
| RDDC_CCG_15 | RDDC_CCG_15 | NUM | Documentation | Condition Code: Cardio-Respiratory Arrest |
| RDDC_CCG_16 | RDDC_CCG_16 | NUM | Documentation | Condition Code: Heart |
| RDDC_CCG_17 | RDDC_CCG_17 | NUM | Documentation | Condition Code: Cerebro-Vascular |
| RDDC_CCG_18 | RDDC_CCG_18 | NUM | Documentation | Condition Code: Vascular |
| RDDC_CCG_19 | RDDC_CCG_19 | NUM | Documentation | Condition Code: Lung |
| RDDC_CCG_20 | RDDC_CCG_20 | NUM | Documentation | Condition Code: Eyes |
| RDDC_CCG_21 | RDDC_CCG_21 | NUM | Documentation | Condition Code: Ears, Nose, and Throat |
| RDDC_CCG_22 | RDDC_CCG_22 | NUM | Documentation | Condition Code: Urinary System |
| RDDC_CCG_23 | RDDC_CCG_23 | NUM | Documentation | Condition Code: Genital System |
| RDDC_CCG_24 | RDDC_CCG_24 | NUM | Documentation | Condition Code: Pregnancy-Related |
| RDDC_CCG_25 | RDDC_CCG_25 | NUM | Documentation | Condition Code: Skin and Subcutaneous |
| RDDC_CCG_26 | RDDC_CCG_26 | NUM | Documentation | Condition Code: Injury, Poisoning, Complications |
| RDDC_CCG_27 | RDDC_CCG_27 | NUM | Documentation | Condition Code: Symptoms, Signs and Ill-Defined Condition |
| RDDC_CCG_28 | RDDC_CCG_28 | NUM | Documentation | Condition Code: Neonates |
| RDDC_CCG_29 | RDDC_CCG_29 | NUM | Documentation | Condition Code: Transplants, Openings, Other V-Codes |
| RDDC_CCG_30 | RDDC_CCG_30 | NUM | Documentation | Condition Code: Screening/History |
| MEDREIMB_IP | MEDREIMB_IP | NUM | Documentation | Inpatient annual Medicare reimbursement amount |
| BENRES_IP | BENRES_IP | NUM | Documentation | Inpatient annual beneficiary responsibility amount |
| PPPYMT_IP | PPPYMT_IP | NUM | Documentation | Inpatient annual primary payer reimbursement amount |
| MEDREIMB_SNF | MEDREIMB_SNF | NUM | Documentation | Skill Nursing Facility annual Medicare reimbursement amount |
| BENRES_SNF | BENRES_SNF | NUM | Documentation | Skill Nursing Facility annual beneficiary responsibility amount |
| PPPYMT_SNF | PPPYMT_SNF | NUM | Documentation | Skill Nursing Facility annual primary payer reimbursement amount |
| MEDREIMB_OP | MEDREIMB_OP | NUM | Documentation | Outpatient Institutional annual Medicare reimbursement amount |
| BENRES_OP | BENRES_OP | NUM | Documentation | Outpatient Institutional annual beneficiary responsibility amount |
| PPPYMT_OP | PPPYMT_OP | NUM | Documentation | Outpatient Institutional annual primary payer reimbursement amount |
| MEDREIMB_CAR | MEDREIMB_CAR | NUM | Documentation | Carrier annual Medicare reimbursement amount |
| BENRES_CAR | BENRES_CAR | NUM | Documentation | Carrier annual beneficiary responsibility amount |
| PPPYMT_CAR | PPPYMT_CAR | NUM | Documentation | Carrier annual primary payer reimbursement amount |
| MEDREIMB_DME | MEDREIMB_DME | NUM | Documentation | Durable Medical Equipment annual Medicare reimbursement amount |
| BENRES_DME | BENRES_DME | NUM | Documentation | Durable Medical Equipment annual beneficiary responsibility amount |
| PPPYMT_DME | PPPYMT_DME | NUM | Documentation | Durable Medical Equipment annual primary payer reimbursement amount |
| MEDREIMB_HH | MEDREIMB_HH | NUM | Documentation | Home Health Agency annual Medicare reimbursement amount |
| PPPYMT_HH | PPPYMT_HH | NUM | Documentation | Home Health Agency annual primary payer reimbursement amount |
| MEDREIMB_HS | MEDREIMB_HS | NUM | Documentation | Hospice annual Medicare reimbursement amount |
| BENRES_HS | BENRES_HS | NUM | Documentation | Hospice annual beneficiary responsibility amount |
| PPPYMT_HS | PPPYMT_HS | NUM | Documentation | Hospice annual primary payer reimbursement amount |
| IPSTY | IPSTY | NUM | Documentation | Annual number of Inpatient admissions in calender year |
| OPVST | OPVST | NUM | Documentation | Annual number of Outpatient Institutional visits in calender year |
| PHSVST | PHSVST | NUM | Documentation | Annual number of physician office visits in calender year |
| SNF_COVDYS | SNF_COVDYS | NUM | Documentation | Annual number of Skill Nursing Facility covered days in calender year |
| AMI | AMI | NUM | Documentation | Chronic Condition Warehouse: Acute Myocardial Infarction, Annual |
| ALZH | ALZH | NUM | Documentation | Chronic Condition Warehouse: Alzheimer`s Disease, Annual |
| ALZHDMTA | ALZHDMTA | NUM | Documentation | Chronic Condition Warehouse: Alzheimer`s Disease and Related Disorders, Annual |
| ATRIALFB | ATRIALFB | NUM | Documentation | Chronic Condition Warehouse: Atrial Fibrillation, Annual |
| CATARACT | CATARACT | NUM | Documentation | Chronic Condition Warehouse: Cataract, Annual |
| CHRNKIDN | CHRNKIDN | NUM | Documentation | Chronic Condition Warehouse: Chronic Kidney Disease, Annual |
| COPD | COPD | NUM | Documentation | Chronic Condition Warehouse: Chronic Obstructive Pulmonary Disease, Annual |
| CHF | CHF | NUM | Documentation | Chronic Condition Warehouse: Heart Failure, Annual |
| DIABETES | DIABETES | NUM | Documentation | Chronic Condition Warehouse: Diabetes, Annual |
| GLAUCOMA | GLAUCOMA | NUM | Documentation | Chronic Condition Warehouse: Glaucoma, Annual |
| HIPFRAC | HIPFRAC | NUM | Documentation | Chronic Condition Warehouse: Hip/Pelvic Fracture, Annual |
| ISCHMCHT | ISCHMCHT | NUM | Documentation | Chronic Condition Warehouse: Ischemic Heart Disease, Annual |
| DEPRESSN | DEPRESSN | NUM | Documentation | Chronic Condition Warehouse: Depression, Annual |
| OSTEOPRS | OSTEOPRS | NUM | Documentation | Chronic Condition Warehouse: Osteoporosis, Annual |
| RA_OA | RA_OA | NUM | Documentation | Chronic Condition Warehouse: RA/OA, Annual |
| STRKETIA | STRKETIA | NUM | Documentation | Chronic Condition Warehouse: Stroke / Transient Ischemic Attack, Annual |
| CNCRBRST | CNCRBRST | NUM | Documentation | Chronic Condition Warehouse: Female Breast Cancer, Annual |
| CNCRCLRC | CNCRCLRC | NUM | Documentation | Chronic Condition Warehouse: Colorectal Cancer, Annual |
| CNCRPRST | CNCRPRST | NUM | Documentation | Chronic Condition Warehouse: Prostate Cancer, Annual |
| CNCRLUNG | CNCRLUNG | NUM | Documentation | Chronic Condition Warehouse: Lung Cancer, Annual |
| CNCRENDM | CNCRENDM | NUM | Documentation | Chronic Condition Warehouse: Endometrial Cancer, Annual |
| AMIE | AMIE | CHAR | Documentation | Earliest indication of Acute Myocardial Infarction |
| ALZHE | ALZHE | CHAR | Documentation | Earliest indication of Alzheimer's Disease |
| ALZHDMTE | ALZHDMTE | CHAR | Documentation | Earliest indication of Alzheimer's Disease and Related Disorders or Senile Dmentia |
| ATRIALFE | ATRIALFE | CHAR | Documentation | Earliest indication of Atrial Fibrillation |
| CATARCTE | CATARCTE | CHAR | Documentation | Earliest indication of Cataract |
| CHRNKDNE | CHRNKDNE | CHAR | Documentation | Earliest indication of Chronic Kidney Disease |
| COPDE | COPDE | CHAR | Documentation | Earliest indication of Chronic Obstructive Pulmonary Disease |
| CHFME | CHFME | CHAR | Documentation | Earliest indication of Heart Failure |
| DIABTESE | DIABTESE | CHAR | Documentation | Earliest indication of Diabetes |
| GLAUCMAE | GLAUCMAE | CHAR | Documentation | Earliest indication of Glaucoma |
| HIPFRACE | HIPFRACE | CHAR | Documentation | Earliest indication of Hip/Pelvic Fracture |
| ISCHMCHE | ISCHMCHE | CHAR | Documentation | Earliest indication of Ishemic Heart Disease |
| DEPRSSNE | DEPRSSNE | CHAR | Documentation | Earliest indication of Depression |
| OSTEOPRE | OSTEOPRE | CHAR | Documentation | Earliest indication of Osteoporosis |
| RA_OA_E | RA_OA_E | CHAR | Documentation | Earliest indication of RA/OA |
| STRKTIAE | STRKTIAE | CHAR | Documentation | Earliest indication of Stroke/Transient Ischemic Attack |
| CNCRBRSE | CNCRBRSE | CHAR | Documentation | Earliest indication of Female Breast Cancer |
| CNCRCLRE | CNCRCLRE | CHAR | Documentation | Earliest indication of Colorectal Cancer |
| CNCRPRSE | CNCRPRSE | CHAR | Documentation | Earliest indication of Prostate Cancer |
| CNCRLNGE | CNCRLNGE | CHAR | Documentation | Earliest indication of Lung Cancer |
| CNCENDME | CNCENDME | CHAR | Documentation | Earliest indication of Endometrial Cancer |
| DRG | DRG_1-DRG_{MAX} | CHAR | Documentation | Diagnostic related group associated with an IP admission |
HRS Provider Release Medicare
| Durable Medical Equipment (DM) |
| SAS Alias | Variable Name(s) | Type | Documentation | Label |
|---|---|---|---|---|
| BID_HRS | BID_HRS | CHAR | Version I | Beneficiary Identification Number |
| REC_LEN | REC_LEN | NUM | Version I | REC_LNGTH_CNT: Record Length Count |
| REC_LVL | REC_LVL | CHAR | Version I | NCH_NEAR_LINE_REC_VRSN_CD: NCH Near-Line Record Version Code |
| RIC_CD | RIC_CD | CHAR | Version I | NCH_NEAR_LINE_RIC_CD: NCH Near Line Record Identification Code |
| MQA_RIC | MQA_RIC | CHAR | Version I | NCH_MQA_RIC_CD: NCH MQA RIC Code |
| CLM_TYPE | CLM_TYPE | CHAR | Version I | NCH_CLM_TYPE_CD: NCH Claim Type Code |
| CAN | CAN | CHAR | Version I | (Blanked) BENE_CLM_ACNT_NUM: Beneficiary Claim Account Number |
| EQ_BIC | EQ_BIC | CHAR | Version I | (Blanked) NCH_CTGRY_EQTBL_BIC_CD: NCH Category Equatable Beneficiary Identification Code |
| BIC | BIC | CHAR | Version I | (Blanked) BENE_IDENT_CD: Beneficiary Identification Code |
| ST_SGMT | ST_SGMT | CHAR | Version I | NCH_STATE_SGMT_CD: NCH State Segment Code |
| STATE_CD | STATE_CD | CHAR | Version I | BENE_RSDNC_SSA_STD_STATE_CD: Beneficiary Residence SSA Standard State Code |
| FROM_DT | FROM_DT | CHAR | Version I | CLM_FROM_DT: Claim From Date |
| THRU_DT | THRU_DT | CHAR | Version I | CLM_THRU_DT: Claim Through Date |
| WKLY_DT | WKLY_DT | CHAR | Version I | NCH_WKLY_PROC_DT: NCH Weekly Claim Processing Date |
| ACRTN_DT | ACRTN_DT | CHAR | Version I | CWF_CLM_ACRTN_DT: CWF Claim Accretion Date |
| ACRTN_NM | ACRTN_NM | NUM | Version I | CWF_CLM_ACRTN_NUM: CWF Claim Accretion Number |
| CARRCNTL | CARRCNTL | CHAR | Version I | (Encrypted) CARR_CLM_CNTL_NUM: Carrier Claim Control Number |
| DAILY_DT | DAILY_DT | CHAR | Version I | NCH_DAILY_PROC_DT: NCH Daily Process Date |
| LINK_NUM | LINK_NUM | CHAR | Version I | (Encrypted) NCH_SGMT_LINK_NUM: NCH Segment Link Number |
| SGMT_CNT | SGMT_CNT | NUM | Version I | CLM_TOT_SGMT_CNT: Claim Total Segment Count |
| SGMT_NUM | SGMT_NUM | NUM | Version I | CLM_SGMT_NUM: Claim Segment Number |
| LINECNT | LINECNT | NUM | Version I | CLM_TOT_LINE_CNT: Claim Total Line Count |
| SGMTLINE | SGMTLINE | NUM | Version I | CLM_SGMT_LINE_CNT: Claim Segment Line Count |
| ENTRY_CD | ENTRY_CD | CHAR | Version I | CARR_CLM_ENTRY_CD: Carrier Claim Entry Code |
| DISP_CD | DISP_CD | CHAR | Version I | CLM_DISP_CD: Claim Disposition Code |
| EDITDISP | EDITDISP | CHAR | Version I | NCH_EDIT_DISP_CD: NCH Edit Disposition Code |
| BIC_MDFY | BIC_MDFY | CHAR | Version I | NCH_CLM_BIC_MDFY_CD: NCH Claim BIC Modify H Code |
| CNTY_CD | CNTY_CD | CHAR | Version I | BENE_RSDNC_SSA_STD_CNTY_CD: Beneficiary Residence SSA Standard County Code |
| RCPT_DT | RCPT_DT | CHAR | Version I | CARR_CLM_RCPT_DT: Carrier Claim Receipt Date |
| SCHLD_DT | SCHLD_DT | CHAR | Version I | CARR_CLM_SCHLD_PMT_DT: Carrier Claim Scheduled Payment Date |
| FRWRD_DT | FRWRD_DT | CHAR | Version I | CWF_FRWRD_DT: CWF Forwarded Date |
| CARR_NUM | CARR_NUM | CHAR | Version I | CARR_NUM: Carrier Number |
| FIBATCH | FIBATCH | CHAR | Version I | CWF_TRNSMSN_BATCH_NUM: CWF Transmission Batch Number |
| BENE_ZIP | BENE_ZIP | CHAR | Version I | BENE_MLG_CNTCT_ZIP_CD: Beneficiary Mailing Contact ZIP Code |
| SEX | SEX | CHAR | Version I | BENE_SEX_IDENT_CD: Beneficiary Sex Identification Code |
| RACE | RACE | CHAR | Version I | BENE_RACE_CD: Beneficiary Race Code |
| BENE_DOB | BENE_DOB | CHAR | Version I | BENE_BIRTH_DT: Beneficiary Birth Date |
| MS_CD | MS_CD | CHAR | Version I | CWF_BENE_MDCR_STUS_CD: CWF Beneficiary Medicare Status Code |
| SURNAME | SURNAME | CHAR | Version I | (Blanked) CLM_PTNT_6_PSTN_SRNM_NAME: Claim Patient 6 Position Surname |
| FRSTINIT | FRSTINIT | CHAR | Version I | (Blanked) CLM_PTNT_1ST_INITL_GVN_NAME: Claim Patient 1st Initial Given Name |
| MDL_INIT | MDL_INIT | CHAR | Version I | (Blanked) CLM_PTNT_1ST_INITL_MDL_NAME: Claim Patient First Initial Middle Name |
| CWFLOCCD | CWFLOCCD | CHAR | Version I | BENE_CWF_LOC_CD: Beneficiary CWF Location Code |
| PDGNS_CD | PDGNS_CD | CHAR | Version I | CLM_PRNCPAL_DGNS_CD: Claim Principal Diagnosis Code |
| PMTDNLCD | PMTDNLCD | CHAR | Version I | CARR_CLM_PMT_DNL_CD: Carrier Claim Payment Denial Code |
| TRTMT_CD | TRTMT_CD | CHAR | Version I | CLM_EXCPTD_NEXCPTD_TRTMT_CD: Claim Excepted/Nonexcepted Medical Treatment Code |
| PMT_AMT | PMT_AMT | NUM | Version I | CLM_PMT_AMT: Claim Payment Amount |
| PRPAYAMT | PRPAYAMT | NUM | Version I | CARR_CLM_PRMRY_PYR_PD_AMT: Carrier Claim Primary Payer Paid Amount |
| ORD_UPIN | ORD_UPIN | CHAR | Version I | DMERC_CLM_ORDRG_PHYSN_UPIN_NUM: DMERC Claim Ordering Physician UPIN Number |
| ORD_NPI | ORD_NPI | CHAR | Version I | DMERC_CLM_ORDRG_PHYSN_NPI_NUM: DMERC Claim Ordering Physician NPI Number |
| ASGMNTCD | ASGMNTCD | CHAR | Version I | CARR_CLM_PRVDR_ASGNMT_IND_SW: Carrier Claim Provider Assignment Indicator Switch |
| PROV_PMT | PROV_PMT | NUM | Version I | NCH_CLM_PRVDR_PMT_AMT: NCH Claim Provider Payment Amount |
| BENE_PMT | BENE_PMT | NUM | Version I | NCH_CLM_BENE_PMT_AMT: NCH Claim Beneficiary Payment Amount |
| BENEPAID | BENEPAID | NUM | Version I | CARR_CLM_BENE_PD_AMT: Carrier Claim Beneficiary Paid Amount |
| SBMTCHRG | SBMTCHRG | NUM | Version I | NCH_CARR_SBMT_CHRG_AMT: NCH Carrier Claim Submitted Charge Amount |
| ALOWCHRG | ALOWCHRG | NUM | Version I | NCH_CARR_ALOW_CHRG_AMT: NCH Carrier Claim Allowed Charge Amount |
| DEDAPPLY | DEDAPPLY | NUM | Version I | CARR_CLM_CASH_DDCTBL_APPLY_AMT: Carrier Claim Cash Deductible Applied Amount |
| HCPCS_YR | HCPCS_YR | NUM | Version I | CARR_CLM_HCPCS_YR_CD: Carrier Claim HCPCS Year Code |
| MCOOVRRD | MCOOVRRD | CHAR | Version I | CARR_CLM_MCO_OVRRD_IND_CD: Carrier Claim MCO Override Indicator Code |
| HOSPOVRD | HOSPOVRD | CHAR | Version I | CARR_CLM_HOSPC_OVRRD_IND_CD: Carrier Claim Hospice Override Indicator Code |
| DEDCNT | DEDCNT | NUM | Version I | DMERC_NCH_EDIT_CD_CNT: NCH Edit Code Count |
| DPATCNT | DPATCNT | NUM | Version I | DMERC_NCH_PATCH_CD_I_CNT: NCH Patch Code Count |
| DMCOCNT | DMCOCNT | NUM | Version I | DMERC_MCO_PRD_CNT: MCO Period Count |
| DPLNCNT | DPLNCNT | NUM | Version I | DMERC_CLM_HLTH_PLANID_CNT: Claim Health PlanID Count |
| DDEMCNT | DDEMCNT | NUM | Version I | DMERC_CLM_DEMO_ID_CNT: Claim Demonstration ID Count |
| DDGNCNT | DDGNCNT | NUM | Version I | DMERC_CLM_DGNS_CD_CNT: DMERC Claim Diagnosis Code Count |
| DLINECNT | DLINECNT | NUM | Version I | DMERC_CLM_LINE_CNT: DMERC Claim Line Count |
| EDTND | EDTND01-EDTND13 | CHAR | Version I | NCH_EDIT_TRLR_IND_CD(01-13): NCH Edit Trailer Indicator Code |
| EDITCD | EDITCD01-EDITCD13 | CHAR | Version I | NCH_EDIT_CD(01-13): NCH Edit Code |
| PTCHND | PTCHND01-PTCHND30 | CHAR | Version I | NCH_PATCH_TRLR_IND_CD(01-30): NCH Patch Trailer Indicator Code |
| PTCHCD | PTCHCD01-PTCHCD30 | CHAR | Version I | NCH_PATCH_CD(01-30): NCH Patch Code |
| PTCHDT | PTCHDT01-PTCHDT30 | CHAR | Version I | NCH_PATCH_APPLY_DT(01-30): NCH Patch Applied Date |
| MCOIND | MCOIND1-MCOIND2 | CHAR | Version I | NCH_MCO_TRLR_IND_CD(1-2): NCH MCO Trailer Indicator Code |
| MCONUM | MCONUM1-MCONUM2 | CHAR | Version I | MCO_CNTRCT_NUM(1-2): MCO Contract Number |
| MCOOPTN | MCOOPTN1-MCOOPTN2 | CHAR | Version I | MCO_OPTN_CD(1-2): MCO Option Code |
| MCFFDT | MCFFDT1-MCFFDT2 | CHAR | Version I | MCO_PRD_EFCTV_DT(1-2): MCO Period Effective Date |
| MCTRMDT | MCTRMDT1-MCTRMDT2 | CHAR | Version I | MCO_PRD_TRMNTN_DT(1-2): MCO Period Termination Date |
| MCPLND | MCPLND1-MCPLND2 | CHAR | Version I | MCO_HLTH_PLANID_NUM(1-2): MCO Health PLANID Number |
| PLNDND | PLNDND1-PLNDND3 | CHAR | Version I | NCH_HLTH_PLANID_TRLR_IND_CD(1-3): NCH Health PlanID Trailer Indicator Code |
