CWF Claim Accretion Number

Variable Name :ACRTN_NM

Label :    CWF Claim Accretion Number

The sequence number assigned to the claim record when accreted (posted/processed) to the beneficiary master record at the CWF host site on a given date. This element indicates the position of the claim within that day's processing at the CWF host. **(Exception: If the claim record is missing the accretion date HCFA's CWFMQA system places a zero in the accretion number. 3 DIGITS SIGNED 

DB2 ALIAS: CWF_CLM_ACRTN_NUM 

SAS ALIAS: ACRTN_NM 

STANDARD ALIAS: CWF_CLM_ACRTN_NUM 

TITLE ALIAS: ACCRETION_NUMBER 

SOURCE: CWF 

Variable Name :CLM_CNTL

Label :     FI Document Claim Control Number

Unique control number assigned by an intermediary to an institutional claim. 

COMMON ALIAS: ICN 

DB2 ALIAS: DOC_CLM_CNTL_NUM 

SAS ALIAS: CLM_CNTL 

STANDARD ALIAS: FI_DOC_CLM_CNTL_NUM 

TITLE ALIAS: ICN 

SOURCE: CWF 

Variable Name :ORIGCNTL

Label :    FI Original Claim Control Number

Effective with Version G, the original intermediary control number (ICN) which is present on adjustment claims, representing the ICN of the original transaction now being adjusted. 

COMMON ALIAS: ORIGINAL_ICN 

DB2 ALIAS: ORIG_CLM_CNTL_NUM 

SAS ALIAS: ORIGCNTL 

STANDARD ALIAS: FI_ORIG_CLM_CNTL_NUM 

TITLE ALIAS: ORIGINAL_ICN 

SOURCE: CWF

Variable Name :QUERY_CD

Label :     Claim Query Code

Code indicating the type of claim record being processed with respect to payment (debit/credit indicator; interim/final indicator). DB2 ALIAS: CLM_QUERY_CD 

SAS ALIAS: QUERY_CD 

STANDARD ALIAS: CLM_QUERY_CD 

TITLE ALIAS: QUERY_CD 

CODES: 

0 = Credit adjustment 

1 = Interim bill 

2 = Home Health Agency (HHA) benefits exhausted (obsolete 7/98) 

3 = Final bill

4 = Discharge notice (obsolete 7/98) 

5 = Debit adjustment 

SOURCE: CWF 

NCH State Segment Code

Variable Name : ST_SGMT

Label :  NCH State Segment Code

The code identifying the segment of the NCH Nearline file containing the beneficiary's record for a specific service year. Effective 12/96, segmentation is by then final action sequence within residence state. (Prior to 12/96, segmentation was by ranges of county codes within the residence state.) 

DB2 ALIAS: NCH_STATE_SGMT_CD 

SAS ALIAS: ST_SGMT 

STANDARD ALIAS: NCH_STATE_SGMT_CD 

TITLE ALIAS: NEAR_LINE_SEGMENT 

CODES: REFER TO: NCH_STATE_SGMT_TB IN THE CODES APPENDIX 

COMMENT: Prior to Version H this field was named: BENE_STATE_SGMT_NEAR_LINE_CD. 

SOURCE: NCH 

Variable Name :STATE_CD

Label :   Beneficiary Residence SSA Standard State Code

The SSA standard state code of a beneficiary's residence. 

DA3 ALIAS: SSA_STANDARD_STATE_CODE 

DB2 ALIAS: BENE_SSA_STATE_CD 

SAS ALIAS: STATE_CD 

STANDARD ALIAS: BENE_RSDNC_SSA_STD_STATE_CD TITLE ALIAS: BENE_STATE_CD EDIT-RULES:

OPTIONAL: MAY BE BLANK 

CODES: REFER TO: GEO_SSA_STATE_TB IN THE CODES APPENDIX 

COMMENT: 

1. Used in conjunction with a county code, as selection criteria for the determination of payment rates for HMO reimbursement. 

 2. Concerning individuals directly billable for Part B and/or Part A premiums, this element is used to determine if the beneficiary will receive a bill in English or Spanish. 

 3. Also used for special studies. 

 SOURCE: SSA/EDB

Variable Name :FROM_DT

Label :   Claim From Date

The first day on the billing statement covering services rendered to the beneficiary (a.k.a. 'Statement Covers From Date'). 

NOTE: For Home Health PPS claims, the 'from' date and the 'thru' date on the RAP (initial claim) must always match. 8 DIGITS UNSIGNED 

DB2 ALIAS: CLM_FROM_DT 

SAS ALIAS: FROM_DT 

STANDARD ALIAS: CLM_FROM_DT 

TITLE ALIAS: FROM_DATE EDIT-RULES: YYYYMMDD 

SOURCE: CWF 

Beneficiary Claim Account Number

Variable Name : CAN 

Label :  Beneficiary Claim Account Number (BLANKED)

The number identifying the primary beneficiary under the 

SSA or RRB programs submitted. 

COMMON ALIAS: CAN 

DA3 ALIAS: CLAIM_ACCOUNT_NUMBER 

DB2 ALIAS: BENE_CLM_ACNT_NUM 

SAS ALIAS: CAN 

STANDARD ALIAS: BENE_CLM_ACNT_NUM 

TITLE ALIAS: CAN 

SOURCE: 

SSA,RRB 

LIMITATIONS: RRB-issued numbers contain an overpunch in the first position that may appear as a plus zero or A-G. RRB-formatted numbers may cause matching problems on non-IBM machines. 

Variable Name : EQ_BIC

Label :  NCH Category Equatable Beneficiary Identification Code

The code categorizing groups of BICs representing similar relationships between the beneficiary and the primary wage earner.

The equatable BIC module electronically matches two records that contain different BICs where it is apparent that both are records for the same beneficiary. It validates the BIC and returns a base BIC under which to house the record in the National Claims History (NCH) databases. (All records for a beneficiary are stored under a single BIC.) 

COMMON ALIAS: NCH_BASE_CATEGORY_BIC 

DB2 ALIAS: CTGRY_EQTBL_BIC 

SAS ALIAS: EQ_BIC  

STANDARD ALIAS: NCH_CTGRY_EQTBL_BIC_CD 

 TITLE ALIAS: EQUATED_BIC 

 CODES: 

 REFER TO: CTGRY_EQTBL_BENE_IDENT_TB IN THE CODES APPENDIX 

 COMMENT: Prior to Version H this field was named: CTGRY_EQTBL_BENE_IDENT_CD. 

 SOURCE: BIC EQUATE MODULE

Variable Name : BIC

Label :  Beneficiary Identification Code
The code identifying the type of relationship between an individual and a primary Social Security Administration (SSA) beneficiary or a primary Railroad Board (RRB) beneficiary. 
COMMON ALIAS: BIC 
DA3 ALIAS: BENE_IDENT_CODE 
DB2 ALIAS: BENE_IDENT_CD 
SAS ALIAS: BIC 
STANDARD ALIAS: BENE_IDENT_CD 
TITLE ALIAS: BIC EDIT-RULES: EDB REQUIRED FIELD 
CODES: REFER TO: BENE_IDENT_TB IN THE CODES APPENDIX 
SOURCE: SSA/RRB