Variable Name : MDCDINFO
Label : Claim Medicaid Information Code
Effective with Version G, code identifying Medicaid information supplied by the contractor to Medicaid.
DB2 ALIAS: CLM_MDCD_INFO_CD
SAS ALIAS: MDCDINFO
STANDARD ALIAS: CLM_MDCD_INFO_CD
TITLE ALIAS: MEDICAID_INFO
SOURCE: CWF
Effective with Version G, code identifying Medicaid information supplied by the contractor to Medicaid.
DB2 ALIAS: CLM_MDCD_INFO_CD
SAS ALIAS: MDCDINFO
STANDARD ALIAS: CLM_MDCD_INFO_CD
TITLE ALIAS: MEDICAID_INFO
SOURCE: CWF
Variable Name :MCOPDSW
Label : Claim MCO Paid Switch
A switch indicating whether or not a Managed Care Organization (MCO) has paid the provider for an institutional claim.
COBOL ALIAS: MCO_PD_IND
DB2 ALIAS: CLM_MCO_PD_SW
SAS ALIAS: MCOPDSW
STANDARD ALIAS: CLM_MCO_PD_SW
TITLE ALIAS: MCO_PAID_SW
CODES: 1 = MCO has paid the provider for a claim Blank or
0 = MCO has not paid the provider for a claim
COMMENT: Prior to Version H this field was named:
CLM_GHO_PD_SW.
SOURCE: CWF
A switch indicating whether or not a Managed Care Organization (MCO) has paid the provider for an institutional claim.
COBOL ALIAS: MCO_PD_IND
DB2 ALIAS: CLM_MCO_PD_SW
SAS ALIAS: MCOPDSW
STANDARD ALIAS: CLM_MCO_PD_SW
TITLE ALIAS: MCO_PAID_SW
CODES: 1 = MCO has paid the provider for a claim Blank or
0 = MCO has not paid the provider for a claim
COMMENT: Prior to Version H this field was named:
CLM_GHO_PD_SW.
SOURCE: CWF
Variable Name : AUTHRZTN
Label : Claim Treatment Authorization Number
The number assigned by the medical reviewer and reported by the provider to identify the medical review (treatment authorization) action taken after review of the beneficiary's case. It designates that treatment covered by the bill has been authorized by the payer. This number is used by the intermediary and the Peer Review Organization. NOTE: Under HH PPS this field will be used to link claims to the OASIS assessment used as the basis of payment. This eighteen character string consists of the start of care date, the OASIS assessment date and the two digit reason for assessment code.
COMMON ALIAS: TAN
DB2 ALIAS: TRTMT_AUTHRZTN_NUM
SAS ALIAS: AUTHRZTN STANDARD ALIAS:
CLM_TRTMT_AUTHRZTN_NUM
TITLE ALIAS: TREATMENT_AUTHORIZATION
SOURCE: CWF
The number assigned by the medical reviewer and reported by the provider to identify the medical review (treatment authorization) action taken after review of the beneficiary's case. It designates that treatment covered by the bill has been authorized by the payer. This number is used by the intermediary and the Peer Review Organization. NOTE: Under HH PPS this field will be used to link claims to the OASIS assessment used as the basis of payment. This eighteen character string consists of the start of care date, the OASIS assessment date and the two digit reason for assessment code.
COMMON ALIAS: TAN
DB2 ALIAS: TRTMT_AUTHRZTN_NUM
SAS ALIAS: AUTHRZTN STANDARD ALIAS:
CLM_TRTMT_AUTHRZTN_NUM
TITLE ALIAS: TREATMENT_AUTHORIZATION
SOURCE: CWF
Variable Name : PTNTCNTL
Label : Patient Control Number
The unique alphanumeric identifier assigned by the provider to the institutional claim to facilitate retrieval of individual case records and posting of payments.
DB2 ALIAS: PTNT_CNTL_NUM
SAS ALIAS: PTNTCNTL
STANDARD ALIAS: PTNT_CNTL_NUM
TITLE ALIAS: PATIENT_CONTROL_NUM
SOURCE: CWF
The unique alphanumeric identifier assigned by the provider to the institutional claim to facilitate retrieval of individual case records and posting of payments.
DB2 ALIAS: PTNT_CNTL_NUM
SAS ALIAS: PTNTCNTL
STANDARD ALIAS: PTNT_CNTL_NUM
TITLE ALIAS: PATIENT_CONTROL_NUM
SOURCE: CWF
Variable Name : MDCL_REC
Label : Claim Medical Record Number
The number assigned by the provider to the beneficiary's medical record to assist in record retrieval.
DB2 ALIAS: CLM_MDCL_REC_NUM
SAS ALIAS: MDCL_REC
STANDARD ALIAS: CLM_MDCL_REC_NUM
TITLE ALIAS: MEDICAL_RECORD_NUM
SOURCE: CWF
The number assigned by the provider to the beneficiary's medical record to assist in record retrieval.
DB2 ALIAS: CLM_MDCL_REC_NUM
SAS ALIAS: MDCL_REC
STANDARD ALIAS: CLM_MDCL_REC_NUM
TITLE ALIAS: MEDICAL_RECORD_NUM
SOURCE: CWF
Billing services for mental health providers. Delivering the best possible health care over 20 years. Learn more about our quality and improvement.
ReplyDelete