Home Health Agency

Variable Name : RACE

Label :  Beneficiary Race Code

The race of a beneficiary. 

DA3 ALIAS: RACE_CODE 

DB2 ALIAS: BENE_RACE_CD 

SAS ALIAS: RACE 

STANDARD ALIAS: BENE_RACE_CD 

SYSTEM ALIAS: LTRACE TITLE ALIAS: 

RACE_CD 

CODES: 0 = Unknown 

1 = White 

2 = Black 

3 = Other 

4 = Asian 

5 = Hispanic 

6 = North American Native

SOURCE: SSA

Variable Name : BENE_DOB

Label :  Beneficiary Birth Date

The beneficiary's date of birth. 8 DIGITS UNSIGNED 

DB2 ALIAS: BENE_BIRTH_DT 

SAS ALIAS: BENE_DOB 

STANDARD ALIAS: BENE_BIRTH_DT 

TITLE ALIAS: BENE_BIRTH_DATE EDIT-RULES: YYYYMMDD 

SOURCE: CWF 

Variable Name : MS_CD

Label :  CWF Beneficiary Medicare Status Code

The CWF-derived reason for a beneficiary's entitlement to Medicare benefits, as of the reference date (CLM_THRU_DT). COBOL ALIAS: MSC 

COMMON ALIAS: MSC 

DB2 ALIAS: BENE_MDCR_STUS_CD 

SAS ALIAS: MS_CD 

STANDARD ALIAS: CWF_BENE_MDCR_STUS_CD 

SYSTEM ALIAS: LTMSC 

TITLE ALIAS: MSC 

DERIVATION: CWF derives MSC from the following: 

1. Date of Birth 

2. Claim Through Date 

3. Original/Current Reasons for entitlement 

4. ESRD Indicator 

5. Beneficiary Claim Number Items 1,3,4,5 come from the CWF Beneficiary Master Record; item 2 comes from the FI/Carrier claim record. MSC is assigned as follows: MSC OASI DIB ESRD AGE BIC 10 YES N/A NO 65 and over N/A 11 YES N/A YES 65 and over N/A 20 NO YES NO under 65 N/A 21 NO YES YES under 65 N/A 31 NO NO YES any age T. 

CODES: 10 = Aged without ESRD 

11 = Aged with ESRD 

20 = Disabled without ESRD

21 = Disabled with ESRD 

31 = ESRD only COMMENT: Prior to Version H this field was named: 

 BENE_MDCR_STUS_CD. The name has been changed to distinguish this CWF-derived field from the EDB-derived MSC (BENE_MDCR_STUS_CD).

 SOURCE: CWF  

Variable Name : SURNAME

Label :   Claim Patient 6 Position Surname

The first 6 positions of the Medicare patient's surname (last name) as reported by the provider on the claim. NOTE1: Prior to Version H, this field was only present on the IP/SNF claim record. Effective with Version H, this field is present on all claim types. NOTE2: For OP, HHA, Hospice and all Carrier claims, data was populated beginning with NCH weekly process 10/3/97. Claims processed prior to 10/3/97 will contain spaces in this field. 

COMMON ALIAS: PATIENT_SURNAME 

DB2 ALIAS: PTNT_6_PSTN_SRNM 

SAS ALIAS: SURNAME 

STANDARD ALIAS: CLM_PTNT_6_PSTN_SRNM_NAME TITLE ALIAS: PATIENT_SURNAME 

SOURCE: CWF 

Variable Name : FRSTINIT

Label :    Claim Patient 1st Initial Given Name

The first initial of the Medicare patient's given name (first name) as reported by the provider on the claim. 

NOTE1: Prior to Version H, this field was only present on the IP/SNF claim record. Effective with Version H, this field is present on all claim types. 

NOTE2: For OP, HHA, Hospice and all Carrier claims, data was populated beginning with NCH weekly process date 10/3/97. Claims processed prior to 10/3/97 will contain spaces in this field. COMMON ALIAS: PATIENT_GIVEN_NAME 

DB2 ALIAS: 1ST_INITL_GVN_NAME 

SAS ALIAS: FRSTINIT 

STANDARD ALIAS: CLM_PTNT_1ST_INITL_GVN_NAME TITLE ALIAS: PATIENT_FIRST_INITIAL 

SOURCE: CWF