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Wednesday, April 12, 2017

Claim Other Physician UPIN Number

Variable Name : OT_UPIN

Label :  Claim Other Physician UPIN Number

On an institutional claim, the unique physician identification number (UPIN) of the other physician associated with the institutional claim. 
DB2 ALIAS: OTHR_UPIN 
SAS ALIAS: OT_UPIN 
STANDARD ALIAS: CLM_OTHR_PHYSN_UPIN_NUM 
TITLE ALIAS: OTH_PHYSN_UPIN 
COMMENT: Prior to Version H this field was named: CLM_OTHR_PHYSN_IDENT_NUM and contained 10 positions (6-position UPIN and 4-position other physician surname). 
NOTE: For HHA and Hospice formats beginning with NCH weekly process date 10/3/97 this field was populated with data. HHA and Hospice claims processed prior to 10/3/97 will contain spaces. 
SOURCE: CWF 

Variable Name : OT_NPI


Label : Claim Other Physician NPI Number

A placeholder field (effective with Version H for storing the NPI assigned to the other physician. 
DB2 ALIAS: OTHR_NPI 
SAS ALIAS: OT_NPI 
STANDARD ALIAS: CLM_OTHR_PHYSN_NPI_NUM SOURCE: CWF 

Variable Name : OT_SRNM


Label : Claim Other Physician Surname

Effective with Version H, the last name of the other physician (used for internal editing purposes in HCFA's CWFMQA system.) NOTE: Beginning with the NCH weekly process date 10/3/97 this field was populated with data. Claims processed prior to 10/3/97 will contain spaces in this field. 
DB2 ALIAS: OTHR_SRNM 
SAS ALIAS: OT_SRNM 
STANDARD ALIAS: CLM_OTHR_PHYSN_SRNM_NAME 
TITLE ALIAS: OTH_PHYSN_SURNAME 
SOURCE: CWF 

Variable Name : OT_GVN


Label : Claim Other Physician Given Name
Effective with Version H, the first name of the other physician (used for internal editing purposes in HCFA's CWFMQA system.) NOTE: Beginning with NCH weekly process date 10/3/97 this field was populated with data. Claims processed prior to 10/3/97 will contain spaces in this field. 
DB2 ALIAS: OTHR_GVN_NAME SAS ALIAS: OT_GVN 
STANDARD ALIAS: CLM_OTHR_PHYSN_GVN_NAME 
TITLE ALIAS: OTH_PHYSN_FIRSTNAME 
SOURCE: CWF 

Variable Name : OT_MDL


Label : Claim Other Physician Middle Initial Name
Effective with Version H, the middle initial of the other physician (used for internal editing purposes in HCFA's CWFMQA system.) 
NOTE: Beginning with NCH weekly process date 10/3/97 this field was populated with data. Claims processed prior to 10/3/97 will contain spaces in this field. 
DB2 ALIAS: OTHR_MI_NAME 
SAS ALIAS: OT_MDL 
STANDARD ALIAS: CLM_OTHR_PHYSN_MDL_INITL_NAME 
TITLE ALIAS: OTH_PHYSN_MI 
SOURCE: CWF 

Variable Name : MDCD_PRV


Label : Medicaid Provider Identification Number
A unique identification number assigned to each provider by the state Medicaid agency. This unique provider number is used to ensure proper payment of providers and claims history on individual providers for surveillance and utilization review. 
DB2 ALIAS: MDCD_PRVDR_NUM 
SAS ALIAS: MDCD_PRV 
STANDARD ALIAS: MDCD_PRVDR_IDENT_NUM 
TITLE ALIAS: MEDICAID_PROVIDER 
COMMENT: Prior to Version H the field size was X(12). SOURCE: CWF 

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