| PLNDCD | PLNDCD1-PLNDCD3 | CHAR | Version I | CLM_HLTH_PLANID_CD(1-3): Claim Health PlanID Code |
| PLANID | PLANID1-PLANID3 | CHAR | Version I | CLM_HLTH_PLANID_NUM(1-3): Claim Health PlanID Number |
| DEMOIND | DEMOIND1-DEMOIND5 | CHAR | Version I | NCH_DEMO_TRLR_IND_CD(1-5): NCH Demonstration Trailer Indicator Code |
| DEMONUM | DEMONUM1-DEMONUM5 | CHAR | Version I | CLM_DEMO_ID_NUM(1-5): Claim Demonstration Identification Number |
| DEMOTXT | DEMOTXT1-DEMOTXT5 | CHAR | Version I | CLM_DEMO_INFO_TXT(1-5): Claim Demonstration Information Text |
| DGNSIND | DGNSIND1-DGNSIND9 | CHAR | Version I | NCH_DGNS_TRLR_IND_CD(1-9): NCH Diagnosis Trailer Indicator Code |
| DGNS_CD | DGNS_CD1-DGNS_CD9 | CHAR | Version I | CLM_DGNS_CD(1-9): Claim Diagnosis Code |
| LNND | LNND01-LNND13 | CHAR | Version I | NCH_LINE_TRLR_IND_CD(01-13): NCH Line Item Trailer Indicator Code |
| SPLRNM | SPLRNM01-SPLRNM13 | CHAR | Version I | DMERC_LINE_SUPLR_PRVDR_NUM(01-13): DMERC Line Supplier Provider Number |
| SUPNPI | SUPNPI01-SUPNPI13 | CHAR | Version I | DMERC_LINE_SUPLR_NPI_NUM(01-13): DMERC Line Item Supplier NPI Number |
| PRCGST | PRCGST01-PRCGST13 | CHAR | Version I | DMERC_LINE_PRCNG_STATE_CD(01-13): DMERC Line Pricing State Code |
| PRVSTT | PRVSTT01-PRVSTT13 | CHAR | Version I | DMERC_LINE_PRVDR_STATE_CD(01-13): Line Provider State Code |
| SPTYP | SPTYP01-SPTYP13 | CHAR | Version I | DMERC_LINE_SUPLR_TYPE_CD(01-13): DMERC Line Supplier Type Code |
| TAXNUM | TAXNUM01-TAXNUM13 | CHAR | Version I | LINE_PRVDR_TAX_NUM(01-13): Line Provider Tax Number |
| HCFPCL | HCFPCL01-HCFPCL13 | CHAR | Version I | LINE_HCFA_PRVDR_SPCLTY_CD(01-13): Line CMS Provider Specialty Code |
| PRTPTG | PRTPTG01-PRTPTG13 | CHAR | Version I | LINE_PRVDR_PRTCPTG_IND_CD(01-13): Line Provider Participating Indicator Code |
| SRVCNT | SRVCNT01-SRVCNT13 | NUM | Version I | LINE_SRVC_CNT(01-13): Line Service Count |
| TYPVCB | TYPVCB01-TYPVCB13 | CHAR | Version I | LINE_HCFA_TYPE_SRVC_CD(01-13): Line CMS Type Service Code |
| PLCRVC | PLCRVC01-PLCRVC13 | CHAR | Version I | LINE_PLC_SRVC_CD(01-13): Line Place Of Service Code |
| EXPDT1 | EXPDT101-EXPDT113 | CHAR | Version I | LINE_1ST_EXPNS_DT(01-13): Line First Expense Date |
| EXPDT2 | EXPDT201-EXPDT213 | CHAR | Version I | LINE_LAST_EXPNS_DT(01-13): Line Last Expense Date |
| HCPSCD | HCPSCD01-HCPSCD13 | CHAR | Version I | LINE_HCPCS_CD(01-13): Line HCPCS Code |
| MDFCD1 | MDFCD101-MDFCD113 | CHAR | Version I | LINE_HCPCS_INITL_MDFR_CD(01-13): Line HCPCS Initial Modifier Code |
| MDFCD2 | MDFCD201-MDFCD213 | CHAR | Version I | LINE_HCPCS_2ND_MDFR_CD(01-13): Line HCPCS Second Modifier Code |
| MDFCD3 | MDFCD301-MDFCD313 | CHAR | Version I | DMERC_LINE_HCPCS_3RD_MDFR_CD(01-13): DMERC Line HCPCS Third Modifier Code |
| MDFCD4 | MDFCD401-MDFCD413 | CHAR | Version I | DMERC_LINE_HCPCS_4TH_MDFR_CD(01-13): DMERC Line HCPCS Fourth Modifier Code |
| BETOS | BETOS01-BETOS13 | CHAR | Version I | LINE_NCH_BETOS_CD(01-13): Line NCH BETOS Code |
| LNID | LNID01-LNID13 | CHAR | Version I | LINE_IDE_NUM(01-13): Line IDE Number |
| NOCTXT | NOCTXT01-NOCTXT13 | CHAR | Version I | DMERC_LINE_NOC_HCPCS_CD_TXT(01-13): DMERC Line Not Otherwise Classified HCPCS Code Text |
| NDC_CD | NDC_CD01-NDC_CD13 | CHAR | Version I | LINE_NATL_DRUG_CD(01-13): Line National Drug Code |
| LNPMT | LNPMT01-LNPMT13 | NUM | Version I | LINE_NCH_PMT_AMT(01-13): Line NCH Payment Amount |
| LBNPMT | LBNPMT01-LBNPMT13 | NUM | Version I | LINE_BENE_PMT_AMT(01-13): Line Beneficiary Payment Amount |
| LPRPMT | LPRPMT01-LPRPMT13 | NUM | Version I | LINE_PRVDR_PMT_AMT(01-13): Line Provider Payment Amount |
| LDDMT | LDDMT01-LDDMT13 | NUM | Version I | LINE_BENE_PTB_DDCTBL_AMT(01-13): Line Beneficiary Part B Deductible Amount |
| LPRYCD | LPRYCD01-LPRYCD13 | CHAR | Version I | LINE_BENE_PRMRY_PYR_CD(01-13): Line Beneficiary Primary Payer Code |
| LPRDMT | LPRDMT01-LPRDMT13 | NUM | Version I | LINE_BENE_PRMRY_PYR_PD_AMT(01-13): Line Beneficiary Primary Payer Paid Amount |
| CNMT | CNMT01-CNMT13 | NUM | Version I | LINE_COINSRNC_AMT(01-13): Line Coinsurance Amount |
| LNTAMT | LNTAMT01-LNTAMT13 | NUM | Version I | LINE_INTRST_AMT(01-13): Line Interest Amount |
| PRPYLW | PRPYLW01-PRPYLW13 | NUM | Version I | LINE_PRMRY_PYR_ALOW_CHRG_AMT(01-13): Line Primary Payer Allowed Charge Amount |
| PNLYMT | PNLYMT01-PNLYMT13 | NUM | Version I | LINE_10PCT_PNLTY_RDCTN_AMT(01-13): Line 10% Penalty Reduction Amount |
| LSBCHG | LSBCHG01-LSBCHG13 | NUM | Version I | LINE_SBMT_CHRG_AMT(01-13): Line Submitted Charge Amount |
| LLWCHG | LLWCHG01-LLWCHG13 | NUM | Version I | LINE_ALOW_CHRG_AMT(01-13): Line Allowed Charge Amount |
| SCRVGS | SCRVGS01-SCRVGS13 | NUM | Version I | DMERC_LINE_SCRN_SVGS_AMT(01-13): DMERC Line Screen Savings Amount |
| DMPRC | DMPRC01-DMPRC13 | NUM | Version I | LINE_DME_PURC_PRICE_AMT(01-13): Line DME Purchase Price Amount |
| PRCGND | PRCGND01-PRCGND13 | CHAR | Version I | LINE_PRCSG_IND_CD(01-13): Line Processing Indicator Code |
| PMTDSW | PMTDSW01-PMTDSW13 | CHAR | Version I | LINE_PMT_80_100_CD(01-13): Line Payment 80%/100% Code |
| DED_SW | DED_SW01-DED_SW13 | CHAR | Version I | LINE_SRVC_DDCTBL_IND_SW(01-13): Line Service Deductible Indicator Switch |
| PMTDCD | PMTDCD01-PMTDCD13 | CHAR | Version I | LINE_PMT_IND_CD(01-13): Line Payment Indicator Code |
| DMUNT | DMUNT01-DMUNT13 | NUM | Version I | DMERC_LINE_MTUS_CNT(01-13): DMERC Line Miles/Time/Units/Services Count |
| UNTIND | UNTIND01-UNTIND13 | CHAR | Version I | DMERC_LINE_MTUS_IND_CD(01-13): DMERC Line Miles/Time/Units/Services Indicator Code |
| LNDGNS | LNDGNS01-LNDGNS13 | CHAR | Version I | LINE_DGNS_CD(01-13): Line Diagnosis Code |
| DCMNCD | DCMNCD01-DCMNCD13 | CHAR | Version I | LINE_ADDTNL_CLM_DCMTN_IND_CD(01-13): Line Additional Claim Documentation Indicator Code |
| SSPIND | SSPIND01-SSPIND13 | CHAR | Version I | DMERC_LINE_SCRN_SUSPNSN_IND_CD(01-13): DMERC Line Screen Suspension Indicator Code |
| RSLIND | RSLIND01-RSLIND13 | CHAR | Version I | DMERC_LINE_SCRN_RSLT_IND_CD(01-13): DMERC Line Screen Result Indicator Code |
| WVRSW | WVRSW01-WVRSW13 | CHAR | Version I | DMERC_LINE_WVR_PRVDR_LBLTY_SW(01-13): DMERC Line Waiver Of Provider Liability Switch |
| DCSIND | DCSIND01-DCSIND13 | CHAR | Version I | DMERC_LINE_DCSN_IND_SW(01-13): DMERC Line Decision Indicator Switch |
HRS Provider Release Medicare
| Denominator (DN) |
| SAS Alias | Variable Name(s) | Type | Documentation | Label |
|---|---|---|---|---|
| BID_HRS | BID_HRS | CHAR | Documentation | Beneficiary Identification Number |
| CAN | CAN | CHAR | Documentation | (Blanked) Beneficiary Claim Account Number |
| EQ_BIC | EQ_BIC | CHAR | Documentation | (Blanked) EQUATED BENEFICIARY IDENTIFICATION CODE (BIC) |
| OBIC | OBIC | CHAR | Documentation | (Blanked) ORIGINAL BENEFICIARY IDENTIFICATION CODE (OBIC) |
| STATE_CD | STATE_CD | CHAR | Documentation | BENE_RSDNC_SSA_STD_STATE_CD: STATE CODE |
| CNTY_CD | CNTY_CD | CHAR | Documentation | BENE_RSDNC_SSA_STD_CNTY_CD: COUNTY CODE |
| BENE_ZIP | BENE_ZIP | CHAR | Documentation | BENE_MLG_CNTCT_ZIP_CD: ZIP CODE OF RESIDENCE |
| BENE_DOB | BENE_DOB | CHAR | Documentation | BENE_BIRTH_DT: DATE OF BIRTH |
| SEX | SEX | CHAR | Documentation | SEX |
| RACE | RACE | CHAR | Documentation | BENE_RACE_CD: BENEFICIARY RACE CODE |
| AGE | AGE | NUM | Documentation | AGE |
| OREC | OREC | CHAR | Documentation | ORIGINAL REASON FOR ENTITLEMENT |
| CREC | CREC | CHAR | Documentation | CURRENT REASON FOR ENTITLEMENT CODE |
| ESRD_IND | ESRD_IND | CHAR | Documentation | END STAGE RENAL DISEASE INDICATOR (ESRD) |
| MS_CD | MS_CD | CHAR | Documentation | BENE_MDCR_STUS_CD: MEDICARE STATUS CODE |
| A_TRM_CD | A_TRM_CD | CHAR | Documentation | PART A TERMINATION CODE |
| B_TRM_CD | B_TRM_CD | CHAR | Documentation | PART B TERMINATION |
| BUYIN | BUYIN12 | CHAR | Documentation | MEDICARE ENTITLEMENT/BUY-IN INDICATOR |
| HMOIND | HMOIND12 | CHAR | Documentation | HMO INDICATOR |
| A_MO_CNT | A_MO_CNT | NUM | Documentation | HI COVERAGE |
| B_MO_CNT | B_MO_CNT | NUM | Documentation | SMI COVERAGE |
| HMO_MO | HMO_MO | NUM | Documentation | HMO COVERAGE |
| BUYIN_MO | BUYIN_MO | NUM | Documentation | STATE BUY-IN COVERAGE |
| V_DOD_SW | V_DOD_SW | CHAR | Documentation | VALID DATE OF DEATH SWITCH |
| DEATH_DT | DEATH_DT | CHAR | Documentation | BENE_DEATH_DT: DATE OF DEATH |
| RFRNC_YR | RFRNC_YR | NUM | Documentation | BENE_ENRLMT_RFRNC_YR: BENEFICIARY ENROLLMENT REFERENCE YEAR |
HRS Provider Release Medicare
| Home Health (HH) |
| SAS Alias | Variable Name(s) | Type | Documentation | Documentation | Label |
|---|---|---|---|---|---|
| BID_HRS | BID_HRS | CHAR | Version H | Version I | Beneficiary Identification Number |
| REC_LEN | REC_LEN | NUM | Version H | Version I | REC_LNGTH_CNT: Record Length Count |
| REC_LVL | REC_LVL | CHAR | Version H | Version I | NCH_NEAR_LINE_REC_VRSN_CD: NCH Near-Line Record Version code |
| RIC_CD | RIC_CD | CHAR | Version H | Version I | NCH_NEAR_LINE_RIC_CD: NCH Near Line Record Identification Code |
| MQA_RIC | MQA_RIC | CHAR | Version H | Version I | NCH_MQA_RIC_CD: NCH MQA RIC Code |
| CLM_TYPE | CLM_TYPE | CHAR | Version H | Version I | NCH_CLM_TYPE_CD: NCH Claim Type Code |
| CAN | CAN | CHAR | Version H | Version I | (Blanked) BENE_CLM_ACNT_NUM: Beneficiary Claim Account Number |
| EQ_BIC | EQ_BIC | CHAR | Version H | Version I | (Blanked) NCH_CTGRY_EQTBL_BIC_CD: NCH Category Equatable Beneficiary Identification Code |
| BIC | BIC | CHAR | Version H | Version I | (Blanked) BENE_IDENT_CD: Beneficiary Identification Code |
| ST_SGMT | ST_SGMT | CHAR | Version H | Version I | NCH_STATE_SGMT_CD: NCH State Segment Code |
| STATE_CD | STATE_CD | CHAR | Version H | Version I | BENE_RSDNC_SSA_STD_STATE_CD: Beneficiary Residence SSA Standard State Code |
| FROM_DT | FROM_DT | CHAR | Version H | Version I | CLM_FROM_DT: Claim From Date |
| THRU_DT | THRU_DT | CHAR | Version H | Version I | CLM_THRU_DT: Claim Through Date |
| WKLY_DT | WKLY_DT | CHAR | Version H | Version I | NCH_WKLY_PROC_DT: NCH Weekly Claim Processing Date |
| ACRTN_DT | ACRTN_DT | CHAR | Version H | Version I | CWF_CLM_ACRTN_DT: CWF Claim Accretion Date |
| ACRTN_NM | ACRTN_NM | NUM | Version H | Version I | CWF_CLM_ACRTN_NUM: CWF Claim Accretion Number |
| CLM_CNTL | CLM_CNTL | CHAR | Version H | Version I | (Encrypted) FI_DOC_CLM_CNTL_NUM: FI Document Claim Control Number |
| ORIGCNTL | ORIGCNTL | CHAR | Version H | Version I | (Encrypted) FI_ORIG_CLM_CNTL_NUM: FI Original Claim Control Number |
| QUERY_CD | QUERY_CD | CHAR | Version H | Version I | CLM_QUERY_CD: Claim Query Code |
| PROVIDER | PROVIDER | CHAR | Version H | Version I | PRVDR_NUM: Provider Number |
| DAILY_DT | DAILY_DT | CHAR | Version H | Version I | NCH_DAILY_PROC_DT: NCH Daily Process Date |
| LINK_NUM | LINK_NUM | CHAR | Version I | (Encrypted) NCH_SGMT_LINK_NUM: NCH Segment Link Number | |
| SGMT_CNT | SGMT_CNT | NUM | Version I | CLM_TOT_SGMT_CNT: Claim Total Segment Count | |
| SGMT_NUM | SGMT_NUM | NUM | Version I | CLM_SGMT_NUM: Claim Segment Number | |
| LINECNT | LINECNT | NUM | Version I | CLM_TOT_LINE_CNT: Claim Total Line Count | |
| SGMTLINE | SGMTLINE | NUM | Version I | CLM_SGMT_LINE_CNT: Claim Segment Line Count | |
| PE_RIC | PE_RIC | CHAR | Version H | Version I | NCH_PMT_EDIT_RIC_CD: NCH Payment and Edit Record Identification Code |
| TRANS_CD | TRANS_CD | CHAR | Version H | Version I | CLM_TRANS_CD: Claim Transaction Code |
| FAC_TYPE | FAC_TYPE | CHAR | Version H | Version I | CLM_FAC_TYPE_CD: Claim Facility Type Code |
| TYPESRVC | TYPESRVC | CHAR | Version H | Version I | CLM_SRVC_CLSFCTN_TYPE_CD: Claim Service classification Type Code |
| FREQ_CD | FREQ_CD | CHAR | Version H | Version I | CLM_FREQ_CD: Claim Frequency Code |
| MQAQUERY | MQAQUERY | CHAR | Version H | Version I | NCH_MQA_QUERY_PATCH_CD: NCH MQA Query Patch Code |
| DISP_CD | DISP_CD | CHAR | Version H | Version I | CLM_DISP_CD: Claim Disposition Code |
| EDITDISP | EDITDISP | CHAR | Version H | Version I | NCH_EDIT_DISP_CD: NCH Edit Disposition Code |
| BIC_MDFY | BIC_MDFY | CHAR | Version H | Version I | NCH_CLM_BIC_MDFY_CD: NCH Claim BIC Modify H Code |
| CNTY_CD | CNTY_CD | CHAR | Version H | Version I | BENE_RSDNC_SSA_STD_CNTY_CD: Beneficiary Residence SSA tandard county code |
| RCPT_DT | RCPT_DT | CHAR | Version H | Version I | FI_CLM_RCPT_DT: FI Claim Receipt Date |
| SCHLD_DT | SCHLD_DT | CHAR | Version H | Version I | FI_CLM_SCHLD_PMT_DT: FI Claim Scheduled Payment Date |
| FRWRD_DT | FRWRD_DT | CHAR | Version H | Version I | CWF_FRWRD_DT: CWF Forwarded Date |
| FI_NUM | FI_NUM | CHAR | Version H | Version I | FI_NUM: FI Number |
| ASGN_NUM | ASGN_NUM | CHAR | Version H | Version I | CWF_CLM_ASGN_NUM: CWF Claim Assigned Number |
| FIBATCH | FIBATCH | CHAR | Version H | Version I | CWF_TRNSMSN_BATCH_NUM: CWF Transmission Batch Number |
| BENE_ZIP | BENE_ZIP | CHAR | Version H | Version I | BENE_MLG_CNTCT_ZIP_CD: Beneficiary Mailing Contact ZIP Code |
| SEX | SEX | CHAR | Version H | Version I | BENE_SEX_IDENT_CD: Beneficiary Sex Identification Code |
| RACE | RACE | CHAR | Version H | Version I | BENE_RACE_CD: Beneficiary Race Code |
| BENE_DOB | BENE_DOB | CHAR | Version H | Version I | BENE_BIRTH_DT: Beneficiary Birth Date |
| MS_CD | MS_CD | CHAR | Version H | Version I | CWF_BENE_MDCR_STUS_CD: CWF Beneficiary Medicare Status Code |
| SURNAME | SURNAME | CHAR | Version H | Version I | (Blanked) CLM_PTNT_6_PSTN_SRNM_NAME: Claim Patient 6 Position Surname |
| FRSTINIT | FRSTINIT | CHAR | Version H | Version I | (Blanked) CLM_PTNT_1ST_INITL_GVN_NAME: Claim Patient 1st Initial Given Name |
| MDL_INIT | MDL_INIT | CHAR | Version H | Version I | (Blanked) CLM_PTNT_1ST_INITL_MDL_NAME: Claim Patient First Initial Middle Name |
| CWFLOCCD | CWFLOCCD | CHAR | Version H | Version I | BENE_CWF_LOC_CD: Beneficiary CWF Location Code |
| PDGNS_CD | PDGNS_CD | CHAR | Version H | Version I | CLM_PRNCPAL_DGNS_CD: Claim Principal Diagnosis Code |
| NOPAY_CD | NOPAY_CD | CHAR | Version I | CLM_MDCR_NPMT_RSN_CD: Claim Medicare Non Payment Reason Code | |
| TRTMT_CD | TRTMT_CD | CHAR | Version I | CLM_EXCPTD_NEXCPTD_TRTMT_CD: Claim Excepted/Nonexcepted Medical Treatment Code | |
| PMT_AMT | PMT_AMT | NUM | Version H | Version I | CLM_PMT_AMT: Claim Payment Amount |
| ORGLOCCD | ORGLOCCD | CHAR | Version H | ORG_PRVDR_LOC_CD: Organization Provider Location Code | |
| PRPAYAMT | PRPAYAMT | NUM | Version H | Version I | NCH_PRMRY_PYR_CLM_PD_AMT: NCH Primary Payer Claim Paid Amount |
| PRPAY_CD | PRPAY_CD | CHAR | Version H | Version I | NCH_PRMRY_PYR_CD: NCH Primary Payer Code |
| CANCELCD | CANCELCD | CHAR | Version H | Version I | FI_RQST_CLM_CNCL_RSN_CD: FI Requested Claim Cancel Reason Code |
| ACTIONCD | ACTIONCD | CHAR | Version H | Version I | FI_CLM_ACTN_CD: FI Claim Action Code |
| AT_LOC | AT_LOC | CHAR | Version H | CLM_ATNDG_PHYSN_LOC_CD: Claim Attending Physician Location Code | |
| APRVL_DT | APRVL_DT | CHAR | Version H | Version I | FI_CLM_PROC_DT: FI Claim Process Date |
| PRSTATE | PRSTATE | CHAR | Version H | Version I | NCH_PRVDR_STATE_CD: NCH Provider State Code |
| ORGNPINM | ORGNPINM | CHAR | Version H | Version I | ORG_NPI_NUM: Organization NPI Number |
| AT_UPIN | AT_UPIN | CHAR | Version H | Version I | CLM_ATNDG_PHYSN_UPIN_NUM: Claim Attending Physician UPIN Number |
| AT_NPI | AT_NPI | CHAR | Version H | Version I | CLM_ATNDG_PHYSN_NPI_NUM: Claim Attending Physician NPI Number |
| AT_SRNM | AT_SRNM | CHAR | Version H | Version I | (Blanked) CLM_ATNDG_PHYSN_SRNM_NAME: Claim Attending Physician Surname |
| OP_LOC | OP_LOC | CHAR | Version H | CLM_OPRTG_PHYSN_LOC_CD: Claim Operating Physician Location Code | |
| AT_GVNNM | AT_GVNNM | CHAR | Version H | Version I | (Blanked) CLM_ATNDG_PHYSN_GVN_NAME: Claim Attending Physician Given Name |
| AT_MDL | AT_MDL | CHAR | Version H | Version I | (Blanked) CLM_ATNDG_PHYSN_MDL_INITL_NAME: Claim Attending Physician Middle Initial Name |
