@@ -27,13 +27,13 @@ Line Field BENEFICIARY BENEFICIARY_HISTORY INPATIENT OUTPATIENT CARRIER PDE DME
272725 BENE_RACE_CD Coded Coded N/A N/A N/A N/A N/A N/A N/A N/A TRUE
282826 BENE_SEX_IDENT_CD "1,2" "1,2" N/A N/A N/A N/A N/A N/A N/A N/A FALSE
292927 BENE_SRNM_NAME Coded Coded N/A N/A N/A N/A N/A N/A N/A N/A TRUE/FALSE
30- 28 BENE_TOT_COINSRNC_DAYS_CNT N/A N/A 0 N/A N/A N/A N/A N/A N/A Coded FALSE
30+ 28 BENE_TOT_COINSRNC_DAYS_CNT N/A N/A Coded N/A N/A N/A N/A N/A N/A Coded FALSE
313129 BENE_ZIP_CD Coded Coded N/A N/A N/A N/A N/A N/A N/A N/A TRUE/FALSE
323230 BETOS_CD N/A N/A N/A N/A Coded N/A Coded N/A N/A N/A TRUE
333331 BRND_GNRC_CD N/A N/A N/A N/A N/A "B,G (B = brand, G = generic)" N/A N/A N/A N/A TRUE
343432 BUYIN_MO_CNT Coded N/A N/A N/A N/A N/A N/A N/A N/A N/A TRUE
353533 B_MO_CNT Coded N/A N/A N/A N/A N/A N/A N/A N/A N/A TRUE
36- 34 CARR_CLM_CASH_DDCTBL_APLD_AMT N/A N/A N/A N/A (Sum of LINE_BENE_PTB_DDCTBL_AMT) N/A Coded N/A N/A N/A FALSE
36+ 34 CARR_CLM_CASH_DDCTBL_APLD_AMT N/A N/A N/A N/A Coded N/A Coded N/A N/A N/A FALSE
373735 CARR_CLM_ENTRY_CD N/A N/A N/A N/A 1 N/A 1 N/A N/A N/A FALSE
383836 CARR_CLM_HCPCS_YR_CD N/A N/A N/A N/A 1 (2021) N/A 1 (1 = 2021) N/A N/A N/A TRUE
393937 CARR_CLM_PMT_DNL_CD N/A N/A N/A N/A 1 (1=paid to physician) N/A 1 (1=paid to physician) N/A N/A N/A FALSE
@@ -55,7 +55,7 @@ Line Field BENEFICIARY BENEFICIARY_HISTORY INPATIENT OUTPATIENT CARRIER PDE DME
555553 CLM_CLNCL_TRIL_NUM N/A N/A N/A N/A N/A N/A N/A N/A TRUE SKIP
565654 CLM_DISP_CD N/A N/A N/A N/A 1 N/A 1 N/A N/A N/A FALSE
575755 CLM_DRG_CD N/A N/A Coded N/A N/A N/A N/A N/A N/A Coded TRUE
58- 56 CLM_DRG_OUTLIER_STAY_CD N/A N/A 0 N/A N/A N/A N/A N/A N/A N/A FALSE
58+ 56 CLM_DRG_OUTLIER_STAY_CD N/A N/A Coded N/A N/A N/A N/A N/A N/A N/A FALSE
595957 CLM_E_POA_IND_SW1 N/A N/A Coded N/A N/A N/A N/A N/A N/A N/A TRUE
606058 CLM_E_POA_IND_SW10 N/A N/A [Blank] N/A N/A N/A N/A N/A N/A N/A TRUE
616159 CLM_E_POA_IND_SW11 N/A N/A [Blank] N/A N/A N/A N/A N/A N/A N/A TRUE
@@ -75,9 +75,9 @@ Line Field BENEFICIARY BENEFICIARY_HISTORY INPATIENT OUTPATIENT CARRIER PDE DME
757573 CLM_HHA_LUPA_IND_CD N/A N/A N/A N/A N/A N/A N/A N/A N/A TRUE
767674 CLM_HHA_RFRL_CD N/A N/A N/A N/A N/A N/A N/A N/A N/A TRUE
