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
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
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
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
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
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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