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Thursday, April 20, 2017

Claim PRO Control Number

Variable Name : PRO_CNTL

Label : Claim PRO Control Number

Effective with Version G, the unique identifier assigned by the Peer Review Organization (PRO) for control purposes. 
DB2 ALIAS: CLM_PRO_CNTL_NUM 
SAS ALIAS: PRO_CNTL 
STANDARD ALIAS: CLM_PRO_CNTL_NUM 
TITLE ALIAS: PRO_CONTROL_NUM 
SOURCE: CWF 

Variable Name : PRO_DT




Label : Claim PRO Process Date
Effective with Version H, the date the claim was used in the PRO review process. 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 zeroes in this field. 8 DIGITS UNSIGNED 
DB2 ALIAS: CLM_PRO_PROC_DT 
SAS ALIAS: PRO_DT 
STANDARD ALIAS: CLM_PRO_PROC_DT 
TITLE ALIAS: PRO_PROC_DT EDIT-RULES: YYYYMMDD 
SOURCE: CWF 


Variable Name : STUS_CD




Label : Patient Discharge Status Code

The code used to identify the status of the patient as of the CLM_THRU_DT. 
COMMON ALIAS: DISCHARGE_DESTINATION/PATIENT_STATUS 
DB2 ALIAS: PTNT_DSCHRG_STUS 
SAS ALIAS: STUS_CD 
STANDARD ALIAS: PTNT_DSCHRG_STUS_CD 
SYSTEM ALIAS: LTCLMST 
TITLE ALIAS: PTNT_DSCHRG_STUS_CD 
COMMENT: Prior to Version H this field was named: CLM_STUS_CD. 
SOURCE: CWF 

Variable Name : DGNS_E




Label : Claim Diagnosis E Code

Effective with Version H, the ICD-9-CM code used to identify the external cause of injury, poisoning, or other adverse affect. Redundantly this field is also stored as the last occurrence of the diagnosis trailer. NOTE: During the Version H conversion, the data in the last occurrence of the diagnosis trailer was used to populate history. 
DB2 ALIAS: CLM_DGNS_E_CD 
SAS ALIAS: DGNS_E 
STANDARD ALIAS: CLM_DGNS_E_CD 
TITLE ALIAS: DGNS_E_CD 
SOURCE: CWF

Variable Name : PPS_IND




Label :  Claim PPS Indicator Code

Effective with Version H, the code indicating whether or not the (1) claim is PPS and/or (2) the beneficiary is a deemed insured Medicare Qualified Government Employee (MQGE). NOTE: Beginning with NCH weekly process date 10/3/97 through 5/29/98, this field was populated with only the PPS indicator. Beginning with NCH weekly process date 6/5/98, this field was additionally populated with the deemed MQGE indicator. Claims processed prior to 10/3/97 will contain spaces. 
COBOL ALIAS: PPS_IND 
DB2 ALIAS: CLM_PPS_IND_CD 
SAS ALIAS: PPS_IND 
STANDARD ALIAS: CLM_PPS_IND_CD 
TITLE ALIAS: PPS_IND 
SOURCE: CWF

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