777775 CLM_HHA_TOT_VISIT_CNT N/A N/A N/A N/A N/A N/A N/A Coded N/A N/A FALSE
78- 76 CLM_HOSPC_START_DT_ID N/A N/A N/A N/A N/A N/A N/A N/A N/A TRUE
78+ 76 CLM_HOSPC_START_DT_ID N/A N/A N/A N/A N/A N/A N/A N/A Coded N/A TRUE
797977 CLM_ID N/A N/A Coded Coded Coded N/A Coded Coded Coded Coded FALSE
80- 78 CLM_IP_ADMSN_TYPE_CD N/A N/A "1,2,3" N/A N/A N/A N/A N/A N/A Coded FALSE
80+ 78 CLM_IP_ADMSN_TYPE_CD N/A N/A Coded N/A N/A N/A N/A N/A N/A Coded FALSE
818179 CLM_LINE_NUM N/A N/A Coded Coded N/A N/A N/A Coded Coded Coded FALSE
828280 CLM_MCO_PD_SW N/A N/A 0 (0 = No managed care organization (MCO) payment) 0 (0 = No managed care organization (MCO) payment) N/A N/A N/A N/A N/A 0 (0 = No managed care organization (MCO) payment) TRUE
838381 CLM_MDCR_NON_PMT_RSN_CD N/A N/A [Blank] [Blank] N/A N/A N/A [Blank] [Blank] [Blank] TRUE
@@ -343,7 +343,7 @@ Line Field BENEFICIARY BENEFICIARY_HISTORY INPATIENT OUTPATIENT CARRIER PDE DME
343343341 LINE_LAST_EXPNS_DT N/A N/A N/A N/A Coded N/A Coded N/A N/A N/A TRUE
344344342 LINE_NCH_PMT_AMT N/A N/A N/A N/A Coded N/A Coded N/A N/A N/A FALSE
345345343 LINE_NDC_CD N/A N/A N/A N/A Coded N/A N/A N/A N/A TRUE
346- 344 LINE_NUM N/A N/A N/A N/A 1 N/A Coded N/A N/A N/A FALSE
346+ 344 LINE_NUM N/A N/A N/A N/A Coded N/A Coded N/A N/A N/A FALSE
347347345 LINE_PLACE_OF_SRVC_CD N/A N/A N/A N/A Coded N/A Coded N/A N/A N/A FALSE
348348346 LINE_PMT_80_100_CD N/A N/A N/A N/A N/A N/A N/A N/A TRUE
349349347 LINE_PRCSG_IND_CD N/A N/A N/A N/A A N/A A N/A N/A N/A TRUE
@@ -580,7 +580,7 @@ Line Field BENEFICIARY BENEFICIARY_HISTORY INPATIENT OUTPATIENT CARRIER PDE DME
580580578 REV_CNTR_DDCTBL_COINSRNC_CD N/A N/A Coded N/A N/A N/A N/A Coded Coded Coded TRUE
581581579 REV_CNTR_DSCNT_IND_CD N/A N/A N/A N/A N/A N/A N/A N/A N/A TRUE
582582580 REV_CNTR_DT N/A N/A N/A Coded N/A N/A N/A Coded Coded N/A TRUE
583- 581 REV_CNTR_IDE_NDC_UPC_NUM N/A N/A N/A N/A N/A N/A N/A N/A N/A TRUE
583+ 581 REV_CNTR_IDE_NDC_UPC_NUM N/A N/A N/A Coded N/A N/A N/A N/A N/A N/A TRUE
584584582 REV_CNTR_NCVRD_CHRG_AMT N/A N/A Coded Coded N/A N/A N/A Coded Coded Coded TRUE/FALSE
585585583 REV_CNTR_NDC_QTY N/A N/A Coded Coded N/A N/A N/A Coded Coded Coded TRUE
586586584 REV_CNTR_NDC_QTY_QLFR_CD N/A N/A Coded Coded N/A N/A N/A Coded Coded Coded TRUE
0 commit comments