| OP_UPIN | OP_UPIN | CHAR | Version H | Version I | CLM_OPRTG_PHYSN_UPIN_NUM: Claim Operating Physician UPIN Number |
| OP_NPI | OP_NPI | CHAR | Version H | Version I | CLM_OPRTG_PHYSN_NPI_NUM: Claim Operating Physician NPI Number |
| OP_SRNM | OP_SRNM | CHAR | Version H | Version I | (Blanked) CLM_OPRTG_PHYSN_SRNM_NAME: Claim Operating Physician Surname |
| OP_GVN | OP_GVN | CHAR | Version H | Version I | (Blanked) CLM_OPRTG_PHYSN_GVN_NAME: Claim Operating Physician Given Name |
| OT_LOC | OT_LOC | CHAR | Version H | CLM_OTHR_PHYSN_LOC_CD: Claim Other Physician Location Code | |
| OP_MDL | OP_MDL | CHAR | Version H | Version I | (Blanked) CLM_OPRTG_PHYSN_MDL_INITL_NAME: Claim Operating Physician Middle Initial Name |
| OT_UPIN | OT_UPIN | CHAR | Version H | Version I | CLM_OTHR_PHYSN_UPIN_NUM: Claim Other Physician UPIN Number |
| OT_NPI | OT_NPI | CHAR | Version H | Version I | CLM_OTHR_PHYSN_NPI_NUM: Claim Other Physician NPI Number |
| OT_SRNM | OT_SRNM | CHAR | Version H | Version I | (Blanked) CLM_OTHR_PHYSN_SRNM_NAME: Claim Other Physician Surname |
| OT_GVN | OT_GVN | CHAR | Version H | Version I | (Blanked) CLM_OTHR_PHYSN_GVN_NAME: Claim Other Physician Given Name |
| OT_MDL | OT_MDL | CHAR | Version H | Version I | (Blanked) CLM_OTHR_PHYSN_MDL_INITL_NAME: Claim Other Physician Middle Initial Name |
| MDCD_PRV | MDCD_PRV | CHAR | Version H | Version I | MDCD_PRVDR_IDENT_NUM: Medicaid Provider Identification Number |
| MDCDINFO | MDCDINFO | CHAR | Version H | Version I | CLM_MDCD_INFO_CD: Claim Medicaid Information Code |
| MCOPDSW | MCOPDSW | CHAR | Version H | Version I | CLM_MCO_PD_SW: Claim MCO Paid Switch |
| AUTHRZTN | AUTHRZTN | CHAR | Version H | Version I | CLM_TRTMT_AUTHRZTN_NUM: Claim Treatment Authorization Number |
| PTNTCNTL | PTNTCNTL | CHAR | Version H | Version I | PTNT_CNTL_NUM: Patient Control Number |
| MDCL_REC | MDCL_REC | CHAR | Version H | Version I | CLM_MDCL_REC_NUM: Claim Medical Record Number |
| PRO_CNTL | PRO_CNTL | CHAR | Version H | Version I | CLM_PRO_CNTL_NUM: Claim PRO Control Number |
| PRO_DT | PRO_DT | CHAR | Version H | Version I | CLM_PRO_PROC_DT: Claim PRO Process Date |
| STUS_CD | STUS_CD | CHAR | Version H | Version I | PTNT_DSCHRG_STUS_CD: Patient Discharge Status Code |
| DGNS_E | DGNS_E | CHAR | Version H | Version I | CLM_DGNS_E_CD: Claim Diagnosis E Code |
| PPS_IND | PPS_IND | CHAR | Version H | Version I | CLM_PPS_IND_CD: Claim PPS Indicator Code |
| TOT_CHRG | TOT_CHRG | NUM | Version H | Version I | CLM_TOT_CHRG_AMT: Claim Total Charge Amount |
| PRCRRTRN | PRCRRTRN | CHAR | Version I | CLM_PRCR_RTRN_CD: Claim Pricer Return Code | |
| HHEDCNT | HHEDCNT | NUM | Version H | Version I | HHA_NCH_EDIT_CD_CNT: HHA NCH Edit Code Count |
| HHPAYCNT | HHPAYCNT | NUM | Version H | HHA_CLM_PAYERID_CNT: HHA Claim PAYERID Count | |
| HHPATCNT | HHPATCNT | NUM | Version H | Version I | HHA_NCH_PATCH_CD_I_CNT: HHA NCH Patch Code Count |
| HHMCOCNT | HHMCOCNT | NUM | Version H | Version I | HHA_MCO_PRD_CNT: HHA MCO Period Count |
| HHPLANNT | HHPLANNT | NUM | Version I | HHA_CLM_HLTH_PLANID_CNT: HHA Claim Health PlanID Count | |
| HHDEMCNT | HHDEMCNT | NUM | Version H | Version I | HHA_CLM_DEMO_ID_CNT: HHA Claim Demonstration ID Count |
| HHDGNCNT | HHDGNCNT | NUM | Version H | Version I | HHA_CLM_DGNS_CD_CNT: HHA Claim Diagnosis Code Count |
| HHCONCNT | HHCONCNT | NUM | Version H | Version I | HHA_CLM_RLT_COND_CD_CNT: HHA Claim Related Condition Code Count |
| HHOCRCNT | HHOCRCNT | NUM | Version H | Version I | HHA_CLM_RLT_OCRNC_CD_CNT: HHA Claim Related Occurrence Code Count |
| HHSPNCNT | HHSPNCNT | NUM | Version H | Version I | HHA_CLM_OCRNC_SPAN_CD_CNT: HHA Claim Occurrence Span Code Count |
| HHVALCNT | HHVALCNT | NUM | Version H | Version I | HHA_CLM_VAL_CD_CNT: HHA Claim Value Code Count |
| HHREVCNT | HHREVCNT | NUM | Version H | Version I | HHA_REV_CNTR_CD_I_CNT: HHA Revenue Center Code Count |
| LUPAIND | LUPAIND | CHAR | Version I | CLM_HHA_LUPA_IND_CD: Claim HHA Low Utilization Payment Adjustment (LUPA) Indicator Code | |
| HHA_RFRL | HHA_RFRL | CHAR | Version I | CLM_HHA_RFRL_CD: Claim HHA Referral Code | |
| VISITCNT | VISITCNT | NUM | Version H | Version I | CLM_HHA_TOT_VISIT_CNT: Claim HHA Total Visit Count |
| QLFYFROM | QLFYFROM | CHAR | Version H | Version I | NCH_QLFY_STAY_FROM_DT: NCH Qualified Stay From Date |
| QLFYTHRU | QLFYTHRU | CHAR | Version H | Version I | NCH_QLFY_STAY_THRU_DT: NCH Qualify Stay Through Date |
| DSCHRGDT | DSCHRGDT | CHAR | Version H | Version I | NCH_BENE_DSCHRG_DT: NCH Beneficiary Discharge Date |
| HHSTRTDT | HHSTRTDT | CHAR | Version H | Version I | CLM_HHA_CARE_STRT_DT: Claim HHA Care Start Date |
| EDTND | EDTND01-EDTND13 | CHAR | Version H | Version I | NCH_EDIT_TRLR_IND_CD(01-13): NCH Edit Trailer Indicator Code |
| EDITCD | EDITCD01-EDITCD13 | CHAR | Version H | Version I | NCH_EDIT_CD(01-13): NCH Edit Code |
| PTCHND | PTCHND01-PTCHND30 | CHAR | Version H | Version I | NCH_PATCH_TRLR_IND_CD(01-30): NCH Patch Trailer Indicator Code |
| PTCHCD | PTCHCD01-PTCHCD30 | CHAR | Version H | Version I | NCH_PATCH_CD(01-30): NCH Patch Code |
| PTCHDT | PTCHDT01-PTCHDT30 | CHAR | Version H | Version I | NCH_PATCH_APPLY_DT(01-30): NCH Patch Applied Date |
| MCOIND | MCOIND1-MCOIND2 | CHAR | Version H | Version I | NCH_MCO_TRLR_IND_CD(1-2): NCH MCO Trailer Indicator Code |
| MCONUM | MCONUM1-MCONUM2 | CHAR | Version H | Version I | MCO_CNTRCT_NUM(1-2): MCO Contract Number |
| MCOOPTN | MCOOPTN1-MCOOPTN2 | CHAR | Version H | Version I | MCO_OPTN_CD(1-2): MCO Option Code |
| MCFFDT | MCFFDT1-MCFFDT2 | CHAR | Version H | Version I | MCO_PRD_EFCTV_DT(1-2): MCO Period Effective Date |
| MCTRMDT | MCTRMDT1-MCTRMDT2 | CHAR | Version H | Version I | MCO_PRD_TRMNTN_DT(1-2): MCO Period Termination Date |
| MCPLND | MCPLND1-MCPLND2 | CHAR | Version I | MCO_HLTH_PLANID_NUM(1-2): MCO Health PLANID Number | |
| PLNDND | PLNDND1-PLNDND3 | CHAR | Version I | NCH_HLTH_PLANID_TRLR_IND_CD(1-3): NCH Health PlanID Trailer Indicator Code | |
| PLNDCD | PLNDCD1-PLNDCD3 | CHAR | Version I | CLM_HLTH_PLANID_CD(1-3): Claim Health PlanID Code | |
| PLANID | PLANID1-PLANID3 | CHAR | Version I | CLM_HLTH_PLANID_NUM(1-3): Claim Health PlanID Number | |
| DEMOIND | DEMOIND1-DEMOIND5 | CHAR | Version H | Version I | NCH_DEMO_TRLR_IND_CD(1-5): NCH Demonstration Trailer Indicator Code |
| DEMONUM | DEMONUM1-DEMONUM5 | CHAR | Version H | Version I | CLM_DEMO_ID_NUM(1-5): Claim Demonstration Identification Number |
| DEMOTXT | DEMOTXT1-DEMOTXT5 | CHAR | Version H | Version I | CLM_DEMO_INFO_TXT(1-5): Claim Demonstration Information Text |
| DGNSND | DGNSND01-DGNSND10 | CHAR | Version H | Version I | NCH_DGNS_TRLR_IND_CD(01-10): NCH Diagnosis Trailer Indicator Code |
| DGNSCD | DGNSCD01-DGNSCD10 | CHAR | Version H | Version I | CLM_DGNS_CD(01-10): Claim Diagnosis Code |
| CNDND | CNDND01-CNDND30 | CHAR | Version H | Version I | NCH_COND_TRLR_IND_CD(01-30): NCH Condition Trailer Indicator Code |
| RLTCND | RLTCND01-RLTCND30 | CHAR | Version H | Version I | CLM_RLT_COND_CD(01-30): Claim Related Condition Code |
| OCRCND | OCRCND01-OCRCND30 | CHAR | Version H | Version I | NCH_OCRNC_TRLR_IND_CD(01-30): NCH Occurrence Trailer Indicator Code |
| OCRCCD | OCRCCD01-OCRCCD30 | CHAR | Version H | Version I | CLM_RLT_OCRNC_CD(01-30): Claim Related Occurrence Code |
| OCRCDT | OCRCDT01-OCRCDT30 | CHAR | Version H | Version I | CLM_RLT_OCRNC_DT(01-30): Claim Related Occurrence Date |
| MCPYD | MCPYD1-MCPYD2 | CHAR | Version H | MCO_PAYERID_NUM(1-2): MCO PAYERID Number | |
| SPNND | SPNND01-SPNND10 | CHAR | Version H | Version I | NCH_SPAN_TRLR_IND_CD(01-10): NCH Span Trailer Indicator Code |
| PYRND | PYRND1-PYRND3 | CHAR | Version H | NCH_PAYERID_TRLR_IND_CD(1-3): NCH PAYERID Trailer Indicator Code | |
| PAYIDCD | PAYIDCD1-PAYIDCD3 | CHAR | Version H | CLM_PAYERID_CD(1-3): Claim PAYERID Code | |
| PYDNM | PYDNM1-PYDNM3 | CHAR | Version H | CLM_PAYERID_NUM(1-3): Claim PAYERID Number | |
| SPANCD | SPANCD01-SPANCD10 | CHAR | Version H | Version I | CLM_OCRNC_SPAN_CD(01-10): Claim Occurrence Span Code |
| SPNFRM | SPNFRM01-SPNFRM10 | CHAR | Version H | Version I | CLM_OCRNC_SPAN_FROM_DT(01-10): Claim Occurrence Span From Date |
| SPNTHR | SPNTHR01-SPNTHR10 | CHAR | Version H | Version I | CLM_OCRNC_SPAN_THRU_DT(01-10): Claim Occurrence Span Through Date |
| VALIND | VALIND01-VALIND36 | CHAR | Version H | Version I | NCH_VAL_TRLR_IND_CD(01-36): NCH Value Trailer Indicator Code |
| VAL_CD | VAL_CD01-VAL_CD36 | CHAR | Version H | Version I | CLM_VAL_CD(01-36): Claim Value Code |
| VALAMT | VALAMT01-VALAMT36 | NUM | Version H | Version I | CLM_VAL_AMT(01-36): Claim Value Amount |
| REVIND | REVIND01-REVIND45 | CHAR | Version H | Version I | NCH_REV_CNTR_TRLR_IND_CD(01-45): NCH Revenue Center Trailer Indicator Code |
| RVCNTR | RVCNTR01-RVCNTR45 | CHAR | Version H | Version I | REV_CNTR_CD(01-45): Revenue Center Code |
| REV_DT | REV_DT01-REV_DT45 | CHAR | Version H | Version I | REV_CNTR_DT(01-45): Revenue Center Date |
| RVNS1 | RVNS101-RVNS145 | CHAR | Version I | REV_CNTR_ANSI_1_CD(01-45): Revenue Center 1st ANSI Code | |
| RVNS2 | RVNS201-RVNS245 | CHAR | Version I | REV_CNTR_ANSI_2_CD(01-45): Revenue Center 2nd ANSI Code | |
| RVNS3 | RVNS301-RVNS345 | CHAR | Version I | REV_CNTR_ANSI_3_CD(01-45): Revenue Center 3rd ANSI Code | |
| RVNS4 | RVNS401-RVNS445 | CHAR | Version I | REV_CNTR_ANSI_4_CD(01-45): Revenue Center 4th ANSI Code | |
| APCPPS | APCPPS01-APCPPS45 | CHAR | Version I | REV_CNTR_APC_HIPPS_CD(01-45): Revenue Center APC/HIPPS | |
| HCPSCD | HCPSCD01-HCPSCD45 | CHAR | Version H | Version I | REV_CNTR_HCPCS_CD(01-45): Revenue Center CMS Common Procedure Coding System |
| MDFCD1 | MDFCD101-MDFCD145 | CHAR | Version H | Version I | REV_CNTR_HCPCS_INITL_MDFR_CD(01-45): Revenue Center HCPCS Initial Modifier Code |
| MDFCD2 | MDFCD201-MDFCD245 | CHAR | Version H | Version I | REV_CNTR_HCPCS_2ND_MDFR_CD(01-45): Revenue Center HCPCS Second Modifier Code |
| MDFCD3 | MDFCD301-MDFCD345 | CHAR | Version I | REV_CNTR_HCPCS_3RD_MDFR_CD(01-45): Revenue Center HCPCS Third Modifier Code | |
| MDFCD4 | MDFCD401-MDFCD445 | CHAR | Version I | REV_CNTR_HCPCS_4TH_MDFR_CD(01-45): Revenue Center HCPCS Fourth Modifier Code | |
| IDENUM | IDENUM01-IDENUM58 | CHAR | Version H | REV_CNTR_IDE_NUM(01-58): Revenue Center IDE Number | |
| MDFCD5 | MDFCD501-MDFCD545 | CHAR | Version I | REV_CNTR_HCPCS_5TH_MDFR_CD(01-45): Revenue Center HCPCS Fifth Modifier Code | |
| PMTTHD | PMTTHD01-PMTTHD45 | CHAR | Version I | REV_CNTR_PMT_MTHD_IND_CD(01-45): Revenue Center Payment Method Indicator Code | |
| DSCTND | DSCTND01-DSCTND45 | CHAR | Version I | REV_CNTR_DSCNT_IND_CD(01-45): Revenue Center Discount Indicator Code | |
| PCKGND | PCKGND01-PCKGND45 | CHAR | Version I | REV_CNTR_PACKG_IND_CD(01-45): Revenue Center Packaging Indicator Code | |
| PRICNG | PRICNG01-PRICNG45 | CHAR | Version I | REV_CNTR_PRICNG_IND_CD(01-45): Revenue Center Pricing Indicator Code | |
| OTAF_1 | OTAF_101-OTAF_145 | CHAR | Version I | REV_CNTR_OTAF_1_IND_CD(01-45): Revenue Center Obligation to Accept As Full (OTAF) Payment Code | |
| OTAF_2 | OTAF_201-OTAF_245 | CHAR | Version I | REV_CNTR_OTAF_2_IND_CD(01-45): Revenue Center Obligation to Accept As Full (OTAF) Payment Code | |
| IDENDC | IDENDC01-IDENDC45 | CHAR | Version I | REV_CNTR_IDE_NDC_UPC_NUM(01-45): Revenue Center IDE, NDC, UPC Number | |
| RVUNT | RVUNT01-RVUNT45 | NUM | Version H | Version I | REV_CNTR_UNIT_CNT(01-45): Revenue Center Unit Count |
| RVRT | RVRT01-RVRT45 | NUM | Version H | Version I | REV_CNTR_RATE_AMT(01-45): Revenue Center Rate Amount |
| RVBLD | RVBLD01-RVBLD45 | NUM | Version I | REV_CNTR_BLOOD_DDCTBL_AMT(01-45): Revenue Center Blood Deductible Amount | |
| RVDTBL | RVDTBL01-RVDTBL45 | NUM | Version I | REV_CNTR_CASH_DDCTBL_AMT(01-45): Revenue Center Cash Deductible Amount | |
| WGDJ | WGDJ01-WGDJ45 | NUM | Version I | REV_CNTR_WAGE_ADJSTD_COINS_AMT(01-45): Revenue Center Coinsurance/Wage Adjusted Coinsurance Amount | |
| RDCDCN | RDCDCN01-RDCDCN45 | NUM | Version I | REV_CNTR_RDCD_COINS_AMT(01-45): Revenue Center Reduced Coinsurance Amount | |
| RVMSP1 | RVMSP101-RVMSP145 | NUM | Version I | REV_CNTR_MSP1_PD_AMT(01-45): Revenue Center 1st Medicare Secondary Payer Paid Amount | |
| RVMSP2 | RVMSP201-RVMSP245 | NUM | Version I | REV_CNTR_MSP2_PD_AMT(01-45): Revenue Center 2nd Medicare Secondary Payer Paid Amount | |
| RVPCHG | RVPCHG01-RVPCHG45 | NUM | Version I | REV_CNTR_PROFNL_CMPNT_AMT(01-45): Revenue Center Professional Component Amount | |
| RPRPMT | RPRPMT01-RPRPMT45 | NUM | Version I | REV_CNTR_PRVDR_PMT_AMT(01-45): Revenue Center Provider Payment Amount | |
| RBNPMT | RBNPMT01-RBNPMT45 | NUM | Version I | REV_CNTR_BENE_PMT_AMT(01-45): Revenue Center Beneficiary Payment Amount | |
| PTNRSP | PTNRSP01-PTNRSP45 | NUM | Version I | REV_CNTR_PTNT_RESP_PMT_AMT(01-45): Revenue Center Patient Responsibility Payment | |
| REVPMT | REVPMT01-REVPMT45 | NUM | Version I | REV_CNTR_PMT_AMT(01-45): Revenue Center Payment Amount Amount | |
| RVCHRG | RVCHRG01-RVCHRG45 | NUM | Version H | Version I | REV_CNTR_TOT_CHRG_AMT(01-45): Revenue Center Total Charge Amount |
| RVNCVR | RVNCVR01-RVNCVR45 | NUM | Version H | Version I | REV_CNTR_NCVR_CHRG_AMT(01-45): Revenue Center Non-Covered Charge Amount |
| RVDDCD | RVDDCD01-RVDDCD45 | CHAR | Version H | Version I | REV_CNTR_DDCTBL_COINSRNC_CD(01-45): Revenue Center Deductible Coinsurance Code |
HRS Provider Release Medicare
| Hospice (HS) |
| SAS Alias | Variable Name(s) | Type | Documentation | Label |
|---|---|---|---|---|
| BID_HRS | BID_HRS | CHAR | Version I | Beneficiary Identification Number |
| REC_LEN | REC_LEN | NUM | Version I | REC_LNGTH_CNT: Record Length Count |
| REC_LVL | REC_LVL | CHAR | Version I | NCH_NEAR_LINE_REC_VRSN_CD: NCH Near-Line Record Version code |
| RIC_CD | RIC_CD | CHAR | Version I | NCH_NEAR_LINE_RIC_CD: NCH Near Line Record Identification Code |
| MQA_RIC | MQA_RIC | CHAR | Version I | NCH_MQA_RIC_CD: NCH MQA RIC Code |
| CLM_TYPE | CLM_TYPE | CHAR | Version I | NCH_CLM_TYPE_CD: NCH Claim Type Code |
| CAN | CAN | CHAR | Version I | (Blanked) BENE_CLM_ACNT_NUM: Beneficiary Claim Account Number |
| EQ_BIC | EQ_BIC | CHAR | Version I | (Blanked) NCH_CTGRY_EQTBL_BIC_CD: NCH Category Equatable Beneficiary Identification Code |
| BIC | BIC | CHAR | Version I | (Blanked) BENE_IDENT_CD: Beneficiary Identification Code |
| ST_SGMT | ST_SGMT | CHAR | Version I | NCH_STATE_SGMT_CD: NCH State Segment Code |
| STATE_CD | STATE_CD | CHAR | Version I | BENE_RSDNC_SSA_STD_STATE_CD: Beneficiary Residence SSA Standard State Code |
| FROM_DT | FROM_DT | CHAR | Version I | CLM_FROM_DT: Claim From Date |
| THRU_DT | THRU_DT | CHAR | Version I | CLM_THRU_DT: Claim Through Date |
| WKLY_DT | WKLY_DT | CHAR | Version I | NCH_WKLY_PROC_DT: NCH Weekly Claim Processing Date |
| ACRTN_DT | ACRTN_DT | CHAR | Version I | CWF_CLM_ACRTN_DT: CWF Claim Accretion Date |
| ACRTN_NM | ACRTN_NM | NUM | Version I | CWF_CLM_ACRTN_NUM: CWF Claim Accretion Number |
| CLM_CNTL | CLM_CNTL | CHAR | Version I | (Encrypted) FI_DOC_CLM_CNTL_NUM: FI Document Claim Control Number |
| ORIGCNTL | ORIGCNTL | CHAR | Version I | (Encrypted) FI_ORIG_CLM_CNTL_NUM: FI Original Claim Control Number |
| QUERY_CD | QUERY_CD | CHAR | Version I | CLM_QUERY_CD: Claim Query Code |
| PROVIDER | PROVIDER | CHAR | Version I | PRVDR_NUM: Provider Number |
| DAILY_DT | DAILY_DT | CHAR | Version I | NCH_DAILY_PROC_DT: NCH Daily Process Date |
| LINK_NUM | LINK_NUM | CHAR | Version I | (Encrypted) NCH_SGMT_LINK_NUM: NCH Segment Link Number |
| SGMT_CNT | SGMT_CNT | NUM | Version I | CLM_TOT_SGMT_CNT: Claim Total Segment Count |
| SGMT_NUM | SGMT_NUM | NUM | Version I | CLM_SGMT_NUM: Claim Segment Number |
| LINECNT | LINECNT | NUM | Version I | CLM_TOT_LINE_CNT: Claim Total Line Count |
| SGMTLINE | SGMTLINE | NUM | Version I | CLM_SGMT_LINE_CNT: Claim Segment Line Count |
