MCO Period Effective Date

Variable Name:  MCFFDT{x} where { x } ranges from 1 to 2

Label: MCO Period Effective Date 

Effective with Version H, the date the bene- ficiary's enrollment in the Managed Care Organization (MCO) became effective. 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: MCO_PRD_EFCTV_DT SAS ALIAS: MCOEFFDT STANDARD ALIAS: MCO_PRD_EFCTV_DT TITLE ALIAS: MCO_PERIOD_EFF_DT EDIT-RULES: YYYYMMDD SOURCE: CWF

Variable Name: MCTRMDT{x} where { x } ranges from 1 to 2

Label: MCO Period Termination Date

Effective with Version H, the date the bene- ficiary's enrollment in the Managed Care Organization (MCO) was terminated. 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: MCO_PRD_TRMNTN_DT SAS ALIAS: MCOTRMDT STANDARD ALIAS: MCO_PRD_TRMNTN_DT TITLE ALIAS: MCO_PERIOD_TERM_DT EDIT-RULES: YYYYMMDD SOURCE: CWF

Variable Name: MCPLND{x} where { x } ranges from 1 to 2

Label: MCO Health PLANID Number

A placeholder field (effective with Version H) for storing the Health PlanID associated with the Managed Care Organization (MCO). Prior to Version 'I' this field was named: MCO_PAYERID_NUM. DB2 ALIAS: MCO_PLANID_NUM SAS ALIAS: MCOPLNID STANDARD ALIAS: MCO_HLTH_PLANID_NUM TITLE ALIAS: MCO_PLANID COMMENT: Prior to Version I this field was named: MCO_PAYERID_NUM. SOURCE: CWF  

Variable Name: PLNDND{x} where { x } ranges from 1 to 3

Label:  NCH Health PlanID Trailer Indicator Code

A placeholder field (effective with Version H) for storing the code that indicates the presence of a Health PlanID trailer. NOTE: Prior to Version 'I' this field was named: NCH_PAYERID_TRLR_IND_CD. DB2 ALIAS: PLANID_TRLR_CD SAS ALIAS: PLANIDIN STANDARD ALIAS: NCH_HLTH_PLANID_TRLR_IND_CD CODES: I = Health PlanID trailer present COMMENT: Prior to Version I this field was named: NCH_PAYERID_TRLR_IND_CD. SOURCE: NCH

Variable Name: PLNDCD{x} where { x } ranges from 1 to 3

Label:   Claim Health PlanID Code

A placeholder field (effective with Version H) for storing the code identifying the type of Health PlanID. Prior to Version 'I' this field was named: CLM_PAYERID-CD 

DB2 ALIAS: CLM_PLANID_CD SAS ALIAS: PLANIDCD STANDARD ALIAS: CLM_HLTH_PLANID_CD TITLE ALIAS: PLANID_TYPE CODES: 1 = Medicare Secondary Payer 2 = Medicaid 3 = Medigap 4 = Supplemental Insurer 5 = Managed Care Organization COMMENT: Prior to Version I this field was named: CLM_PAYERID_CD. SOURCE: CWF 

Variable Name: PLANID{x} where { x } ranges from 1 to 3

Label:   Claim Health PlanID Number

A placeholder field (effective with Version H) for storing the Health PlanID number. Prior to Version 'I' this field was named: CLM_PAYERID_NUM. DB2 ALIAS: CLM_PLANID_NUM

SAS ALIAS: PLANID STANDARD ALIAS: CLM_HLTH_PLANID_NUM TITLE ALIAS: PLANID COMMENT: Prior to Version I this field was named: CLM_PAYERID_NUM. SOURCE: CWF