NCH Payment and Edit Record Identification Code

Variable Name : PE_RIC

Label :NCH Payment and Edit Record Identification Code

The code used for payment and editing purposes that indicates the type of institutional claim record. DB2 ALIAS: PMT_EDIT_RIC_CD 

SAS ALIAS: PE_RIC 

STANDARD ALIAS: NCH_PMT_EDIT_RIC_CD 

TITLE ALIAS: NCH_PAYMENT_EDIT_RIC 

CODES: 

C = Inpatient hospital, SNF 

 D = Outpatient

 E = Religious Nonmedical Health Care Institutions (eff. Christian Science, prior to 7/00

 F = Home Health Agency (HHA)

G = Discharge notice (obsoleted 7/98) 

I = Hospice COMMENT: Prior to Version H this field was named: PMT_EDIT_RIC_CD. 

SOURCE: NCH QA Process  

Variable Name : TRANS_CD

Label :Claim Transaction Code 

The code derived by CWF to indicate the type of claim submitted by an institutional provider. 

DB2 ALIAS: CLM_TRANS_CD 

SAS ALIAS: TRANS_CD 

STANDARD ALIAS: CLM_TRANS_CD 

SYSTEM ALIAS: LTCLTRAN 

TITLE ALIAS: TRANSACTION_CODE 

CODES: REFER TO: CLM_TRANS_TB IN THE CODES APPENDIX 

SOURCE: CWF 

Variable Name : FAC_TYPE

Label :Claim Facility Type Code

The first digit of the type of bill (TOB1) submitted on an institutional claim used to identify the type of facility that provided care to the beneficiary. 

COMMON ALIAS: TOB1 

DB2 ALIAS: CLM_FAC_TYPE_CD 

SAS ALIAS: FAC_TYPE 

STANDARD ALIAS: CLM_FAC_TYPE_CD 

TITLE ALIAS: TOB1 

CODES: REFER TO: CLM_FAC_TYPE_TB IN THE CODES 

APPENDIX 

SOURCE: CWF 

Variable Name : TYPESRVC

Label :Claim Service Classification Type Code

The second digit of the type of bill (TOB2) submitted on an institutional claim record to indicate the classification ofthe type of service provided to the beneficiary. 

COMMON ALIAS: TOB2 

DB2 ALIAS: SRVC_CLSFCTN_CD 

SAS ALIAS: TYPESRVC 

STANDARD ALIAS: CLM_SRVC_CLSFCTN_TYPE_CD

TITLE ALIAS: TOB2 CODES: REFER TO: CLM_SRVC_CLSFCTN_TYPE_TB IN THE CODES APPENDIX 

SOURCE: CWF

Variable Name :FREQ_CD

Label :Claim Frequency Code

 The third digit of the type of bill (TOB3) submitted on an institutional claim record to indicate the sequence of a claim in the beneficiary's current episode of care. 

COMMON ALIAS: TOB3 

DB2 ALIAS: CLM_FREQ_CD 

SAS ALIAS: FREQ_CD 

STANDARD ALIAS: CLM_FREQ_CD 

SYSTEM ALIAS: LTFREQ 

TITLE ALIAS: FREQUENCY_CD 

CODES: REFER TO: CLM_FREQ_TB IN THE CODES APPENDIX 

SOURCE: CWF