| PE_RIC | PE_RIC | CHAR | Version I | NCH_PMT_EDIT_RIC_CD: NCH Payment and Edit Record Identification Code |
| TRANS_CD | TRANS_CD | CHAR | Version I | CLM_TRANS_CD: Claim Transaction Code |
| FAC_TYPE | FAC_TYPE | CHAR | Version I | CLM_FAC_TYPE_CD: Claim Facility Type Code |
| TYPESRVC | TYPESRVC | CHAR | Version I | CLM_SRVC_CLSFCTN_TYPE_CD: Claim Service classification Type Code |
| FREQ_CD | FREQ_CD | CHAR | Version I | CLM_FREQ_CD: Claim Frequency Code |
| MQAQUERY | MQAQUERY | CHAR | Version I | NCH_MQA_QUERY_PATCH_CD: NCH MQA Query Patch Code |
| DISP_CD | DISP_CD | CHAR | Version I | CLM_DISP_CD: Claim Disposition Code |
| EDITDISP | EDITDISP | CHAR | Version I | NCH_EDIT_DISP_CD: NCH Edit Disposition Code |
| BIC_MDFY | BIC_MDFY | CHAR | Version I | NCH_CLM_BIC_MDFY_CD: NCH Claim BIC Modify H Code |
| CNTY_CD | CNTY_CD | CHAR | Version I | BENE_RSDNC_SSA_STD_CNTY_CD: Beneficiary Residence SSA tandard county code |
| RCPT_DT | RCPT_DT | CHAR | Version I | FI_CLM_RCPT_DT: FI Claim Receipt Date |
| SCHLD_DT | SCHLD_DT | CHAR | Version I | FI_CLM_SCHLD_PMT_DT: FI Claim Scheduled Payment Date |
| FRWRD_DT | FRWRD_DT | CHAR | Version I | CWF_FRWRD_DT: CWF Forwarded Date |
| FI_NUM | FI_NUM | CHAR | Version I | FI_NUM: FI Number |
| ASGN_NUM | ASGN_NUM | CHAR | Version I | CWF_CLM_ASGN_NUM: CWF Claim Assigned Number |
| FIBATCH | FIBATCH | CHAR | Version I | CWF_TRNSMSN_BATCH_NUM: CWF Transmission Batch Number |
| BENE_ZIP | BENE_ZIP | CHAR | Version I | BENE_MLG_CNTCT_ZIP_CD: Beneficiary Mailing Contact ZIP Code |
| SEX | SEX | CHAR | Version I | BENE_SEX_IDENT_CD: Beneficiary Sex Identification Code |
| RACE | RACE | CHAR | Version I | BENE_RACE_CD: Beneficiary Race Code |
| BENE_DOB | BENE_DOB | CHAR | Version I | BENE_BIRTH_DT: Beneficiary Birth Date |
| MS_CD | MS_CD | CHAR | Version I | CWF_BENE_MDCR_STUS_CD: CWF Beneficiary Medicare Status Code |
| SURNAME | SURNAME | CHAR | Version I | (Blanked) CLM_PTNT_6_PSTN_SRNM_NAME: Claim Patient 6 Position Surname |
| FRSTINIT | FRSTINIT | CHAR | Version I | (Blanked) CLM_PTNT_1ST_INITL_GVN_NAME: Claim Patient 1st Initial Given Name |
| MDL_INIT | MDL_INIT | CHAR | Version I | (Blanked) CLM_PTNT_1ST_INITL_MDL_NAME: Claim Patient First Initial Middle Name |
| CWFLOCCD | CWFLOCCD | CHAR | Version I | BENE_CWF_LOC_CD: Beneficiary CWF Location Code |
| PDGNS_CD | PDGNS_CD | CHAR | Version I | CLM_PRNCPAL_DGNS_CD: Claim Principal Diagnosis Code |
| NOPAY_CD | NOPAY_CD | CHAR | Version I | CLM_MDCR_NPMT_RSN_CD: Claim Medicare Non Payment Reason Code |
| TRTMT_CD | TRTMT_CD | CHAR | Version I | CLM_EXCPTD_NEXCPTD_TRTMT_CD: Claim Excepted/Nonexcepted Medical Treatment Code |
| PMT_AMT | PMT_AMT | NUM | Version I | CLM_PMT_AMT: Claim Payment Amount |
| PRPAYAMT | PRPAYAMT | NUM | Version I | NCH_PRMRY_PYR_CLM_PD_AMT: NCH Primary Payer Claim Paid Amount |
| PRPAY_CD | PRPAY_CD | CHAR | Version I | NCH_PRMRY_PYR_CD: NCH Primary Payer Code |
| CANCELCD | CANCELCD | CHAR | Version I | FI_RQST_CLM_CNCL_RSN_CD: FI Requested Claim Cancel Reason Code |
| ACTIONCD | ACTIONCD | CHAR | Version I | FI_CLM_ACTN_CD: FI Claim Action Code |
| APRVL_DT | APRVL_DT | CHAR | Version I | FI_CLM_PROC_DT: FI Claim Process Date |
| PRSTATE | PRSTATE | CHAR | Version I | NCH_PRVDR_STATE_CD: NCH Provider State Code |
| ORGNPINM | ORGNPINM | CHAR | Version I | ORG_NPI_NUM: Organization NPI Number |
| AT_UPIN | AT_UPIN | CHAR | Version I | CLM_ATNDG_PHYSN_UPIN_NUM: Claim Attending Physician UPIN Number |
| AT_NPI | AT_NPI | CHAR | Version I | CLM_ATNDG_PHYSN_NPI_NUM: Claim Attending Physician NPI Number |
| AT_SRNM | AT_SRNM | CHAR | Version I | (Blanked) CLM_ATNDG_PHYSN_SRNM_NAME: Claim Attending Physician Surname |
| AT_GVNNM | AT_GVNNM | CHAR | Version I | (Blanked) CLM_ATNDG_PHYSN_GVN_NAME: Claim Attending Physician Given Name |
| AT_MDL | AT_MDL | CHAR | Version I | (Blanked) CLM_ATNDG_PHYSN_MDL_INITL_NAME: Claim Attending Physician Middle Initial Name |
| OP_UPIN | OP_UPIN | CHAR | Version I | CLM_OPRTG_PHYSN_UPIN_NUM: Claim Operating Physician UPIN Number |
| OP_NPI | OP_NPI | CHAR | Version I | CLM_OPRTG_PHYSN_NPI_NUM: Claim Operating Physician NPI Number |
| OP_SRNM | OP_SRNM | CHAR | Version I | (Blanked) CLM_OPRTG_PHYSN_SRNM_NAME: Claim Operating Physician Surname |
| OP_GVN | OP_GVN | CHAR | Version I | (Blanked) CLM_OPRTG_PHYSN_GVN_NAME: Claim Operating Physician Given Name |
| OP_MDL | OP_MDL | CHAR | Version I | (Blanked) CLM_OPRTG_PHYSN_MDL_INITL_NAME: Claim Operating Physician Middle Initial Name |
| OT_UPIN | OT_UPIN | CHAR | Version I | CLM_OTHR_PHYSN_UPIN_NUM: Claim Other Physician UPIN Number |
| OT_NPI | OT_NPI | CHAR | Version I | CLM_OTHR_PHYSN_NPI_NUM: Claim Other Physician NPI Number |
| OT_SRNM | OT_SRNM | CHAR | Version I | (Blanked) CLM_OTHR_PHYSN_SRNM_NAME: Claim Other Physician Surname |
| OT_GVN | OT_GVN | CHAR | Version I | (Blanked) CLM_OTHR_PHYSN_GVN_NAME: Claim Other Physician Given Name |
| OT_MDL | OT_MDL | CHAR | Version I | (Blanked) CLM_OTHR_PHYSN_MDL_INITL_NAME: Claim Other Physician Middle Initial Name |
| MDCD_PRV | MDCD_PRV | CHAR | Version I | MDCD_PRVDR_IDENT_NUM: Medicaid Provider Identification Number |
| MDCDINFO | MDCDINFO | CHAR | Version I | CLM_MDCD_INFO_CD: Claim Medicaid Information Code |
| MCOPDSW | MCOPDSW | CHAR | Version I | CLM_MCO_PD_SW: Claim MCO Paid Switch |
| AUTHRZTN | AUTHRZTN | CHAR | Version I | CLM_TRTMT_AUTHRZTN_NUM: Claim Treatment Authorization Number |
| PTNTCNTL | PTNTCNTL | CHAR | Version I | PTNT_CNTL_NUM: Patient Control Number |
| MDCL_REC | MDCL_REC | CHAR | Version I | CLM_MDCL_REC_NUM: Claim Medical Record Number |
| PRO_CNTL | PRO_CNTL | CHAR | Version I | CLM_PRO_CNTL_NUM: Claim PRO Control Number |
| PRO_DT | PRO_DT | CHAR | Version I | CLM_PRO_PROC_DT: Claim PRO Process Date |
| STUS_CD | STUS_CD | CHAR | Version I | PTNT_DSCHRG_STUS_CD: Patient Discharge Status Code |
| DGNS_E | DGNS_E | CHAR | Version I | CLM_DGNS_E_CD: Claim Diagnosis E Code |
| PPS_IND | PPS_IND | CHAR | Version I | CLM_PPS_IND_CD: Claim PPS Indicator Code |
| TOT_CHRG | TOT_CHRG | NUM | Version I | CLM_TOT_CHRG_AMT: Claim Total Charge Amount |
| PRCRRTRN | PRCRRTRN | CHAR | Version I | CLM_PRCR_RTRN_CD: Claim Pricer Return Code |
| HSEDCNT | HSEDCNT | NUM | Version I | HOSPC_NCH_EDIT_CD_CNT: Hospice NCH Edit Code Count |
| HSPATCNT | HSPATCNT | NUM | Version I | HOSPC_NCH_PATCH_CD_I_CNT: Hospice NCH Patch Code Count |
| HSMCOCNT | HSMCOCNT | NUM | Version I | HOSPC_MCO_PRD_CNT: Hospice MCO Period Count |
| HSPLNCNT | HSPLNCNT | NUM | Version I | HOSPC_CLM_HLTH_PLANID_CNT: Hospice Claim Health PlanID Count |
| HSDEMCNT | HSDEMCNT | NUM | Version I | HOSPC_CLM_DEMO_ID_CNT: Hospice Claim Demonstration ID Count |
| HSDGNCNT | HSDGNCNT | NUM | Version I | HOSPC_CLM_DGNS_CD_CNT: Hospice Claim Diagnosis Code Count |
| HSPRCNT | HSPRCNT | NUM | Version I | HOSPC_CLM_PRCDR_CD_CNT: Hospice Claim Procedure Code Count |
| HSCONCNT | HSCONCNT | NUM | Version I | HOSPC_CLM_RLT_COND_CD_CNT: Hospice Claim Related Condition Code Count |
| HSOCRCNT | HSOCRCNT | NUM | Version I | HOSPC_CLM_RLT_OCRNC_CD_CNT: Hospice Claim Related Occurrence Code Count |
| HSSPNCNT | HSSPNCNT | NUM | Version I | HOSPC_CLM_OCRNC_SPAN_CD_CNT: Hospice Claim Occurrence Span Code Count |
| HSVALCNT | HSVALCNT | NUM | Version I | HOSPC_CLM_VAL_CD_CNT: Hospice Claim Value Code Count |
| HSREVCNT | HSREVCNT | NUM | Version I | HOSPC_REV_CNTR_CD_I_CNT: Hospice Revenue Center Code Count |
| PTNTSTUS | PTNTSTUS | CHAR | Version I | NCH_PTNT_STUS_IND_CD: NCH Patient Status Indicator Code |
| HSPCSTRT | HSPCSTRT | CHAR | Version I | CLM_HOSPC_STRT_DT: Claim Hospice Start Date |
| EXHST_DT | EXHST_DT | CHAR | Version I | NCH_MDCR_BNFT_EXHST_DT: NCH Beneficiary Medicare Benefits Exhausted Date |
| DSCHRGDT | DSCHRGDT | CHAR | Version I | NCH_BENE_DSCHRG_DT: NCH Beneficiary Discharge Date |
| UTIL_DAY | UTIL_DAY | NUM | Version I | CLM_UTLZTN_DAY_CNT: Claim Utilization Day Count |
| HOSPCPRD | HOSPCPRD | NUM | Version I | BENE_HOSPC_PRD_CNT: Beneficiary's Hospice Period Count |
| EDTND | EDTND01-EDTND13 | CHAR | Version I | NCH_EDIT_TRLR_IND_CD(01-13): NCH Edit Trailer Indicator Code |
| EDITCD | EDITCD01-EDITCD13 | CHAR | Version I | NCH_EDIT_CD(01-13): NCH Edit Code |
| PTCHND | PTCHND01-PTCHND30 | CHAR | Version I | NCH_PATCH_TRLR_IND_CD(01-30): NCH Patch Trailer Indicator Code |
| PTCHCD | PTCHCD01-PTCHCD30 | CHAR | Version I | NCH_PATCH_CD(01-30): NCH Patch Code |
| PTCHDT | PTCHDT01-PTCHDT30 | CHAR | Version I | NCH_PATCH_APPLY_DT(01-30): NCH Patch Applied Date |
| MCOIND | MCOIND1-MCOIND2 | CHAR | Version I | NCH_MCO_TRLR_IND_CD(1-2): NCH MCO Trailer Indicator Code |
| MCONUM | MCONUM1-MCONUM2 | CHAR | Version I | MCO_CNTRCT_NUM(1-2): MCO Contract Number |
| MCOOPTN | MCOOPTN1-MCOOPTN2 | CHAR | Version I | MCO_OPTN_CD(1-2): MCO Option Code |
| MCFFDT | MCFFDT1-MCFFDT2 | CHAR | Version I | MCO_PRD_EFCTV_DT(1-2): MCO Period Effective Date |
| MCTRMDT | MCTRMDT1-MCTRMDT2 | CHAR | Version I | MCO_PRD_TRMNTN_DT(1-2): MCO Period Termination Date |
| MCPLND | MCPLND1-MCPLND2 | CHAR | Version I | MCO_HLTH_PLANID_NUM(1-2): MCO Health PLANID Number |
| PLNDND | PLNDND1-PLNDND3 | CHAR | Version I | NCH_HLTH_PLANID_TRLR_IND_CD(1-3): NCH Health PlanID Trailer Indicator Code |
| PLNDCD | PLNDCD1-PLNDCD3 | CHAR | Version I | CLM_HLTH_PLANID_CD(1-3): Claim Health PlanID Code |
| PLANID | PLANID1-PLANID3 | CHAR | Version I | CLM_HLTH_PLANID_NUM(1-3): Claim Health PlanID Number |
| DEMOIND | DEMOIND1-DEMOIND5 | CHAR | Version I | NCH_DEMO_TRLR_IND_CD(1-5): NCH Demonstration Trailer Indicator Code |
| DEMONUM | DEMONUM1-DEMONUM5 | CHAR | Version I | CLM_DEMO_ID_NUM(1-5): Claim Demonstration Identification Number |
| DEMOTXT | DEMOTXT1-DEMOTXT5 | CHAR | Version I | CLM_DEMO_INFO_TXT(1-5): Claim Demonstration Information Text |
| DGNSND | DGNSND01-DGNSND10 | CHAR | Version I | NCH_DGNS_TRLR_IND_CD(01-10): NCH Diagnosis Trailer Indicator Code |
| DGNSCD | DGNSCD01-DGNSCD10 | CHAR | Version I | CLM_DGNS_CD(01-10): Claim Diagnosis Code |
| PRCDRND | PRCDRND1-PRCDRND6 | CHAR | Version I | NCH_PRCDR_TRLR_IND_CD(1-6): NCH Procedure Trailer Indicator Code |
| PRCDRCD | PRCDRCD1-PRCDRCD6 | CHAR | Version I | CLM_PRCDR_CD(1-6): Claim Procedure Code |
| PRCDRDT | PRCDRDT1-PRCDRDT6 | CHAR | Version I | CLM_PRCDR_PRFRM_DT(1-6): Claim Procedure Performed Date |
| CNDND | CNDND01-CNDND30 | CHAR | Version I | NCH_COND_TRLR_IND_CD(01-30): NCH Condition Trailer Indicator Code |
| RLTCND | RLTCND01-RLTCND30 | CHAR | Version I | CLM_RLT_COND_CD(01-30): Claim Related Condition Code |
| OCRCND | OCRCND01-OCRCND30 | CHAR | Version I | NCH_OCRNC_TRLR_IND_CD(01-30): NCH Occurrence Trailer Indicator Code |
| OCRCCD | OCRCCD01-OCRCCD30 | CHAR | Version I | CLM_RLT_OCRNC_CD(01-30): Claim Related Occurrence Code |
| OCRCDT | OCRCDT01-OCRCDT30 | CHAR | Version I | CLM_RLT_OCRNC_DT(01-30): Claim Related Occurrence Date |
| SPNND | SPNND01-SPNND10 | CHAR | Version I | NCH_SPAN_TRLR_IND_CD(01-10): NCH Span Trailer Indicator Code |
| SPANCD | SPANCD01-SPANCD10 | CHAR | Version I | CLM_OCRNC_SPAN_CD(01-10): Claim Occurrence Span Code |
| SPNFRM | SPNFRM01-SPNFRM10 | CHAR | Version I | CLM_OCRNC_SPAN_FROM_DT(01-10): Claim Occurrence Span From Date |
| SPNTHR | SPNTHR01-SPNTHR10 | CHAR | Version I | CLM_OCRNC_SPAN_THRU_DT(01-10): Claim Occurrence Span Through Date |
| VALIND | VALIND01-VALIND36 | CHAR | Version I | NCH_VAL_TRLR_IND_CD(01-36): NCH Value Trailer Indicator Code |
| VAL_CD | VAL_CD01-VAL_CD36 | CHAR | Version I | CLM_VAL_CD(01-36): Claim Value Code |
| VALAMT | VALAMT01-VALAMT36 | NUM | Version I | CLM_VAL_AMT(01-36): Claim Value Amount |
| REVIND | REVIND01-REVIND45 | CHAR | Version I | NCH_REV_CNTR_TRLR_IND_CD(01-45): NCH Revenue Center Trailer Indicator Code |
| RVCNTR | RVCNTR01-RVCNTR45 | CHAR | Version I | REV_CNTR_CD(01-45): Revenue Center Code |
| REV_DT | REV_DT01-REV_DT45 | CHAR | Version I | REV_CNTR_DT(01-45): Revenue Center Date |
| RVNS1 | RVNS101-RVNS145 | CHAR | Version I | REV_CNTR_ANSI_1_CD(01-45): Revenue Center 1st ANSI Code |
| RVNS2 | RVNS201-RVNS245 | CHAR | Version I | REV_CNTR_ANSI_2_CD(01-45): Revenue Center 2nd ANSI Code |
| RVNS3 | RVNS301-RVNS345 | CHAR | Version I | REV_CNTR_ANSI_3_CD(01-45): Revenue Center 3rd ANSI Code |
| RVNS4 | RVNS401-RVNS445 | CHAR | Version I | REV_CNTR_ANSI_4_CD(01-45): Revenue Center 4th ANSI Code |
| APCPPS | APCPPS01-APCPPS45 | CHAR | Version I | REV_CNTR_APC_HIPPS_CD(01-45): Revenue Center APC/HIPPS |
| HCPSCD | HCPSCD01-HCPSCD45 | CHAR | Version I | REV_CNTR_HCPCS_CD(01-45): Revenue Center CMS Common Procedure Coding System |
| MDFCD1 | MDFCD101-MDFCD145 | CHAR | Version I | REV_CNTR_HCPCS_INITL_MDFR_CD(01-45): Revenue Center HCPCS Initial Modifier Code |
| MDFCD2 | MDFCD201-MDFCD245 | CHAR | Version I | REV_CNTR_HCPCS_2ND_MDFR_CD(01-45): Revenue Center HCPCS Second Modifier Code |
| MDFCD3 | MDFCD301-MDFCD345 | CHAR | Version I | REV_CNTR_HCPCS_3RD_MDFR_CD(01-45): Revenue Center HCPCS Third Modifier Code |
| MDFCD4 | MDFCD401-MDFCD445 | CHAR | Version I | REV_CNTR_HCPCS_4TH_MDFR_CD(01-45): Revenue Center HCPCS Fourth Modifier Code |
| MDFCD5 | MDFCD501-MDFCD545 | CHAR | Version I | REV_CNTR_HCPCS_5TH_MDFR_CD(01-45): Revenue Center HCPCS Fifth Modifier Code |
| PMTTHD | PMTTHD01-PMTTHD45 | CHAR | Version I | REV_CNTR_PMT_MTHD_IND_CD(01-45): Revenue Center Payment Method Indicator Code |
| DSCTND | DSCTND01-DSCTND45 | CHAR | Version I | REV_CNTR_DSCNT_IND_CD(01-45): Revenue Center Discount Indicator Code |
| PCKGND | PCKGND01-PCKGND45 | CHAR | Version I | REV_CNTR_PACKG_IND_CD(01-45): Revenue Center Packaging Indicator Code |
| PRICNG | PRICNG01-PRICNG45 | CHAR | Version I | REV_CNTR_PRICNG_IND_CD(01-45): Revenue Center Pricing Indicator Code |
| OTAF_1 | OTAF_101-OTAF_145 | CHAR | Version I | REV_CNTR_OTAF_1_IND_CD(01-45): Revenue Center Obligation to Accept As Full (OTAF) Payment Code |
| OTAF_2 | OTAF_201-OTAF_245 | CHAR | Version I | REV_CNTR_OTAF_2_IND_CD(01-45): Revenue Center Obligation to Accept As Full (OTAF) Payment Code |
| IDENDC | IDENDC01-IDENDC45 | CHAR | Version I | REV_CNTR_IDE_NDC_UPC_NUM(01-45): Revenue Center IDE, NDC, UPC Number |
| RVUNT | RVUNT01-RVUNT45 | NUM | Version I | REV_CNTR_UNIT_CNT(01-45): Revenue Center Unit Count |
| RVRT | RVRT01-RVRT45 | NUM | Version I | REV_CNTR_RATE_AMT(01-45): Revenue Center Rate Amount |
| RVBLD | RVBLD01-RVBLD45 | NUM | Version I | REV_CNTR_BLOOD_DDCTBL_AMT(01-45): Revenue Center Blood Deductible Amount |
| RVDTBL | RVDTBL01-RVDTBL45 | NUM | Version I | REV_CNTR_CASH_DDCTBL_AMT(01-45): Revenue Center Cash Deductible Amount |
| WGDJ | WGDJ01-WGDJ45 | NUM | Version I | REV_CNTR_WAGE_ADJSTD_COINS_AMT(01-45): Revenue Center Coinsurance/Wage Adjusted Coinsurance Amount |
| RDCDCN | RDCDCN01-RDCDCN45 | NUM | Version I | REV_CNTR_RDCD_COINS_AMT(01-45): Revenue Center Reduced Coinsurance Amount |
| RVMSP1 | RVMSP101-RVMSP145 | NUM | Version I | REV_CNTR_MSP1_PD_AMT(01-45): Revenue Center 1st Medicare Secondary Payer Paid Amount |
| RVMSP2 | RVMSP201-RVMSP245 | NUM | Version I | REV_CNTR_MSP2_PD_AMT(01-45): Revenue Center 2nd Medicare Secondary Payer Paid Amount |
| RVPCHG | RVPCHG01-RVPCHG45 | NUM | Version I | REV_CNTR_PROFNL_CMPNT_AMT(01-45): Revenue Center Professional Component Amount |
| RPRPMT | RPRPMT01-RPRPMT45 | NUM | Version I | REV_CNTR_PRVDR_PMT_AMT(01-45): Revenue Center Provider Payment Amount |
| RBNPMT | RBNPMT01-RBNPMT45 | NUM | Version I | REV_CNTR_BENE_PMT_AMT(01-45): Revenue Center Beneficiary Payment Amount |
| PTNRSP | PTNRSP01-PTNRSP45 | NUM | Version I | REV_CNTR_PTNT_RESP_PMT_AMT(01-45): Revenue Center Patient Responsibility Payment |
| REVPMT | REVPMT01-REVPMT45 | NUM | Version I | REV_CNTR_PMT_AMT(01-45): Revenue Center Payment Amount Amount |
| RVCHRG | RVCHRG01-RVCHRG45 | NUM | Version I | REV_CNTR_TOT_CHRG_AMT(01-45): Revenue Center Total Charge Amount |
