SAS Output
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 SAS Output
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 SAS Output
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 SAS Output
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 SAS Output
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 SAS Output
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 SAS Output
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 SAS Output
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 SAS Output
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 SAS Output