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Sunday, April 16, 2017

Claim Medicaid Information Code

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

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 

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

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 

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

1 comment:

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