| RVNCVR | RVNCVR01-RVNCVR45 | NUM | Version I | REV_CNTR_NCVR_CHRG_AMT(01-45): Revenue Center Non-Covered Charge Amount |
| RVDDCD | RVDDCD01-RVDDCD45 | CHAR | Version I | REV_CNTR_DDCTBL_COINSRNC_CD(01-45): Revenue Center Deductible Coinsurance Code |
HRS Provider Release Medicare
| Inpatient (IP) |
| SAS Alias | Variable Name(s) | Type | Documentation | Documentation | Label |
|---|---|---|---|---|---|
| BID_HRS | BID_HRS | CHAR | Version H | Version I | Beneficiary Identification Number |
| REC_LEN | REC_LEN | NUM | Version H | Version I | REC_LNGTH_CNT: Record Length Count |
| REC_LVL | REC_LVL | CHAR | Version H | Version I | NCH_NEAR_LINE_REC_VRSN_CD: NCH Near-Line Record Version code |
| RIC_CD | RIC_CD | CHAR | Version H | Version I | NCH_NEAR_LINE_RIC_CD: NCH Near Line Record Identification Code |
| MQA_RIC | MQA_RIC | CHAR | Version H | Version I | NCH_MQA_RIC_CD: NCH MQA RIC Code |
| CLM_TYPE | CLM_TYPE | CHAR | Version H | Version I | NCH_CLM_TYPE_CD: NCH Claim Type Code |
| CAN | CAN | CHAR | Version H | Version I | (Blanked) BENE_CLM_ACNT_NUM: Beneficiary Claim Account Number |
| EQ_BIC | EQ_BIC | CHAR | Version H | Version I | (Blanked) NCH_CTGRY_EQTBL_BIC_CD: NCH Category Equatable Beneficiary Identification Code |
| BIC | BIC | CHAR | Version H | Version I | (Blanked) BENE_IDENT_CD: Beneficiary Identification Code |
| ST_SGMT | ST_SGMT | CHAR | Version H | Version I | NCH_STATE_SGMT_CD: NCH State Segment Code |
| STATE_CD | STATE_CD | CHAR | Version H | Version I | BENE_RSDNC_SSA_STD_STATE_CD: Beneficiary Residence SSA Standard State Code |
| FROM_DT | FROM_DT | CHAR | Version H | Version I | CLM_FROM_DT: Claim From Date |
| THRU_DT | THRU_DT | CHAR | Version H | Version I | CLM_THRU_DT: Claim Through Date |
| WKLY_DT | WKLY_DT | CHAR | Version H | Version I | NCH_WKLY_PROC_DT: NCH Weekly Claim Processing Date |
| ACRTN_DT | ACRTN_DT | CHAR | Version H | Version I | CWF_CLM_ACRTN_DT: CWF Claim Accretion Date |
| ACRTN_NM | ACRTN_NM | NUM | Version H | Version I | CWF_CLM_ACRTN_NUM: CWF Claim Accretion Number |
| CLM_CNTL | CLM_CNTL | CHAR | Version H | Version I | (Encrypted) FI_DOC_CLM_CNTL_NUM: FI Document Claim Control Number |
| ORIGCNTL | ORIGCNTL | CHAR | Version H | Version I | (Encrypted) FI_ORIG_CLM_CNTL_NUM: FI Original Claim Control Number |
| QUERY_CD | QUERY_CD | CHAR | Version H | Version I | CLM_QUERY_CD: Claim Query Code |
| PROVIDER | PROVIDER | CHAR | Version H | Version I | PRVDR_NUM: Provider Number |
| DAILY_DT | DAILY_DT | CHAR | Version H | Version I | NCH_DAILY_PROC_DT: NCH Daily Process Date |
| LINK_NUM | LINK_NUM | CHAR | Version I | (Encrypted) NCH_SGMT_LINK_NUM: NCH Segment Link Number | |
| SGMT_CNT | SGMT_CNT | NUM | Version I | CLM_TOT_SGMT_CNT: Claim Total Segment Count | |
| SGMT_NUM | SGMT_NUM | NUM | Version I | CLM_SGMT_NUM: Claim Segment Number | |
| LINECNT | LINECNT | NUM | Version I | CLM_TOT_LINE_CNT: Claim Total Line Count | |
| SGMTLINE | SGMTLINE | NUM | Version I | CLM_SGMT_LINE_CNT: Claim Segment Line Count | |
| PE_RIC | PE_RIC | CHAR | Version H | Version I | NCH_PMT_EDIT_RIC_CD: NCH Payment and Edit Record Identification Code |
| TRANS_CD | TRANS_CD | CHAR | Version H | Version I | CLM_TRANS_CD: Claim Transaction Code |
| FAC_TYPE | FAC_TYPE | CHAR | Version H | Version I | CLM_FAC_TYPE_CD: Claim Facility Type Code |
| TYPESRVC | TYPESRVC | CHAR | Version H | Version I | CLM_SRVC_CLSFCTN_TYPE_CD: Claim Service classification Type Code |
| FREQ_CD | FREQ_CD | CHAR | Version H | Version I | CLM_FREQ_CD: Claim Frequency Code |
| MQAQUERY | MQAQUERY | CHAR | Version H | Version I | NCH_MQA_QUERY_PATCH_CD: NCH MQA Query Patch Code |
| DISP_CD | DISP_CD | CHAR | Version H | Version I | CLM_DISP_CD: Claim Disposition Code |
| EDITDISP | EDITDISP | CHAR | Version H | Version I | NCH_EDIT_DISP_CD: NCH Edit Disposition Code |
| BIC_MDFY | BIC_MDFY | CHAR | Version H | Version I | NCH_CLM_BIC_MDFY_CD: NCH Claim BIC Modify H Code |
| CNTY_CD | CNTY_CD | CHAR | Version H | Version I | BENE_RSDNC_SSA_STD_CNTY_CD: Beneficiary Residence SSA tandard county code |
| RCPT_DT | RCPT_DT | CHAR | Version H | Version I | FI_CLM_RCPT_DT: FI Claim Receipt Date |
| SCHLD_DT | SCHLD_DT | CHAR | Version H | Version I | FI_CLM_SCHLD_PMT_DT: FI Claim Scheduled Payment Date |
| FRWRD_DT | FRWRD_DT | CHAR | Version H | Version I | CWF_FRWRD_DT: CWF Forwarded Date |
| FI_NUM | FI_NUM | CHAR | Version H | Version I | FI_NUM: FI Number |
| ASGN_NUM | ASGN_NUM | CHAR | Version H | Version I | CWF_CLM_ASGN_NUM: CWF Claim Assigned Number |
| FIBATCH | FIBATCH | CHAR | Version H | Version I | CWF_TRNSMSN_BATCH_NUM: CWF Transmission Batch Number |
| BENE_ZIP | BENE_ZIP | CHAR | Version H | Version I | BENE_MLG_CNTCT_ZIP_CD: Beneficiary Mailing Contact ZIP Code |
| SEX | SEX | CHAR | Version H | Version I | BENE_SEX_IDENT_CD: Beneficiary Sex Identification Code |
| RACE | RACE | CHAR | Version H | Version I | BENE_RACE_CD: Beneficiary Race Code |
| BENE_DOB | BENE_DOB | CHAR | Version H | Version I | BENE_BIRTH_DT: Beneficiary Birth Date |
| MS_CD | MS_CD | CHAR | Version H | Version I | CWF_BENE_MDCR_STUS_CD: CWF Beneficiary Medicare Status Code |
| SURNAME | SURNAME | CHAR | Version H | Version I | (Blanked) CLM_PTNT_6_PSTN_SRNM_NAME: Claim Patient 6 Position Surname |
| FRSTINIT | FRSTINIT | CHAR | Version H | Version I | (Blanked) CLM_PTNT_1ST_INITL_GVN_NAME: Claim Patient 1st Initial Given Name |
| MDL_INIT | MDL_INIT | CHAR | Version H | Version I | (Blanked) CLM_PTNT_1ST_INITL_MDL_NAME: Claim Patient First Initial Middle Name |
| CWFLOCCD | CWFLOCCD | CHAR | Version H | Version I | BENE_CWF_LOC_CD: Beneficiary CWF Location Code |
| PDGNS_CD | PDGNS_CD | CHAR | Version H | Version I | CLM_PRNCPAL_DGNS_CD: Claim Principal Diagnosis Code |
| NOPAY_CD | NOPAY_CD | CHAR | Version H | Version I | CLM_MDCR_NPMT_RSN_CD: Claim Medicare Non Payment Reason Code |
| TRTMT_CD | TRTMT_CD | CHAR | Version I | CLM_EXCPTD_NEXCPTD_TRTMT_CD: Claim Excepted/Nonexcepted Medical Treatment Code | |
| PMT_AMT | PMT_AMT | NUM | Version H | Version I | CLM_PMT_AMT: Claim Payment Amount |
| ORGLOCCD | ORGLOCCD | CHAR | Version H | ORG_PRVDR_LOC_CD: Organization Provider Location Code | |
| PRPAYAMT | PRPAYAMT | NUM | Version H | Version I | NCH_PRMRY_PYR_CLM_PD_AMT: NCH Primary Payer Claim Paid Amount |
| PRPAY_CD | PRPAY_CD | CHAR | Version H | Version I | NCH_PRMRY_PYR_CD: NCH Primary Payer Code |
| CANCELCD | CANCELCD | CHAR | Version H | Version I | FI_RQST_CLM_CNCL_RSN_CD: FI Requested Claim Cancel Reason Code |
| ACTIONCD | ACTIONCD | CHAR | Version H | Version I | FI_CLM_ACTN_CD: FI Claim Action Code |
| AT_LOC | AT_LOC | CHAR | Version H | CLM_ATNDG_PHYSN_LOC_CD: Claim Attending Physician Location Code | |
| APRVL_DT | APRVL_DT | CHAR | Version H | Version I | FI_CLM_PROC_DT: FI Claim Process Date |
| PRSTATE | PRSTATE | CHAR | Version H | Version I | NCH_PRVDR_STATE_CD: NCH Provider State Code |
| ORGNPINM | ORGNPINM | CHAR | Version H | Version I | ORG_NPI_NUM: Organization NPI Number |
| AT_UPIN | AT_UPIN | CHAR | Version H | Version I | CLM_ATNDG_PHYSN_UPIN_NUM: Claim Attending Physician UPIN Number |
| AT_NPI | AT_NPI | CHAR | Version H | Version I | CLM_ATNDG_PHYSN_NPI_NUM: Claim Attending Physician NPI Number |
| AT_SRNM | AT_SRNM | CHAR | Version H | Version I | (Blanked) CLM_ATNDG_PHYSN_SRNM_NAME: Claim Attending Physician Surname |
| OP_LOC | OP_LOC | CHAR | Version H | CLM_OPRTG_PHYSN_LOC_CD: Claim Operating Physician Location Code | |
| AT_GVNNM | AT_GVNNM | CHAR | Version H | Version I | (Blanked) CLM_ATNDG_PHYSN_GVN_NAME: Claim Attending Physician Given Name |
| AT_MDL | AT_MDL | CHAR | Version H | Version I | (Blanked) CLM_ATNDG_PHYSN_MDL_INITL_NAME: Claim Attending Physician Middle Initial Name |
| OP_UPIN | OP_UPIN | CHAR | Version H | Version I | CLM_OPRTG_PHYSN_UPIN_NUM: Claim Operating Physician UPIN Number |
| OP_NPI | OP_NPI | CHAR | Version H | Version I | CLM_OPRTG_PHYSN_NPI_NUM: Claim Operating Physician NPI Number |
| OP_SRNM | OP_SRNM | CHAR | Version H | Version I | (Blanked) CLM_OPRTG_PHYSN_SRNM_NAME: Claim Operating Physician Surname |
| OP_GVN | OP_GVN | CHAR | Version H | Version I | (Blanked) CLM_OPRTG_PHYSN_GVN_NAME: Claim Operating Physician Given Name |
| OT_LOC | OT_LOC | CHAR | Version H | CLM_OTHR_PHYSN_LOC_CD: Claim Other Physician Location Code | |
| OP_MDL | OP_MDL | CHAR | Version H | Version I | (Blanked) CLM_OPRTG_PHYSN_MDL_INITL_NAME: Claim Operating Physician Middle Initial Name |
| OT_UPIN | OT_UPIN | CHAR | Version H | Version I | CLM_OTHR_PHYSN_UPIN_NUM: Claim Other Physician UPIN Number |
| OT_NPI | OT_NPI | CHAR | Version H | Version I | CLM_OTHR_PHYSN_NPI_NUM: Claim Other Physician NPI Number |
| OT_SRNM | OT_SRNM | CHAR | Version H | Version I | (Blanked) CLM_OTHR_PHYSN_SRNM_NAME: Claim Other Physician Surname |
| OT_GVN | OT_GVN | CHAR | Version H | Version I | (Blanked) CLM_OTHR_PHYSN_GVN_NAME: Claim Other Physician Given Name |
| OT_MDL | OT_MDL | CHAR | Version H | Version I | (Blanked) CLM_OTHR_PHYSN_MDL_INITL_NAME: Claim Other Physician Middle Initial Name |
| MDCD_PRV | MDCD_PRV | CHAR | Version H | Version I | MDCD_PRVDR_IDENT_NUM: Medicaid Provider Identification Number |
| MDCDINFO | MDCDINFO | CHAR | Version H | Version I | CLM_MDCD_INFO_CD: Claim Medicaid Information Code |
| MCOPDSW | MCOPDSW | CHAR | Version H | Version I | CLM_MCO_PD_SW: Claim MCO Paid Switch |
| AUTHRZTN | AUTHRZTN | CHAR | Version H | Version I | CLM_TRTMT_AUTHRZTN_NUM: Claim Treatment Authorization Number |
| PTNTCNTL | PTNTCNTL | CHAR | Version H | Version I | PTNT_CNTL_NUM: Patient Control Number |
| MDCL_REC | MDCL_REC | CHAR | Version H | Version I | CLM_MDCL_REC_NUM: Claim Medical Record Number |
| PRO_CNTL | PRO_CNTL | CHAR | Version H | Version I | CLM_PRO_CNTL_NUM: Claim PRO Control Number |
| PRO_DT | PRO_DT | CHAR | Version H | Version I | CLM_PRO_PROC_DT: Claim PRO Process Date |
| STUS_CD | STUS_CD | CHAR | Version H | Version I | PTNT_DSCHRG_STUS_CD: Patient Discharge Status Code |
| DGNS_E | DGNS_E | CHAR | Version H | Version I | CLM_DGNS_E_CD: Claim Diagnosis E Code |
| PPS_IND | PPS_IND | CHAR | Version H | Version I | CLM_PPS_IND_CD: Claim PPS Indicator Code |
| TOT_CHRG | TOT_CHRG | NUM | Version H | Version I | CLM_TOT_CHRG_AMT: Claim Total Charge Amount |
| PRCRRTRN | PRCRRTRN | CHAR | Version I | CLM_PRCR_RTRN_CD: Claim Pricer Return Code | |
| IPEDCNT | IPEDCNT | NUM | Version H | Version I | IP_NCH_EDIT_CD_CNT: Inpatient/SNF NCH Edit Code Count |
| IPPATCNT | IPPATCNT | NUM | Version H | Version I | IP_NCH_PATCH_CD_I_CNT: Inpatient/SNF NCH Patch Code Count |
| IPMCOCNT | IPMCOCNT | NUM | Version H | Version I | IP_MCO_PRD_CNT: Inpatient/SNF MCO Period Count |
| IPPLNCNT | IPPLNCNT | NUM | Version I | IP_CLM_HLTH_PLANID_CNT: Inpatient/SNF Claim Health PlanID Count | |
| IPDEMCNT | IPDEMCNT | NUM | Version H | Version I | IP_CLM_DEMO_ID_CNT: BEF Inpatient/SNF Claim Demonstration ID Count |
| IPDGNCNT | IPDGNCNT | NUM | Version H | Version I | IP_CLM_DGNS_CD_CNT: Inpatient/SNF Claim Diagnosis Code Count |
| IPPRCNT | IPPRCNT | NUM | Version H | Version I | IP_CLM_PRCDR_CD_CNT: Inpatient/SNF Claim Procedure Code Count |
| IPCONCNT | IPCONCNT | NUM | Version H | Version I | IP_CLM_RLT_COND_CD_CNT: Inpatient/SNF Claim Related Condition Code Count |
| IPOCRCNT | IPOCRCNT | NUM | Version H | Version I | IP_CLM_RLT_OCRNC_CD_CNT: Inpatient/SNF Claim Related Occurrence Code Count |
| IPSPNCNT | IPSPNCNT | NUM | Version H | Version I | IP_CLM_OCRNC_SPAN_CD_CNT: Inpatient/SNF Claim Occurrence Span Code Count |
| IPVALCNT | IPVALCNT | NUM | Version H | Version I | IP_CLM_VAL_CD_CNT: Inpatient/SNF Claim Value Code Count |
| IPREVCNT | IPREVCNT | NUM | Version H | Version I | IP_REV_CNTR_CD_I_CNT: Inpatient/SNF Revenue Center Code Count |
| ADMSN_DT | ADMSN_DT | CHAR | Version H | Version I | CLM_ADMSN_DT: Claim Admission Date |
| TYPE_ADM | TYPE_ADM | CHAR | Version H | Version I | CLM_IP_ADMSN_TYPE_CD: Claim Inpatient Admission Type Code |
| SRC_ADMS | SRC_ADMS | CHAR | Version H | Version I | CLM_SRC_IP_ADMSN_CD: Claim Source Inpatient Admission Code |
| AD_DGNS | AD_DGNS | CHAR | Version H | Version I | CLM_ADMTG_DGNS_CD: Claim Admitting Diagnosis Code |
| PTNTSTUS | PTNTSTUS | CHAR | Version H | Version I | NCH_PTNT_STUS_IND_CD: NCH Patient Status Indicator Code |
| APRVL_CD | APRVL_CD | CHAR | Version H | Version I | NCH_IP_PRO_APRVL_TYPE_CD: NCH Inpatient Pro Approval Type Code |
| PRO_FROM | PRO_FROM | CHAR | Version H | Version I | NCH_IP_PRO_SRVC_FROM_DT: NCH Inpatient PRO Approval Service From Date |
| PRO_THRU | PRO_THRU | CHAR | Version H | Version I | NCH_IP_PRO_SRVC_THRU_DT: NCH Inpatient PRO Approval Service Thru Date |
| GRC_DAY | GRC_DAY | NUM | Version H | Version I | NCH_IP_PRO_GRC_DAY_CNT: NCH Inpatient PRO Approval Grace Day Count |
| PER_DIEM | PER_DIEM | NUM | Version H | Version I | CLM_PASS_THRU_PER_DIEM_AMT: Claim Pass Thru Per Diem Amount |
| DED_AMT | DED_AMT | NUM | Version H | Version I | NCH_BENE_IP_DDCTBL_AMT: NCH Beneficiary Inpatient Deductible Amount |
| COIN_AMT | COIN_AMT | NUM | Version H | Version I | NCH_BENE_PTA_COINSRNC_AMT: NCH Beneficiary Part A Coinsurance Liability Amount |
| BLDDEDAM | BLDDEDAM | NUM | Version H | Version I | NCH_BENE_BLOOD_DDCTBL_AMT: NCH Beneficiary Blood Deductible Liability Amount |
| BLDTCHRG | BLDTCHRG | NUM | Version H | Version I | NCH_BLOOD_TOT_CHRG_AMT: NCH Blood Total Charge Amount |
| BLDNCHRG | BLDNCHRG | NUM | Version H | Version I | NCH_BLOOD_NCOV_CHRG_AMT: NCH Blood Non-Covered Charge Amount |
| PCCHGAMT | PCCHGAMT | NUM | Version H | Version I | NCH_PROFNL_CMPNT_CHRG_AMT: NCH Professional Component Charge Amount |
| NCCHGAMT | NCCHGAMT | NUM | Version H | Version I | NCH_IP_NCOV_CHRG_AMT: NCH Inpatient Noncovered Charge Amount |
| TDEDAMT | TDEDAMT | NUM | Version H | Version I | NCH_IP_TOT_DDCTN_AMT: NCH Inpatient Total Deduction Amount |
| PPS_CPTL | PPS_CPTL | NUM | Version H | Version I | CLM_TOT_PPS_CPTL_AMT: Claim Total PPS Capital Amount |
| CPTL_HSP | CPTL_HSP | NUM | Version H | Version I | CLM_PPS_CPTL_HSP_AMT: Claim PPS Capital HSP Amount |
| CPTL_FSP | CPTL_FSP | NUM | Version H | Version I | CLM_PPS_CPTL_FSP_AMT: Claim PPS Capital FSP Amount |
| CPTLOUTL | CPTLOUTL | NUM | Version H | Version I | CLM_PPS_CPTL_OUTLIER_AMT: Claim PPS Capital Outlier Amount |
| DISP_SHR | DISP_SHR | NUM | Version H | Version I | CLM_PPS_CPTL_DSPRPRTNT_SHR_AMT: Claim PPS Capital Disproportionate Share Amount |
| IME_AMT | IME_AMT | NUM | Version H | Version I | CLM_PPS_CPTL_IME_AMT: Claim PPS Capital IME Amount |
| CPTL_EXP | CPTL_EXP | NUM | Version H | Version I | CLM_PPS_CPTL_EXCPTN_AMT: Claim PPS Capital Exception Amount |
| HLDHRMLS | HLDHRMLS | NUM | Version H | Version I | CLM_PPS_OLD_CPTL_HLD_HRMLS_AMT: Claim PPS Old Capital Hold Harmless Amount |
| DSCHFRCT | DSCHFRCT | NUM | Version H | Version I | CLM_PPS_CPTL_DSCHRG_FRCTN_PCT: Claim PPS Capital Discharge Fraction Percent |
| DRGWTAMT | DRGWTAMT | NUM | Version H | Version I | CLM_PPS_CPTL_DRG_WT_NUM: Claim PPS Capital DRG Weight Number |
| UTIL_DAY | UTIL_DAY | NUM | Version H | Version I | CLM_UTLZTN_DAY_CNT: Claim Utilization Day Count |
| CR_DAY | CR_DAY | NUM | Version H | Version I | CLM_CR_DAY_CNT: Claim Cost Report Days Count |
| COIN_DAY | COIN_DAY | NUM | Version H | Version I | BENE_TOT_COINSRNC_DAY_CNT: Beneficiary Total Coinsurance Days Count |
| COYR1DAY | COYR1DAY | NUM | Version H | Version I | CLM_COINSRNC_YR_1_DAY_CNT: Claim Coinsurance Year 1 Day Count |
| COYR1AMT | COYR1AMT | NUM | Version H | Version I | NCH_COINSRNC_YR_1_RATE_AMT: NCH Coinsurance Year 1 Rate Amount |
| COYR2DAY | COYR2DAY | NUM | Version H | Version I | CLM_COINSRNC_YR_2_DAY_CNT: Claim Coinsurance Year 2 Day Count |
| COYR2AMT | COYR2AMT | NUM | Version H | Version I | NCH_COINSRNC_YR_2_RATE_AMT: NCH Coinsurance Year 2 Rate Amount |
| LRD_USE | LRD_USE | NUM | Version H | Version I | BENE_LRD_USE_CNT: Beneficiary LRD Used Count |
| NUTILDAY | NUTILDAY | NUM | Version H | Version I | CLM_NUTLZTN_DAY_CNT: Claim Non Utilization Days Count |
| PSYCHDAY | PSYCHDAY | NUM | Version H | Version I | BENE_PRIOR_PSYCH_DAY_CNT: Beneficiary Prior Psychiatric Day Count |
| BLDFRNSH | BLDFRNSH | NUM | Version H | Version I | NCH_BLOOD_PT_FRNSH_QTY: NCH Blood Pints Furnished Quantity |
| BLD_RPLC | BLD_RPLC | NUM | Version H | Version I | NCH_BLOOD_PT_RPLC_QTY: NCH Blood Pints Replaced Quantity |
| BLDNRPLC | BLDNRPLC | NUM | Version H | Version I | NCH_BLOOD_PT_NRPLC_QTY: NCH Blood Pints Not Replaced Quantity |
| BLDDEDPT | BLDDEDPT | NUM | Version H | Version I | NCH_BLOOD_DDCTBL_PT_QTY: NCH Blood Deductible Pints Quantity |
| QLFYFROM | QLFYFROM | CHAR | Version H | Version I | NCH_QLFY_STAY_FROM_DT: NCH Qualified Stay From Date |
| QLFYTHRU | QLFYTHRU | CHAR | Version H | Version I | NCH_QLFY_STAY_THRU_DT: NCH Qualify Stay Through Date |
| NCOVFROM | NCOVFROM | CHAR | Version H | Version I | NCH_VRFY_NCOV_STAY_FROM_DT: NCH Verified Noncovered Stay From Date |
| NCOVTHRU | NCOVTHRU | CHAR | Version H | Version I | NCH_VRFY_NCOV_STAY_THRU_DT: NCH Verified Noncovered Stay Through Date |
| GURPMTDT | GURPMTDT | CHAR | Version H | Version I | NCH_PRVDR_GUARNT_PMT_STRT_DT: NCH Provider Guaranteed Payment Start Date |
| URNTCDT | URNTCDT | CHAR | Version H | Version I | NCH_UR_NTC_RCV_DT: NCH Utilization Review Notice Received Date |
| CARETHRU | CARETHRU | CHAR | Version H | Version I | NCH_ACTV_CVR_LVL_CARE_THRU_DT: NCH Active or Covered Level Care Thru Date |
| EXHST_DT | EXHST_DT | CHAR | Version H | Version I | NCH_MDCR_BNFT_EXHST_DT: NCH Beneficiary Medicare Benefits Exhausted Date |
| DSCHRGDT | DSCHRGDT | CHAR | Version H | Version I | NCH_BENE_DSCHRG_DT: NCH Beneficiary Discharge Date |
| DRG_CD | DRG_CD | CHAR | Version H | Version I | CLM_DRG_CD: Claim Diagnosis Related Group Code |
| OUTLR_CD | OUTLR_CD | CHAR | Version H | Version I | CLM_DRG_OUTLIER_STAY_CD: Claim Diagnosis Related Group Outlier Stay Code |
| OUTLRPMT | OUTLRPMT | NUM | Version H | Version I | NCH_DRG_OUTLIER_APRV_PMT_AMT: NCH DRG Outlier Approved Payment Amount |
| KRON_IND | KRON_IND | CHAR | Version H | Version I | CLM_KRON_IND_CD: Claim KRON Indicator Code |
| EDTND | EDTND01-EDTND13 | CHAR | Version H | Version I | NCH_EDIT_TRLR_IND_CD(01-13): NCH Edit Trailer Indicator Code |
| EDITCD | EDITCD01-EDITCD13 | CHAR | Version H | Version I | NCH_EDIT_CD(01-13): NCH Edit Code |
| PTCHND | PTCHND01-PTCHND30 | CHAR | Version H | Version I | NCH_PATCH_TRLR_IND_CD(01-30): NCH Patch Trailer Indicator Code |
| PTCHCD | PTCHCD01-PTCHCD30 | CHAR | Version H | Version I | NCH_PATCH_CD(01-30): NCH Patch Code |
| PTCHDT | PTCHDT01-PTCHDT30 | CHAR | Version H | Version I | NCH_PATCH_APPLY_DT(01-30): NCH Patch Applied Date |
| MCOIND | MCOIND1-MCOIND2 | CHAR | Version H | Version I | NCH_MCO_TRLR_IND_CD(1-2): NCH MCO Trailer Indicator Code |
| MCONUM | MCONUM1-MCONUM2 | CHAR | Version H | Version I | MCO_CNTRCT_NUM(1-2): MCO Contract Number |
| MCOOPTN | MCOOPTN1-MCOOPTN2 | CHAR | Version H | Version I | MCO_OPTN_CD(1-2): MCO Option Code |
| MCFFDT | MCFFDT1-MCFFDT2 | CHAR | Version H | Version I | MCO_PRD_EFCTV_DT(1-2): MCO Period Effective Date |
| MCTRMDT | MCTRMDT1-MCTRMDT2 | CHAR | Version H | Version I | MCO_PRD_TRMNTN_DT(1-2): MCO Period Termination Date |
| MCPLND | MCPLND1-MCPLND2 | CHAR | Version I | MCO_HLTH_PLANID_NUM(1-2): MCO Health PLANID Number | |
| PLNDND | PLNDND1-PLNDND3 | CHAR | Version I | NCH_HLTH_PLANID_TRLR_IND_CD(1-3): NCH Health PlanID Trailer Indicator Code | |
| PLNDCD | PLNDCD1-PLNDCD3 | CHAR | Version I | CLM_HLTH_PLANID_CD(1-3): Claim Health PlanID Code | |
| PLANID | PLANID1-PLANID3 | CHAR | Version I | CLM_HLTH_PLANID_NUM(1-3): Claim Health PlanID Number | |
| DEMOIND | DEMOIND1-DEMOIND5 | CHAR | Version H | Version I | NCH_DEMO_TRLR_IND_CD(1-5): NCH Demonstration Trailer Indicator Code |
| DEMONUM | DEMONUM1-DEMONUM5 | CHAR | Version H | Version I | CLM_DEMO_ID_NUM(1-5): Claim Demonstration Identification Number |
| DEMOTXT | DEMOTXT1-DEMOTXT5 | CHAR | Version H | Version I | CLM_DEMO_INFO_TXT(1-5): Claim Demonstration Information Text |
| DGNSND | DGNSND01-DGNSND10 | CHAR | Version H | Version I | NCH_DGNS_TRLR_IND_CD(01-10): NCH Diagnosis Trailer Indicator Code |
| DGNSCD | DGNSCD01-DGNSCD10 | CHAR | Version H | Version I | CLM_DGNS_CD(01-10): Claim Diagnosis Code |
| PRCDRND | PRCDRND1-PRCDRND6 | CHAR | Version H | Version I | NCH_PRCDR_TRLR_IND_CD(1-6): NCH Procedure Trailer Indicator Code |
| PRCDRCD | PRCDRCD1-PRCDRCD6 | CHAR | Version H | Version I | CLM_PRCDR_CD(1-6): Claim Procedure Code |
| PRCDRDT | PRCDRDT1-PRCDRDT6 | CHAR | Version H | Version I | CLM_PRCDR_PRFRM_DT(1-6): Claim Procedure Performed Date |
| CNDND | CNDND01-CNDND30 | CHAR | Version H | Version I | NCH_COND_TRLR_IND_CD(01-30): NCH Condition Trailer Indicator Code |
| RLTCND | RLTCND01-RLTCND30 | CHAR | Version H | Version I | CLM_RLT_COND_CD(01-30): Claim Related Condition Code |
| OCRCND | OCRCND01-OCRCND30 | CHAR | Version H | Version I | NCH_OCRNC_TRLR_IND_CD(01-30): NCH Occurrence Trailer Indicator Code |
| OCRCCD | OCRCCD01-OCRCCD30 | CHAR | Version H | Version I | CLM_RLT_OCRNC_CD(01-30): Claim Related Occurrence Code |
| MCPYD | MCPYD1-MCPYD2 | CHAR | Version H | MCO_PAYERID_NUM(1-2): MCO PAYERID Number | |
| PYRND | PYRND1-PYRND3 | CHAR | Version H | NCH_PAYERID_TRLR_IND_CD(1-3): NCH PAYERID Trailer Indicator Code | |
| PAYIDCD | PAYIDCD1-PAYIDCD3 | CHAR | Version H | CLM_PAYERID_CD(1-3): Claim PAYERID Code | |
| OCRCDT | OCRCDT01-OCRCDT30 | CHAR | Version H | Version I | CLM_RLT_OCRNC_DT(01-30): Claim Related Occurrence Date |
| PYDNM | PYDNM1-PYDNM3 | CHAR | Version H | CLM_PAYERID_NUM(1-3): Claim PAYERID Number | |
| SPNND | SPNND01-SPNND10 | CHAR | Version H | Version I | NCH_SPAN_TRLR_IND_CD(01-10): NCH Span Trailer Indicator Code |
| SPANCD | SPANCD01-SPANCD10 | CHAR | Version H | Version I | CLM_OCRNC_SPAN_CD(01-10): Claim Occurrence Span Code |
| SPNFRM | SPNFRM01-SPNFRM10 | CHAR | Version H | Version I | CLM_OCRNC_SPAN_FROM_DT(01-10): Claim Occurrence Span From Date |
| SPNTHR | SPNTHR01-SPNTHR10 | CHAR | Version H | Version I | CLM_OCRNC_SPAN_THRU_DT(01-10): Claim Occurrence Span Through Date |
| VALIND | VALIND01-VALIND36 | CHAR | Version H | Version I | NCH_VAL_TRLR_IND_CD(01-36): NCH Value Trailer Indicator Code |
| VAL_CD | VAL_CD01-VAL_CD36 | CHAR | Version H | Version I | CLM_VAL_CD(01-36): Claim Value Code |
| VALAMT | VALAMT01-VALAMT36 | NUM | Version H | Version I | CLM_VAL_AMT(01-36): Claim Value Amount |
| REVIND | REVIND01-REVIND45 | CHAR | Version H | Version I | NCH_REV_CNTR_TRLR_IND_CD(01-45): NCH Revenue Center Trailer Indicator Code |
| RVCNTR | RVCNTR01-RVCNTR45 | CHAR | Version H | Version I | REV_CNTR_CD(01-45): Revenue Center Code |
| REV_DT | REV_DT01-REV_DT45 | CHAR | Version H | Version I | REV_CNTR_DT(01-45): Revenue Center Date |
| RVNS1 | RVNS101-RVNS145 | CHAR | Version I | REV_CNTR_ANSI_1_CD(01-45): Revenue Center 1st ANSI Code | |
| RVNS2 | RVNS201-RVNS245 | CHAR | Version I | REV_CNTR_ANSI_2_CD(01-45): Revenue Center 2nd ANSI Code | |
| RVNS3 | RVNS301-RVNS345 | CHAR | Version I | REV_CNTR_ANSI_3_CD(01-45): Revenue Center 3rd ANSI Code | |
| RVNS4 | RVNS401-RVNS445 | CHAR | Version I | REV_CNTR_ANSI_4_CD(01-45): Revenue Center 4th ANSI Code | |
| APCPPS | APCPPS01-APCPPS45 | CHAR | Version I | REV_CNTR_APC_HIPPS_CD(01-45): Revenue Center APC/HIPPS | |
| HCPSCD | HCPSCD01-HCPSCD45 | CHAR | Version H | Version I | REV_CNTR_HCPCS_CD(01-45): Revenue Center CMS Common Procedure Coding System |
| MDFCD1 | MDFCD101-MDFCD145 | CHAR | Version H | Version I | REV_CNTR_HCPCS_INITL_MDFR_CD(01-45): Revenue Center HCPCS Initial Modifier Code |
| MDFCD2 | MDFCD201-MDFCD245 | CHAR | Version H | Version I | REV_CNTR_HCPCS_2ND_MDFR_CD(01-45): Revenue Center HCPCS Second Modifier Code |
| MDFCD3 | MDFCD301-MDFCD345 | CHAR | Version I | REV_CNTR_HCPCS_3RD_MDFR_CD(01-45): Revenue Center HCPCS Third Modifier Code | |
| MDFCD4 | MDFCD401-MDFCD445 | CHAR | Version I | REV_CNTR_HCPCS_4TH_MDFR_CD(01-45): Revenue Center HCPCS Fourth Modifier Code | |
| IDENUM | IDENUM01-IDENUM58 | CHAR | Version H | REV_CNTR_IDE_NUM(01-58): Revenue Center IDE Number | |
| MDFCD5 | MDFCD501-MDFCD545 | CHAR | Version I | REV_CNTR_HCPCS_5TH_MDFR_CD(01-45): Revenue Center HCPCS Fifth Modifier Code | |
| PMTTHD | PMTTHD01-PMTTHD45 | CHAR | Version I | REV_CNTR_PMT_MTHD_IND_CD(01-45): Revenue Center Payment Method Indicator Code | |
| DSCTND | DSCTND01-DSCTND45 | CHAR | Version I | REV_CNTR_DSCNT_IND_CD(01-45): Revenue Center Discount Indicator Code | |
| PCKGND | PCKGND01-PCKGND45 | CHAR | Version I | REV_CNTR_PACKG_IND_CD(01-45): Revenue Center Packaging Indicator Code | |
| PRICNG | PRICNG01-PRICNG45 | CHAR | Version I | REV_CNTR_PRICNG_IND_CD(01-45): Revenue Center Pricing Indicator Code | |
| OTAF_1 | OTAF_101-OTAF_145 | CHAR | Version I | REV_CNTR_OTAF_1_IND_CD(01-45): Revenue Center Obligation to Accept As Full (OTAF) Payment Code | |
| OTAF_2 | OTAF_201-OTAF_245 | CHAR | Version I | REV_CNTR_OTAF_2_IND_CD(01-45): Revenue Center Obligation to Accept As Full (OTAF) Payment Code | |
| IDENDC | IDENDC01-IDENDC45 | CHAR | Version I | REV_CNTR_IDE_NDC_UPC_NUM(01-45): Revenue Center IDE, NDC, UPC Number | |
| RVUNT | RVUNT01-RVUNT45 | NUM | Version H | Version I | REV_CNTR_UNIT_CNT(01-45): Revenue Center Unit Count |
| RVRT | RVRT01-RVRT45 | NUM | Version H | Version I | REV_CNTR_RATE_AMT(01-45): Revenue Center Rate Amount |
| RVBLD | RVBLD01-RVBLD45 | NUM | Version I | REV_CNTR_BLOOD_DDCTBL_AMT(01-45): Revenue Center Blood Deductible Amount | |
| RVDTBL | RVDTBL01-RVDTBL45 | NUM | Version I | REV_CNTR_CASH_DDCTBL_AMT(01-45): Revenue Center Cash Deductible Amount | |
| WGDJ | WGDJ01-WGDJ45 | NUM | Version I | REV_CNTR_WAGE_ADJSTD_COINS_AMT(01-45): Revenue Center Coinsurance/Wage Adjusted Coinsurance Amount | |
| RDCDCN | RDCDCN01-RDCDCN45 | NUM | Version I | REV_CNTR_RDCD_COINS_AMT(01-45): Revenue Center Reduced Coinsurance Amount | |
| RVMSP1 | RVMSP101-RVMSP145 | NUM | Version I | REV_CNTR_MSP1_PD_AMT(01-45): Revenue Center 1st Medicare Secondary Payer Paid Amount | |
| RVMSP2 | RVMSP201-RVMSP245 | NUM | Version I | REV_CNTR_MSP2_PD_AMT(01-45): Revenue Center 2nd Medicare Secondary Payer Paid Amount | |
| RVPCHG | RVPCHG01-RVPCHG45 | NUM | Version I | REV_CNTR_PROFNL_CMPNT_AMT(01-45): Revenue Center Professional Component Amount | |
| RPRPMT | RPRPMT01-RPRPMT45 | NUM | Version I | REV_CNTR_PRVDR_PMT_AMT(01-45): Revenue Center Provider Payment Amount | |
| RBNPMT | RBNPMT01-RBNPMT45 | NUM | Version I | REV_CNTR_BENE_PMT_AMT(01-45): Revenue Center Beneficiary Payment Amount | |
| PTNRSP | PTNRSP01-PTNRSP45 | NUM | Version I | REV_CNTR_PTNT_RESP_PMT_AMT(01-45): Revenue Center Patient Responsibility Payment | |
| REVPMT | REVPMT01-REVPMT45 | NUM | Version I | REV_CNTR_PMT_AMT(01-45): Revenue Center Payment Amount Amount | |
| RVCHRG | RVCHRG01-RVCHRG45 | NUM | Version H | Version I | REV_CNTR_TOT_CHRG_AMT(01-45): Revenue Center Total Charge Amount |
| RVNCVR | RVNCVR01-RVNCVR45 | NUM | Version H | Version I | REV_CNTR_NCVR_CHRG_AMT(01-45): Revenue Center Non-Covered Charge Amount |
| RVDDCD | RVDDCD01-RVDDCD45 | CHAR | Version H | Version I | REV_CNTR_DDCTBL_COINSRNC_CD(01-45): Revenue Center Deductible Coinsurance Code |
HRS Provider Release Medicare
| MedPAR (MP) |
| SAS Alias | Variable Name(s) | Type | Documentation | Label |
|---|---|---|---|---|
| BID_HRS | BID_HRS | CHAR | Documentation | Beneficiary Identification Number |
| CAN | CAN | CHAR | Documentation | (Blanked) MEDPAR_BENE_CLM_ACNT_NUM: MEDPAR Beneficiary Claim Account Number |
| EQ_BIC | EQ_BIC | CHAR | Documentation | (Blanked) MEDPAR_CTGRY_EQTBL_BIC_CD: MEDPAR Category Equatable Beneficiary Identification Code |
| AGE_CNT | AGE_CNT | NUM | Documentation | MEDPAR_BENE_AGE_CNT: MEDPAR Beneficiary Age Count |
| SEX | SEX | CHAR | Documentation | MEDPAR_BENE_SEX_CD: MEDPAR Beneficiary Sex Code |
| RACE | RACE | CHAR | Documentation | MEDPAR_BENE_RACE_CD: MEDPAR Beneficiary Race Code |
| MS_CD | MS_CD | CHAR | Documentation | MEDPAR_BENE_MDCR_STUS_CD: MEDPAR Beneficiary Medicare Status Code |
| STATE_CD | STATE_CD | CHAR | Documentation | MEDPAR_BENE_RSDNC_SSA_STATE_CD: MEDPAR Beneficiary Residence SSA Standard State Code |
| CNTY_CD | CNTY_CD | CHAR | Documentation | MEDPAR_BENE_RSDNC_SSA_CNTY_CD: MEDPAR Beneficiary Residence SSA Standard County Code |
| BENE_ZIP | BENE_ZIP | CHAR | Documentation | MEDPAR_BENE_MLG_CNTCT_ZIP_CD: MEDPAR Beneficiary Mailing Contact Zip Code |
| ADMSNDAY | ADMSNDAY | NUM | Documentation | MEDPAR_ADMSN_DAY_CD: MEDPAR Admission Day Code |
| DSCHRGCD | DSCHRGCD | CHAR | Documentation | MEDPAR_BENE_DSCHRG_STUS_CD: MEDPAR Beneficiary Discharge Status Code |
| GHOPDCD | GHOPDCD | CHAR | Documentation | MEDPAR_GHO_PD_CD: MEDPAR GHO Paid Code |
| PPS_IND | PPS_IND | CHAR | Documentation | MEDPAR_PPS_IND_CD: MEDPAR PPS Indicator Code |
| PROVIDER | PROVIDER | CHAR | Documentation | PRVDR_NUM: Provider Number |
| PRVSTATE | PRVSTATE | NUM | Documentation | MEDPAR_PRVDR_STATE_CD: MEDPAR Provider State Code |
| PRVNUM | PRVNUM3 | CHAR | Documentation | MEDPAR_PRVDR_NUM_3RD_CD: MEDPAR Provider Number Third Position Code |
| PRVDRSRL | PRVDRSRL | CHAR | Documentation | MEDPAR_PRVDR_NUM_SRL_CD: MEDPAR Provider Number Serial Code |
| SPCLUNIT | SPCLUNIT | CHAR | Documentation | MEDPAR_PRVDR_NUM_SPCL_UNIT_CD: MEDPAR Provider Number Special Unit Code |
| SSLSSNF | SSLSSNF | CHAR | Documentation | MEDPAR_SS_LS_SNF_IND_CD: MEDPAR Short Stay/Long Stay/SNF Indicator Code |
| FACLMCNT | FACLMCNT | NUM | Documentation | MEDPAR_STAY_FINL_ACTN_CLM_CNT: MEDPAR Stay Final Action Claims Count |
| ACRTNDT | ACRTNDT | CHAR | Documentation | MEDPAR_LTST_CLM_ACRTN_DT: MEDPAR Latest Claim Accretion Date |
| EXHST_DT | EXHST_DT | CHAR | Documentation | MEDPAR_BENE_MDCR_BNFT_EXHST_DT: MEDPAR Beneficiary Medicare Benefit Exhausted Date |
| QLFYFROM | QLFYFROM | CHAR | Documentation | MEDPAR_SNF_QUALN_FROM_DT: MEDPAR SNF Qualification From Date |
| QLFYTHRU | QLFYTHRU | CHAR | Documentation | MEDPAR_SNF_QUALN_THRU_DT: MEDPAR SNF Qualification Through Date |
| ADMSNDT | ADMSNDT | CHAR | Documentation | MEDPAR_ADMSN_DT: MEDPAR Admission Date |
| DSCHRGDT | DSCHRGDT | CHAR | Documentation | MEDPAR_DSCHRG_DT: MEDPAR Discharge Date |
| CVRLVLDT | CVRLVLDT | CHAR | Documentation | MEDPAR_CVR_LVL_CARE_THRU_DT: MEDPAR Covered Level Care Thru Date |
| DEATHDT | DEATHDT | CHAR | Documentation | MEDPAR_BENE_DEATH_DT: MEDPAR Beneficiary Death Date |
| DEATHCD | DEATHCD | CHAR | Documentation | MEDPAR_BENE_DEATH_DT_VRFY_CD: MEDPAR Beneficiary Death Date Verified Code |
| SSICD | SSICD | CHAR | Documentation | MEDPAR_INTRNL_USE_SSI_IND_CD: MEDPAR Internal Use SSI Indicator Code |
| SSIDAY | SSIDAY | NUM | Documentation | MEDPAR_INTRNL_USE_SSI_DAY_CNT: MEDPAR Internal Use SSI Day Count |
| LOSCNT | LOSCNT | NUM | Documentation | MEDPAR_LOS_DAY_CNT: MEDPAR Length of Stay Day Count |
| OUTLRDAY | OUTLRDAY | NUM | Documentation | MEDPAR_OUTLIER_DAY_CNT: MEDPAR Outlier Day Count |
| UTIL_DAY | UTIL_DAY | NUM | Documentation | MEDPAR_UTLZTN_DAY_CNT: MEDPAR Utilization Day Count |
| COIN_DAY | COIN_DAY | NUM | Documentation | MEDPAR_TOT_COINSRNC_DAY_CNT: MEDPAR Beneficiary Total Coinsurance Day Count |
| LRD_USE | LRD_USE | NUM | Documentation | MEDPAR_BENE_LRD_USE_CNT: MEDPAR Beneficiary LRD Used Count |
| COIN_AMT | COIN_AMT | NUM | Documentation | MEDPAR_BENE_PTA_COINSRNC_AMT: MEDPAR Beneficiary Part A Coinsurance Liability Amount |
| DED_AMT | DED_AMT | NUM | Documentation | MEDPAR_BENE_IP_DDCTBL_AMT: MEDPAR Beneficiary Inpatient Deductible Liability Amount |
| BLDDEDAM | BLDDEDAM | NUM | Documentation | MEDPAR_BENE_BLOOD_DDCTBL_AMT: MEDPAR Beneficiary Blood Deductible Liability Amount |
| PRPAYAMT | PRPAYAMT | NUM | Documentation | MEDPAR_BENE_PRMRY_PYR_AMT: MEDPAR Beneficiary Primary Payer Amount |
| OUTLRAMT | OUTLRAMT | NUM | Documentation | MEDPAR_DRG_OUTLIER_PMT_AMT: MEDPAR DRG Outlier Approved Payment Amount |
| DISP_SHR | DISP_SHR | NUM | Documentation | MEDPAR_IP_DSPRPRTNT_SHR_AMT: MEDPAR Inpatient Disproportionate Share Amount |
| IME_AMT | IME_AMT | NUM | Documentation | MEDPAR_IME_AMT: MEDPAR Indirect Medical Education (IME) Amount |
| DRGPRICE | DRGPRICE | NUM | Documentation | MEDPAR_DRG_PRICE_AMT: MEDPAR DRG Price Amount |
| PASSTHRU | PASSTHRU | NUM | Documentation | MEDPAR_PASS_THRU_AMT: MEDPAR Total Pass Through Amount |
| PPS_CPTL | PPS_CPTL | NUM | Documentation | MEDPAR_TOT_PPS_CPTL_AMT: MEDPAR Total PPS Capital Amount |
| TOTCHRG | TOTCHRG | NUM | Documentation | MEDPAR_TOT_CHRG_AMT: MEDPAR Total Charge Amount |
| CVRCHRG | CVRCHRG | NUM | Documentation | MEDPAR_TOT_CVR_CHRG_AMT: MEDPAR Total Covered Charge Amount |
| PMT_AMT | PMT_AMT | NUM | Documentation | MEDPAR_MDCR_PMT_AMT: MEDPAR Medicare Payment Amount |
| ACMDTNS | ACMDTNS | NUM | Documentation | MEDPAR_ACMDTNS_TOT_CHRG_AMT: MEDPAR All Accommodations Total Charge Amount |
| DPRTMNTL | DPRTMNTL | NUM | Documentation | MEDPAR_DPRTMNTL_TOT_CHRG_AMT: MEDPAR Departmental Total Charge Amount |
| PRVTDAY | PRVTDAY | NUM | Documentation | MEDPAR_PRVT_ROOM_DAY_CNT: MEDPAR Private Room Day Count |
| SPRVTDAY | SPRVTDAY | NUM | Documentation | MEDPAR_SEMIPRVT_ROOM_DAY_CNT: MEDPAR Semiprivate Room Day Count |
| WARDDAY | WARDDAY | NUM | Documentation | MEDPAR_WARD_DAY_CNT: MEDPAR Ward Day Count |
| ICARECNT | ICARECNT | NUM | Documentation | MEDPAR_INTNSV_CARE_DAY_CNT: MEDPAR Intensive Care Day Count |
| CRNRYDAY | CRNRYDAY | NUM | Documentation | MEDPAR_CRNRY_CARE_DAY_CNT: MEDPAR Coronary Care Day Count |
| PRVTAMT | PRVTAMT | NUM | Documentation | MEDPAR_PRVT_ROOM_CHRG_AMT: MEDPAR Private Room Charge Amount |
| SPRVTAMT | SPRVTAMT | NUM | Documentation | MEDPAR_SEMIPRVT_ROOM_CHRG_AMT: MEDPAR Semi-Private Room Charge Amount |
| WARDAMT | WARDAMT | NUM | Documentation | MEDPAR_WARD_CHRG_AMT: MEDPAR Ward Charge Amount |
| ICAREAMT | ICAREAMT | NUM | Documentation | MEDPAR_INTNSV_CARE_CHRG_AMT: MEDPAR Intensive Care Charge Amount |
| CRNRYAMT | CRNRYAMT | NUM | Documentation | MEDPAR_CRNRY_CARE_CHRG_AMT: MEDPAR Coronary Care Charge Amount |
| OTHRAMT | OTHRAMT | NUM | Documentation | MEDPAR_OTHR_SRVC_CHRG_AMT: MEDPAR Other Service Charge Amount |
| PHRMCAMT | PHRMCAMT | NUM | Documentation | MEDPAR_PHRMCY_CHRG_AMT: MEDPAR Pharmacy Charge Amount |
| SUPLYAMT | SUPLYAMT | NUM | Documentation | MEDPAR_MDCL_SUPLY_CHRG_AMT: MEDPAR Medical/Surgical Supplies Charge Amount |
| DME_AMT | DME_AMT | NUM | Documentation | MEDPAR_DME_CHRG_AMT: MEDPAR DME Charge Amount |
| UDME_AMT | UDME_AMT | NUM | Documentation | MEDPAR_USED_DME_CHRG_AMT: MEDPAR Used DME Charge Amount |
| PHYTHAMT | PHYTHAMT | NUM | Documentation | MEDPAR_PHYS_THRPY_CHRG_AMT: MEDPAR Physical Therapy Charge Amount |
| OCPTLAMT | OCPTLAMT | NUM | Documentation | MEDPAR_OCPTNL_THRPY_CHRG_AMT: MEDPAR Occupational Therapy Charge Amount |
| SPCH_AMT | SPCH_AMT | NUM | Documentation | MEDPAR_SPCH_PTHLGY_CHRG_AMT: MEDPAR Speech Pathology Charge Amount |
| INHLTAMT | INHLTAMT | NUM | Documentation | MEDPAR_INHLTN_THRPY_CHRG_AMT: MEDPAR Inhalation Therapy Charge Amount |
| BLOODAMT | BLOODAMT | NUM | Documentation | MEDPAR_BLOOD_CHRG_AMT: MEDPAR Blood Charge Amount |
| BLDADMIN | BLDADMIN | NUM | Documentation | MEDPAR_BLOOD_ADMIN_CHRG_AMT: MEDPAR Blood Administration Charge Amount |
| OROOMAMT | OROOMAMT | NUM | Documentation | MEDPAR_OPRTG_ROOM_CHRG_AMT: MEDPAR Operating Room Charge Amount |
| LTHTRPSY | LTHTRPSY | NUM | Documentation | MEDPAR_LTHTRPSY_CHRG_AMT: MEDPAR Lithotripsy Charge Amount |
| CRDLGY | CRDLGY | NUM | Documentation | MEDPAR_CRDLGY_CHRG_AMT: MEDPAR Cardiology Charge Amount |
| ANSTHSA | ANSTHSA | NUM | Documentation | MEDPAR_ANSTHSA_CHRG_AMT: MEDPAR Anesthesia Charge Amount |
| LAB_AMT | LAB_AMT | NUM | Documentation | MEDPAR_LAB_CHRG_AMT: MEDPAR Laboratory Charge Amount |
| RDLGYAMT | RDLGYAMT | NUM | Documentation | MEDPAR_RDLGY_CHRG_AMT: MEDPAR Radiology Charge Amount |
| MRI_AMT | MRI_AMT | NUM | Documentation | MEDPAR_MRI_CHRG_AMT: MEDPAR MRI Charge Amount |
| OPSRVC | OPSRVC | NUM | Documentation | MEDPAR_OP_SRVC_CHRG_AMT: MEDPAR Outpatient Service Charge Amount |
| ER_AMT | ER_AMT | NUM | Documentation | MEDPAR_ER_CHRG_AMT: MEDPAR Emergency Room Charge Amount |
| AMBLNC | AMBLNC | NUM | Documentation | MEDPAR_AMBLNC_CHRG_AMT: MEDPAR Ambulance Charge Amount |
| PROFFEES | PROFFEES | NUM | Documentation | MEDPAR_PROFNL_FEES_CHRG_AMT: MEDPAR Professional Fees Charge Amount |
| ORGNAMT | ORGNAMT | NUM | Documentation | MEDPAR_ORGN_ACQSTN_CHRG_AMT: MEDPAR Organ Acquisition Charge Amount |
| CLNC_AMT | CLNC_AMT | NUM | Documentation | MEDPAR_CLNC_VISIT_CHRG_AMT: MEDPAR Clinic Visit Charge Amount |
| ICUINDCD | ICUINDCD | CHAR | Documentation | MEDPAR_ICU_IND_CD: MEDPAR Intensive Care Unit (ICU) Indicator Code |
| CRNRY_CD | CRNRY_CD | CHAR | Documentation | MEDPAR_CRNRY_CARE_IND_CD: MEDPAR Coronary Care Indicator Code |
| PHRMCYCD | PHRMCYCD | NUM | Documentation | MEDPAR_PHRMCY_IND_CD: MEDPAR Pharmacy Indicator Code |
| TRNSPLNT | TRNSPLNT | NUM | Documentation | MEDPAR_TRNSPLNT_IND_CD: MEDPAR Transplant Indicator Code |
| ONCLGYSW | ONCLGYSW | NUM | Documentation | MEDPAR_RDLGY_ONCLGY_IND_SW: MEDPAR Radiology Oncology Indicator Switch |
| DGNSTCSW | DGNSTCSW | NUM | Documentation | MEDPAR_RDLGY_DGNSTC_IND_SW: MEDPAR Radiology Diagnostic Indicator Switch |
| THRPTCSW | THRPTCSW | NUM | Documentation | MEDPAR_RDLGY_THRPTC_IND_SW: MEDPAR Radiology Therapeutic Indicator Switch |
| NUCLR_SW | NUCLR_SW | NUM | Documentation | MEDPAR_RDLGY_NUCLR_MDCN_IND_SW: MEDPAR Radiology Nuclear Medicine Indicator Switch |
| CTSCANSW | CTSCANSW | NUM | Documentation | MEDPAR_RDLGY_CT_SCAN_IND_SW: MEDPAR Radiology CT Scan Indicator Switch |
| IMGNG_SW | IMGNG_SW | NUM | Documentation | MEDPAR_RDLGY_OTHR_IMGNG_IND_SW: MEDPAR Radiology Other Imaging Indicator Switch |
| OPSRVCCD | OPSRVCCD | NUM | Documentation | MEDPAR_OP_SRVC_IND_CD: MEDPAR Outpatient Services Indicator Code |
| ORGNCD | ORGNCD | CHAR | Documentation | MEDPAR_ORGN_ACQSTN_IND_CD: MEDPAR Organ Acquisition Indicator Code |
| DGNSCNT | DGNSCNT | NUM | Documentation | MEDPAR_DGNS_CD_CNT: MEDPAR Diagnosis Code Count |
| DGNS_CD | DGNS_CD01-DGNS_CD10 | CHAR | Documentation | MEDPAR_DGNS_CD(01-10): MEDPAR Diagnosis Code 01-10 |
| PRCDRSW | PRCDRSW | CHAR | Documentation | MEDPAR_SRGCL_PRCDR_IND_SW: MEDPAR Surgical Procedure Indicator Switch |
| PRCDRCNT | PRCDRCNT | NUM | Documentation | MEDPAR_SRGCL_PRCDR_CD_CNT: MEDPAR Surgical Procedure Code Count |
| PRCDTCNT | PRCDTCNT | NUM | Documentation | MEDPAR_SRGCL_PRCDR_DT_CNT: MEDPAR Surgical Procedure Performed Date Count |
| PRCDR_CD | PRCDR_CD1-PRCDR_CD6 | CHAR | Documentation | MEDPAR_SRGCL_PRCDR_CD(1-6): MEDPAR Surgical Procedure Code 1-6 |
| PRCDR_DT | PRCDR_DT1-PRCDR_DT6 | CHAR | Documentation | MEDPAR_SRGCL_PRCDR_PRFRM_DT(1-6): MEDPAR Surgical Procedure Performed Date 1-6 |
| BLDFRNSH | BLDFRNSH | NUM | Documentation | MEDPAR_BLOOD_PT_FRNSH_QTY: MEDPAR Blood Pints Furnished Quantity |
| BIC | BIC | CHAR | Documentation | MEDPAR_BENE_IDENT_CD: MEDPAR Beneficiary Identification Code |
| DRG_CD | DRG_CD | NUM | Documentation | MEDPAR_DRG_CD: MEDPAR DRG Code |
| DSTNTNCD | DSTNTNCD | NUM | Documentation | MEDPAR_DSCHRG_DSTNTN_CD: MEDPAR Discharge Destination Code |
| OUTLR_CD | OUTLR_CD | NUM | Documentation | MEDPAR_DRG_OUTLIER_STAY_CD: MEDPAR DRG/Outlier Stay Code |
| PRPAY_CD | PRPAY_CD | CHAR | Documentation | MEDPAR_BENE_PRMRY_PYR_CD: MEDPAR Beneficiary Primary Payer Code |
| ESRD_CD | ESRD_CD | NUM | Documentation | MEDPAR_ESRD_COND_CD: MEDPAR ESRD Condition Code |
| SRC_ADMS | SRC_ADMS | CHAR | Documentation | MEDPAR_SRC_IP_ADMSN_CD: MEDPAR Source Inpatient Admission Code |
| TYPE_ADM | TYPE_ADM | CHAR | Documentation | MEDPAR_IP_ADMSN_TYPE_CD: MEDPAR Inpatient Admission Type Code |
| FICARR | FICARR | CHAR | Documentation | MEDPAR_FICARR_IDENT_NUM: MEDPAR Fiscal Intermediary/Carrier Identification Number |
| AD_DGNS | AD_DGNS | CHAR | Documentation | MEDPAR_ADMTG_DGNS_CD: MEDPAR Admitting Diagnosis Code |
| DEATHDAY | DEATHDAY | NUM | Documentation | MEDPAR_ADMSN_DEATH_DAY_CNT: MEDPAR Admission Death Day Count |
| IPSBCD | IPSBCD | NUM | Documentation | MEDPAR_INTRNL_USE_IPSB_CD: MEDPAR Internal Use (By IPSB) Code |
| FILDTCD | FILDTCD | NUM | Documentation | MEDPAR_INTRNL_USE_FIL_DT_CD: MEDPAR Internal Use File Date Code |
| SMPLSIZE | SMPLSIZE | NUM | Documentation | MEDPAR_INTRNL_USE_SMPL_SIZE_CD: MEDPAR Internal Use Sample Size Code |
| WRNGCD | WRNGCD | NUM | Documentation | MEDPAR_WRNG_IND_CD: MEDPAR Warning Indicators Code |
| ORGNL_HIC | ORGNL_HIC | CHAR | Documentation | (Blanked) MEDPAR_ORGNL_HIC_NUM: MEDPAR Original Health Insurance Claim Number |
| ACTV_XREF_IND | ACTV_XREF_IND | CHAR | Documentation | MEDPAR_ACTV_XREF_IND_CD: MEDPAR Active Cross-Reference Indicator Code |
| SLCT_RSN_CD | SLCT_RSN_CD | CHAR | Documentation | MEDPAR_SLCT_RSN_CD: MEDPAR Select Reason Code |
| ESRDSETG | ESRDSETG1-ESRDSETG | NUM | Documentation | MEDPAR_ESRD_REV_SETG_CHRG_AMT: MEDPAR ESRD Revenue Setting Charge Amount |
HRS Provider Release Medicare
| Outpatient (OP) |
| SAS Alias | Variable Name(s) | Type | Documentation | Documentation | Label |
|---|---|---|---|---|---|
| BID_HRS | BID_HRS | CHAR | Version H | Version I | Beneficiary Identification Number |
| REC_LEN | REC_LEN | NUM | Version H | Version I | REC_LNGTH_CNT: Record Length Count |
| REC_LVL | REC_LVL | CHAR | Version H | Version I | NCH_NEAR_LINE_REC_VRSN_CD: NCH Near-Line Record Version code |
| RIC_CD | RIC_CD | CHAR | Version H | Version I | NCH_NEAR_LINE_RIC_CD: NCH Near Line Record Identification Code |
| MQA_RIC | MQA_RIC | CHAR | Version H | Version I | NCH_MQA_RIC_CD: NCH MQA RIC Code |
| CLM_TYPE | CLM_TYPE | CHAR | Version H | Version I | NCH_CLM_TYPE_CD: NCH Claim Type Code |
| CAN | CAN | CHAR | Version H | Version I | (Blanked) BENE_CLM_ACNT_NUM: Beneficiary Claim Account Number |
| EQ_BIC | EQ_BIC | CHAR | Version H | Version I | (Blanked) NCH_CTGRY_EQTBL_BIC_CD: NCH Category Equatable Beneficiary Identification Code |
| BIC | BIC | CHAR | Version H | Version I | (Blanked) BENE_IDENT_CD: Beneficiary Identification Code |
| ST_SGMT | ST_SGMT | CHAR | Version H | Version I | NCH_STATE_SGMT_CD: NCH State Segment Code |
| STATE_CD | STATE_CD | CHAR | Version H | Version I | BENE_RSDNC_SSA_STD_STATE_CD: Beneficiary Residence SSA Standard State Code |
| FROM_DT | FROM_DT | CHAR | Version H | Version I | CLM_FROM_DT: Claim From Date |
| THRU_DT | THRU_DT | CHAR | Version H | Version I | CLM_THRU_DT: Claim Through Date |
| WKLY_DT | WKLY_DT | CHAR | Version H | Version I | NCH_WKLY_PROC_DT: NCH Weekly Claim Processing Date |
| ACRTN_DT | ACRTN_DT | CHAR | Version H | Version I | CWF_CLM_ACRTN_DT: CWF Claim Accretion Date |
| ACRTN_NM | ACRTN_NM | NUM | Version H | Version I | CWF_CLM_ACRTN_NUM: CWF Claim Accretion Number |
| CLM_CNTL | CLM_CNTL | CHAR | Version H | Version I | (Encrypted) FI_DOC_CLM_CNTL_NUM: FI Document Claim Control Number |
| ORIGCNTL | ORIGCNTL | CHAR | Version H | Version I | (Encrypted) FI_ORIG_CLM_CNTL_NUM: FI Original Claim Control Number |
| QUERY_CD | QUERY_CD | CHAR | Version H | Version I | CLM_QUERY_CD: Claim Query Code |
| PROVIDER | PROVIDER | CHAR | Version H | Version I | PRVDR_NUM: Provider Number |
| DAILY_DT | DAILY_DT | CHAR | Version H | Version I | NCH_DAILY_PROC_DT: NCH Daily Process Date |
| LINK_NUM | LINK_NUM | CHAR | Version I | (Encrypted) NCH_SGMT_LINK_NUM: NCH Segment Link Number | |
| SGMT_CNT | SGMT_CNT | NUM | Version I | CLM_TOT_SGMT_CNT: Claim Total Segment Count | |
| SGMT_NUM | SGMT_NUM | NUM | Version I | CLM_SGMT_NUM: Claim Segment Number | |
| LINECNT | LINECNT | NUM | Version I | CLM_TOT_LINE_CNT: Claim Total Line Count | |
| SGMTLINE | SGMTLINE | NUM | Version I | CLM_SGMT_LINE_CNT: Claim Segment Line Count | |
| PE_RIC | PE_RIC | CHAR | Version H | Version I | NCH_PMT_EDIT_RIC_CD: NCH Payment and Edit Record Identification Code |
| TRANS_CD | TRANS_CD | CHAR | Version H | Version I | CLM_TRANS_CD: Claim Transaction Code |
| FAC_TYPE | FAC_TYPE | CHAR | Version H | Version I | CLM_FAC_TYPE_CD: Claim Facility Type Code |
| TYPESRVC | TYPESRVC | CHAR | Version H | Version I | CLM_SRVC_CLSFCTN_TYPE_CD: Claim Service classification Type Code |
| FREQ_CD | FREQ_CD | CHAR | Version H | Version I | CLM_FREQ_CD: Claim Frequency Code |
| MQAQUERY | MQAQUERY | CHAR | Version H | Version I | NCH_MQA_QUERY_PATCH_CD: NCH MQA Query Patch Code |
| DISP_CD | DISP_CD | CHAR | Version H | Version I | CLM_DISP_CD: Claim Disposition Code |
| EDITDISP | EDITDISP | CHAR | Version H | Version I | NCH_EDIT_DISP_CD: NCH Edit Disposition Code |
| BIC_MDFY | BIC_MDFY | CHAR | Version H | Version I | NCH_CLM_BIC_MDFY_CD: NCH Claim BIC Modify H Code |
| CNTY_CD | CNTY_CD | CHAR | Version H | Version I | BENE_RSDNC_SSA_STD_CNTY_CD: Beneficiary Residence SSA tandard county code |
| RCPT_DT | RCPT_DT | CHAR | Version H | Version I | FI_CLM_RCPT_DT: FI Claim Receipt Date |
| SCHLD_DT | SCHLD_DT | CHAR | Version H | Version I | FI_CLM_SCHLD_PMT_DT: FI Claim Scheduled Payment Date |
| FRWRD_DT | FRWRD_DT | CHAR | Version H | Version I | CWF_FRWRD_DT: CWF Forwarded Date |
| FI_NUM | FI_NUM | CHAR | Version H | Version I | FI_NUM: FI Number |
| ASGN_NUM | ASGN_NUM | CHAR | Version H | Version I | CWF_CLM_ASGN_NUM: CWF Claim Assigned Number |
| FIBATCH | FIBATCH | CHAR | Version H | Version I | CWF_TRNSMSN_BATCH_NUM: CWF Transmission Batch Number |
| BENE_ZIP | BENE_ZIP | CHAR | Version H | Version I | BENE_MLG_CNTCT_ZIP_CD: Beneficiary Mailing Contact ZIP Code |
| SEX | SEX | CHAR | Version H | Version I | BENE_SEX_IDENT_CD: Beneficiary Sex Identification Code |
| RACE | RACE | CHAR | Version H | Version I | BENE_RACE_CD: Beneficiary Race Code |
| BENE_DOB | BENE_DOB | CHAR | Version H | Version I | BENE_BIRTH_DT: Beneficiary Birth Date |
| MS_CD | MS_CD | CHAR | Version H | Version I | CWF_BENE_MDCR_STUS_CD: CWF Beneficiary Medicare Status Code |
| SURNAME | SURNAME | CHAR | Version H | Version I | (Blanked) CLM_PTNT_6_PSTN_SRNM_NAME: Claim Patient 6 Position Surname |
| FRSTINIT | FRSTINIT | CHAR | Version H | Version I | (Blanked) CLM_PTNT_1ST_INITL_GVN_NAME: Claim Patient 1st Initial Given Name |
| MDL_INIT | MDL_INIT | CHAR | Version H | Version I | (Blanked) CLM_PTNT_1ST_INITL_MDL_NAME: Claim Patient First Initial Middle Name |
| CWFLOCCD | CWFLOCCD | CHAR | Version H | Version I | BENE_CWF_LOC_CD: Beneficiary CWF Location Code |
| PDGNS_CD | PDGNS_CD | CHAR | Version H | Version I | CLM_PRNCPAL_DGNS_CD: Claim Principal Diagnosis Code |
| NOPAY_CD | NOPAY_CD | CHAR | Version I | CLM_MDCR_NPMT_RSN_CD: Claim Medicare Non Payment Reason Code | |
| TRTMT_CD | TRTMT_CD | CHAR | Version I | CLM_EXCPTD_NEXCPTD_TRTMT_CD: Claim Excepted/Nonexcepted Medical Treatment Code | |
| PMT_AMT | PMT_AMT | NUM | Version H | Version I | CLM_PMT_AMT: Claim Payment Amount |
| ORGLOCCD | ORGLOCCD | CHAR | Version H | ORG_PRVDR_LOC_CD: Organization Provider Location Code | |
| PRPAYAMT | PRPAYAMT | NUM | Version H | Version I | NCH_PRMRY_PYR_CLM_PD_AMT: NCH Primary Payer Claim Paid Amount |
| PRPAY_CD | PRPAY_CD | CHAR | Version H | Version I | NCH_PRMRY_PYR_CD: NCH Primary Payer Code |
| CANCELCD | CANCELCD | CHAR | Version H | Version I | FI_RQST_CLM_CNCL_RSN_CD: FI Requested Claim Cancel Reason Code |
| ACTIONCD | ACTIONCD | CHAR | Version H | Version I | FI_CLM_ACTN_CD: FI Claim Action Code |
| AT_LOC | AT_LOC | CHAR | Version H | CLM_ATNDG_PHYSN_LOC_CD: Claim Attending Physician Location Code | |
| APRVL_DT | APRVL_DT | CHAR | Version H | Version I | FI_CLM_PROC_DT: FI Claim Process Date |
| PRSTATE | PRSTATE | CHAR | Version H | Version I | NCH_PRVDR_STATE_CD: NCH Provider State Code |
| ORGNPINM | ORGNPINM | CHAR | Version H | Version I | ORG_NPI_NUM: Organization NPI Number |
| AT_UPIN | AT_UPIN | CHAR | Version H | Version I | CLM_ATNDG_PHYSN_UPIN_NUM: Claim Attending Physician UPIN Number |
| AT_NPI | AT_NPI | CHAR | Version H | Version I | CLM_ATNDG_PHYSN_NPI_NUM: Claim Attending Physician NPI Number |
| AT_SRNM | AT_SRNM | CHAR | Version H | Version I | (Blanked) CLM_ATNDG_PHYSN_SRNM_NAME: Claim Attending Physician Surname |
| OP_LOC | OP_LOC | CHAR | Version H | CLM_OPRTG_PHYSN_LOC_CD: Claim Operating Physician Location Code | |
| AT_GVNNM | AT_GVNNM | CHAR | Version H | Version I | (Blanked) CLM_ATNDG_PHYSN_GVN_NAME: Claim Attending Physician Given Name |
| AT_MDL | AT_MDL | CHAR | Version H | Version I | (Blanked) CLM_ATNDG_PHYSN_MDL_INITL_NAME: Claim Attending Physician Middle Initial Name |
| OP_UPIN | OP_UPIN | CHAR | Version H | Version I | CLM_OPRTG_PHYSN_UPIN_NUM: Claim Operating Physician UPIN Number |
| OP_NPI | OP_NPI | CHAR | Version H | Version I | CLM_OPRTG_PHYSN_NPI_NUM: Claim Operating Physician NPI Number |
| OP_SRNM | OP_SRNM | CHAR | Version H | Version I | (Blanked) CLM_OPRTG_PHYSN_SRNM_NAME: Claim Operating Physician Surname |
| OP_GVN | OP_GVN | CHAR | Version H | Version I | (Blanked) CLM_OPRTG_PHYSN_GVN_NAME: Claim Operating Physician Given Name |
| OT_LOC | OT_LOC | CHAR | Version H | CLM_OTHR_PHYSN_LOC_CD: Claim Other Physician Location Code | |
| OP_MDL | OP_MDL | CHAR | Version H | Version I | (Blanked) CLM_OPRTG_PHYSN_MDL_INITL_NAME: Claim Operating Physician Middle Initial Name |
| OT_UPIN | OT_UPIN | CHAR | Version H | Version I | CLM_OTHR_PHYSN_UPIN_NUM: Claim Other Physician UPIN Number |
| OT_NPI | OT_NPI | CHAR | Version H | Version I | CLM_OTHR_PHYSN_NPI_NUM: Claim Other Physician NPI Number |
| OT_SRNM | OT_SRNM | CHAR | Version H | Version I | (Blanked) CLM_OTHR_PHYSN_SRNM_NAME: Claim Other Physician Surname |
| OT_GVN | OT_GVN | CHAR | Version H | Version I | (Blanked) CLM_OTHR_PHYSN_GVN_NAME: Claim Other Physician Given Name |
| OT_MDL | OT_MDL | CHAR | Version H | Version I | (Blanked) CLM_OTHR_PHYSN_MDL_INITL_NAME: Claim Other Physician Middle Initial Name |
| MDCD_PRV | MDCD_PRV | CHAR | Version H | Version I | MDCD_PRVDR_IDENT_NUM: Medicaid Provider Identification Number |
| MDCDINFO | MDCDINFO | CHAR | Version H | Version I | CLM_MDCD_INFO_CD: Claim Medicaid Information Code |
| MCOPDSW | MCOPDSW | CHAR | Version H | Version I | CLM_MCO_PD_SW: Claim MCO Paid Switch |
| AUTHRZTN | AUTHRZTN | CHAR | Version H | Version I | CLM_TRTMT_AUTHRZTN_NUM: Claim Treatment Authorization Number |
| PTNTCNTL | PTNTCNTL | CHAR | Version H | Version I | PTNT_CNTL_NUM: Patient Control Number |
| MDCL_REC | MDCL_REC | CHAR | Version H | Version I | CLM_MDCL_REC_NUM: Claim Medical Record Number |
| PRO_CNTL | PRO_CNTL | CHAR | Version H | Version I | CLM_PRO_CNTL_NUM: Claim PRO Control Number |
| PRO_DT | PRO_DT | CHAR | Version H | Version I | CLM_PRO_PROC_DT: Claim PRO Process Date |
| STUS_CD | STUS_CD | CHAR | Version H | Version I | PTNT_DSCHRG_STUS_CD: Patient Discharge Status Code |
| DGNS_E | DGNS_E | CHAR | Version H | Version I | CLM_DGNS_E_CD: Claim Diagnosis E Code |
| PPS_IND | PPS_IND | CHAR | Version H | Version I | CLM_PPS_IND_CD: Claim PPS Indicator Code |
| TOT_CHRG | TOT_CHRG | NUM | Version H | Version I | CLM_TOT_CHRG_AMT: Claim Total Charge Amount |
| OPPAYCNT | OPPAYCNT | NUM | Version H | OP_CLM_PAYERID_CNT: Outpatient Claim PAYERID Count | |
| PRCRRTRN | PRCRRTRN | CHAR | Version I | CLM_PRCR_RTRN_CD: Claim Pricer Return Code | |
| OPEDCNT | OPEDCNT | NUM | Version H | Version I | OP_NCH_EDIT_CD_CNT: Outpatient NCH Edit Code Count |
| OPPATCNT | OPPATCNT | NUM | Version H | Version I | OP_NCH_PATCH_CD_I_CNT: Outpatient NCH Patch Code Count |
| OPMCOCNT | OPMCOCNT | NUM | Version H | Version I | OP_MCO_PRD_CNT: Outpatient MCO Period Count |
| OPPLNCNT | OPPLNCNT | NUM | Version I | OP_CLM_HLTH_PLANID_CNT: Outpatient Claim Health PlanID Count | |
| OPDEMCNT | OPDEMCNT | NUM | Version H | Version I | OP_CLM_DEMO_ID_CNT: Outpatient Claim Demonstration ID Count |
| OPDGNCNT | OPDGNCNT | NUM | Version H | Version I | OP_CLM_DGNS_CD_CNT: Outpatient Claim Diagnosis Code Count |
| OPPRCCNT | OPPRCCNT | NUM | Version H | Version I | OP_CLM_PRCDR_CD_CNT: Outpatient Claim Procedure Code Count |
| OPCONCNT | OPCONCNT | NUM | Version H | Version I | OP_CLM_RLT_COND_CD_CNT: Outpatient Claim Related Condition Code Count |
| OPOCRCNT | OPOCRCNT | NUM | Version H | Version I | OP_CLM_RLT_OCRNC_CD_CNT: Outpatient Claim Related Occurrence Code Count |
| OPSPNCNT | OPSPNCNT | NUM | Version H | Version I | OP_CLM_OCRNC_SPAN_CD_CNT: Outpatient Claim Occurrence Span Code Count |
| OPVALCNT | OPVALCNT | NUM | Version H | Version I | OP_CLM_VAL_CD_CNT: Outpatient Claim Value Code Count |
| OPREVCNT | OPREVCNT | NUM | Version H | Version I | OP_REV_CNTR_CD_I_CNT: Outpatient Revenue Center Code Count |
| OPSRVTYP | OPSRVTYP | CHAR | Version H | Version I | CLM_OP_SRVC_TYPE_CD: Claim Outpatient Service Type Code |
| OP_RFRL | OP_RFRL | CHAR | Version H | Version I | CLM_OP_RFRL_CD: Claim Outpatient Referral Code |
| BLDDEDAM | BLDDEDAM | NUM | Version H | Version I | NCH_BENE_BLOOD_DDCTBL_AMT: NCH Beneficiary Blood Deductible Liability Amount |
| PTB_DED | PTB_DED | NUM | Version H | Version I | NCH_BENE_PTB_DDCTBL_AMT: NCH Beneficiary Part B Deductible Amount |
| PTB_COIN | PTB_COIN | NUM | Version H | Version I | NCH_BENE_PTB_COINSRNC_AMT: NCH Beneficiary Part B Coinsurance Amount |
| PCCHGAMT | PCCHGAMT | NUM | Version H | Version I | NCH_PROFNL_CMPNT_CHRG_AMT: NCH Professional Component Charge Amount |
| INTRMDED | INTRMDED | NUM | Version H | Version I | CLM_OP_BENE_INTRM_DDCTBL_AMT: Claim Optpatient Beneficiary Interim Deductible Amount |
| PRVDRPMT | PRVDRPMT | NUM | Version H | Version I | CLM_OP_PRVDR_PMT_AMT: Claim Outpatient Provider Payment Amount |
| BENEPMT | BENEPMT | NUM | Version H | Version I | CLM_OP_BENE_PMT_AMT: Claim Outpatient Beneficiary Payment Amount |
| BLDFRNSH | BLDFRNSH | NUM | Version H | Version I | NCH_BLOOD_PT_FRNSH_QTY: NCH Blood Pints Furnished Quantity |
| BLD_RPLC | BLD_RPLC | NUM | Version H | Version I | NCH_BLOOD_PT_RPLC_QTY: NCH Blood Pints Replaced Quantity |
| BLDNRPLC | BLDNRPLC | NUM | Version H | Version I | NCH_BLOOD_PT_NRPLC_QTY: NCH Blood Pints Not Replaced Quantity |
| BLDDEDPT | BLDDEDPT | NUM | Version H | Version I | NCH_BLOOD_DDCTBL_PT_QTY: NCH Blood Deductible Pints Quantity |
| TRANTYPE | TRANTYPE | CHAR | Version H | Version I | CLM_OP_TRANS_TYPE_CD: Claim Outpatient Transaction Type Code |
| ESRDMTHD | ESRDMTHD | CHAR | Version H | Version I | CLM_OP_ESRD_MTHD_REIMBRSMT_CD: Claim Outpatient ESRD Method of Reimbursement Code |
| EDTND | EDTND01-EDTND13 | CHAR | Version H | Version I | NCH_EDIT_TRLR_IND_CD(01-13): NCH Edit Trailer Indicator Code |
| EDITCD | EDITCD01-EDITCD13 | CHAR | Version H | Version I | NCH_EDIT_CD(01-13): NCH Edit Code |
| PTCHND | PTCHND01-PTCHND30 | CHAR | Version H | Version I | NCH_PATCH_TRLR_IND_CD(01-30): NCH Patch Trailer Indicator Code |
| PTCHCD | PTCHCD01-PTCHCD30 | CHAR | Version H | Version I | NCH_PATCH_CD(01-30): NCH Patch Code |
| PTCHDT | PTCHDT01-PTCHDT30 | CHAR | Version H | Version I | NCH_PATCH_APPLY_DT(01-30): NCH Patch Applied Date |
| MCOIND | MCOIND1-MCOIND2 | CHAR | Version H | Version I | NCH_MCO_TRLR_IND_CD(1-2): NCH MCO Trailer Indicator Code |
| MCONUM | MCONUM1-MCONUM2 | CHAR | Version H | Version I | MCO_CNTRCT_NUM(1-2): MCO Contract Number |
| MCOOPTN | MCOOPTN1-MCOOPTN2 | CHAR | Version H | Version I | MCO_OPTN_CD(1-2): MCO Option Code |
| MCFFDT | MCFFDT1-MCFFDT2 | CHAR | Version H | Version I | MCO_PRD_EFCTV_DT(1-2): MCO Period Effective Date |
| MCTRMDT | MCTRMDT1-MCTRMDT2 | CHAR | Version H | Version I | MCO_PRD_TRMNTN_DT(1-2): MCO Period Termination Date |
| MCPLND | MCPLND1-MCPLND2 | CHAR | Version I | MCO_HLTH_PLANID_NUM(1-2): MCO Health PLANID Number | |
| PLNDND | PLNDND1-PLNDND3 | CHAR | Version I | NCH_HLTH_PLANID_TRLR_IND_CD(1-3): NCH Health PlanID Trailer Indicator Code | |
| PLNDCD | PLNDCD1-PLNDCD3 | CHAR | Version I | CLM_HLTH_PLANID_CD(1-3): Claim Health PlanID Code | |
| PLANID | PLANID1-PLANID3 | CHAR | Version I | CLM_HLTH_PLANID_NUM(1-3): Claim Health PlanID Number | |
| DEMOIND | DEMOIND1-DEMOIND5 | CHAR | Version H | Version I | NCH_DEMO_TRLR_IND_CD(1-5): NCH Demonstration Trailer Indicator Code |
| DEMONUM | DEMONUM1-DEMONUM5 | CHAR | Version H | Version I | CLM_DEMO_ID_NUM(1-5): Claim Demonstration Identification Number |
| DEMOTXT | DEMOTXT1-DEMOTXT5 | CHAR | Version H | Version I | CLM_DEMO_INFO_TXT(1-5): Claim Demonstration Information Text |
| DGNSND | DGNSND01-DGNSND10 | CHAR | Version H | Version I | NCH_DGNS_TRLR_IND_CD(01-10): NCH Diagnosis Trailer Indicator Code |
| DGNSCD | DGNSCD01-DGNSCD10 | CHAR | Version H | Version I | CLM_DGNS_CD(01-10): Claim Diagnosis Code |
| PRCDRND | PRCDRND1-PRCDRND6 | CHAR | Version H | Version I | NCH_PRCDR_TRLR_IND_CD(1-6): NCH Procedure Trailer Indicator Code |
| PRCDRCD | PRCDRCD1-PRCDRCD6 | CHAR | Version H | Version I | CLM_PRCDR_CD(1-6): Claim Procedure Code |
| PRCDRDT | PRCDRDT1-PRCDRDT6 | CHAR | Version H | Version I | CLM_PRCDR_PRFRM_DT(1-6): Claim Procedure Performed Date |
| CNDND | CNDND01-CNDND30 | CHAR | Version H | Version I | NCH_COND_TRLR_IND_CD(01-30): NCH Condition Trailer Indicator Code |
| RLTCND | RLTCND01-RLTCND30 | CHAR | Version H | Version I | CLM_RLT_COND_CD(01-30): Claim Related Condition Code |
| OCRCND | OCRCND01-OCRCND30 | CHAR | Version H | Version I | NCH_OCRNC_TRLR_IND_CD(01-30): NCH Occurrence Trailer Indicator Code |
| OCRCCD | OCRCCD01-OCRCCD30 | CHAR | Version H | Version I | CLM_RLT_OCRNC_CD(01-30): Claim Related Occurrence Code |
| MCPYD | MCPYD1-MCPYD2 | CHAR | Version H | MCO_PAYERID_NUM(1-2): MCO PAYERID Number | |
| PYRND | PYRND1-PYRND3 | CHAR | Version H | NCH_PAYERID_TRLR_IND_CD(1-3): NCH PAYERID Trailer Indicator Code | |
| PAYIDCD | PAYIDCD1-PAYIDCD3 | CHAR | Version H | CLM_PAYERID_CD(1-3): Claim PAYERID Code | |
| OCRCDT | OCRCDT01-OCRCDT30 | CHAR | Version H | Version I | CLM_RLT_OCRNC_DT(01-30): Claim Related Occurrence Date |
| PYDNM | PYDNM1-PYDNM3 | CHAR | Version H | CLM_PAYERID_NUM(1-3): Claim PAYERID Number | |
| SPNND | SPNND01-SPNND10 | CHAR | Version H | Version I | NCH_SPAN_TRLR_IND_CD(01-10): NCH Span Trailer Indicator Code |
| SPANCD | SPANCD01-SPANCD10 | CHAR | Version H | Version I | CLM_OCRNC_SPAN_CD(01-10): Claim Occurrence Span Code |
| SPNFRM | SPNFRM01-SPNFRM10 | CHAR | Version H | Version I | CLM_OCRNC_SPAN_FROM_DT(01-10): Claim Occurrence Span From Date |
| SPNTHR | SPNTHR01-SPNTHR10 | CHAR | Version H | Version I | CLM_OCRNC_SPAN_THRU_DT(01-10): Claim Occurrence Span Through Date |
| VALIND | VALIND01-VALIND36 | CHAR | Version H | Version I | NCH_VAL_TRLR_IND_CD(01-36): NCH Value Trailer Indicator Code |
| VAL_CD | VAL_CD01-VAL_CD36 | CHAR | Version H | Version I | CLM_VAL_CD(01-36): Claim Value Code |
| VALAMT | VALAMT01-VALAMT36 | NUM | Version H | Version I | CLM_VAL_AMT(01-36): Claim Value Amount |
| REVIND | REVIND01-REVIND45 | CHAR | Version H | Version I | NCH_REV_CNTR_TRLR_IND_CD(01-45): NCH Revenue Center Trailer Indicator Code |
| RVCNTR | RVCNTR01-RVCNTR45 | CHAR | Version H | Version I | REV_CNTR_CD(01-45): Revenue Center Code |
| REV_DT | REV_DT01-REV_DT45 | CHAR | Version H | Version I | REV_CNTR_DT(01-45): Revenue Center Date |
| RVNS1 | RVNS101-RVNS145 | CHAR | Version I | REV_CNTR_ANSI_1_CD(01-45): Revenue Center 1st ANSI Code | |
| RVNS2 | RVNS201-RVNS245 | CHAR | Version I | REV_CNTR_ANSI_2_CD(01-45): Revenue Center 2nd ANSI Code | |
| RVNS3 | RVNS301-RVNS345 | CHAR | Version I | REV_CNTR_ANSI_3_CD(01-45): Revenue Center 3rd ANSI Code | |
| RVNS4 | RVNS401-RVNS445 | CHAR | Version I | REV_CNTR_ANSI_4_CD(01-45): Revenue Center 4th ANSI Code | |
| APCPPS | APCPPS01-APCPPS45 | CHAR | Version I | REV_CNTR_APC_HIPPS_CD(01-45): Revenue Center APC/HIPPS | |
| HCPSCD | HCPSCD01-HCPSCD45 | CHAR | Version H | Version I | REV_CNTR_HCPCS_CD(01-45): Revenue Center CMS Common Procedure Coding System |
| MDFCD1 | MDFCD101-MDFCD145 | CHAR | Version H | Version I | REV_CNTR_HCPCS_INITL_MDFR_CD(01-45): Revenue Center HCPCS Initial Modifier Code |
| MDFCD2 | MDFCD201-MDFCD245 | CHAR | Version H | Version I | REV_CNTR_HCPCS_2ND_MDFR_CD(01-45): Revenue Center HCPCS Second Modifier Code |
| MDFCD3 | MDFCD301-MDFCD345 | CHAR | Version I | REV_CNTR_HCPCS_3RD_MDFR_CD(01-45): Revenue Center HCPCS Third Modifier Code | |
| MDFCD4 | MDFCD401-MDFCD445 | CHAR | Version I | REV_CNTR_HCPCS_4TH_MDFR_CD(01-45): Revenue Center HCPCS Fourth Modifier Code | |
| IDENUM | IDENUM01-IDENUM58 | CHAR | Version H | REV_CNTR_IDE_NUM(01-58): Revenue Center IDE Number | |
| MDFCD5 | MDFCD501-MDFCD545 | CHAR | Version I | REV_CNTR_HCPCS_5TH_MDFR_CD(01-45): Revenue Center HCPCS Fifth Modifier Code | |
| PMTTHD | PMTTHD01-PMTTHD45 | CHAR | Version I | REV_CNTR_PMT_MTHD_IND_CD(01-45): Revenue Center Payment Method Indicator Code | |
| DSCTND | DSCTND01-DSCTND45 | CHAR | Version I | REV_CNTR_DSCNT_IND_CD(01-45): Revenue Center Discount Indicator Code | |
| PCKGND | PCKGND01-PCKGND45 | CHAR | Version I | REV_CNTR_PACKG_IND_CD(01-45): Revenue Center Packaging Indicator Code | |
| PRICNG | PRICNG01-PRICNG45 | CHAR | Version I | REV_CNTR_PRICNG_IND_CD(01-45): Revenue Center Pricing Indicator Code | |
| OTAF_1 | OTAF_101-OTAF_145 | CHAR | Version I | REV_CNTR_OTAF_1_IND_CD(01-45): Revenue Center Obligation to Accept As Full (OTAF) Payment Code | |
| OTAF_2 | OTAF_201-OTAF_245 | CHAR | Version I | REV_CNTR_OTAF_2_IND_CD(01-45): Revenue Center Obligation to Accept As Full (OTAF) Payment Code | |
| IDENDC | IDENDC01-IDENDC45 | CHAR | Version I | REV_CNTR_IDE_NDC_UPC_NUM(01-45): Revenue Center IDE, NDC, UPC Number | |
| RVUNT | RVUNT01-RVUNT45 | NUM | Version H | Version I | REV_CNTR_UNIT_CNT(01-45): Revenue Center Unit Count |
| RVRT | RVRT01-RVRT45 | NUM | Version H | Version I | REV_CNTR_RATE_AMT(01-45): Revenue Center Rate Amount |
| RVBLD | RVBLD01-RVBLD45 | NUM | Version I | REV_CNTR_BLOOD_DDCTBL_AMT(01-45): Revenue Center Blood Deductible Amount | |
| RVDTBL | RVDTBL01-RVDTBL45 | NUM | Version I | REV_CNTR_CASH_DDCTBL_AMT(01-45): Revenue Center Cash Deductible Amount | |
| WGDJ | WGDJ01-WGDJ45 | NUM | Version I | REV_CNTR_WAGE_ADJSTD_COINS_AMT(01-45): Revenue Center Coinsurance/Wage Adjusted Coinsurance Amount | |
| RDCDCN | RDCDCN01-RDCDCN45 | NUM | Version I | REV_CNTR_RDCD_COINS_AMT(01-45): Revenue Center Reduced Coinsurance Amount | |
| RVMSP1 | RVMSP101-RVMSP145 | NUM | Version I | REV_CNTR_MSP1_PD_AMT(01-45): Revenue Center 1st Medicare Secondary Payer Paid Amount | |
| RVMSP2 | RVMSP201-RVMSP245 | NUM | Version I | REV_CNTR_MSP2_PD_AMT(01-45): Revenue Center 2nd Medicare Secondary Payer Paid Amount | |
| RVPCHG | RVPCHG01-RVPCHG45 | NUM | Version I | REV_CNTR_PROFNL_CMPNT_AMT(01-45): Revenue Center Professional Component Amount | |
| RPRPMT | RPRPMT01-RPRPMT45 | NUM | Version I | REV_CNTR_PRVDR_PMT_AMT(01-45): Revenue Center Provider Payment Amount | |
| RBNPMT | RBNPMT01-RBNPMT45 | NUM | Version I | REV_CNTR_BENE_PMT_AMT(01-45): Revenue Center Beneficiary Payment Amount | |
| PTNRSP | PTNRSP01-PTNRSP45 | NUM | Version I | REV_CNTR_PTNT_RESP_PMT_AMT(01-45): Revenue Center Patient Responsibility Payment | |
| REVPMT | REVPMT01-REVPMT45 | NUM | Version I | REV_CNTR_PMT_AMT(01-45): Revenue Center Payment Amount Amount | |
| RVCHRG | RVCHRG01-RVCHRG45 | NUM | Version H | Version I | REV_CNTR_TOT_CHRG_AMT(01-45): Revenue Center Total Charge Amount |
| RVNCVR | RVNCVR01-RVNCVR45 | NUM | Version H | Version I | REV_CNTR_NCVR_CHRG_AMT(01-45): Revenue Center Non-Covered Charge Amount |
| RVDDCD | RVDDCD01-RVDDCD45 | CHAR | Version H | Version I | REV_CNTR_DDCTBL_COINSRNC_CD(01-45): Revenue Center Deductible Coinsurance Code |
HRS Provider Release Medicare