Variable Name : RLTCND{x}
where { x } ranges from 1 to 3
Label :Claim Related Condition Code
The code that indicates a condition relating to an
institutional claim that may affect payer processing.
DB2 ALIAS: CLM_RLT_COND_CD
SAS ALIAS: RLT_COND
STANDARD ALIAS: CLM_RLT_COND_CD
SYSTEM ALIAS: LTCOND
TITLE ALIAS: RELATED_CONDITION_CD
CODES:
01 THRU 16 = Insurance related
17 THRU 30 = Special condition
31 THRU 35 = Student status codes which are required
when a patient is a dependent child
over 18 years old
36 THRU 45 = Accommodation
46 THRU 54 = CHAMPUS information
55 THRU 59 = Skilled nursing facility
60 THRU 70 = Prospective payment
71 THRU 99 = Renal dialysis setting
A0 THRU B9 = Special program codes
C0 THRU C9 = PRO approval services
D0 THRU W0 = Change conditions
CODES:
REFER TO: CLM_RLT_COND_TB
IN THE CODES APPENDIX
SOURCE:
CWF
Variable Name : OCRCND{x}
where { x } ranges from 1 to 30
Label : NCH Occurrence Trailer Indicator Code
Effective with Version H, the code indicating the presence
of a occurrence code trailer.
NOTE: During the Version H conversion this field
was populated throughout history (back to service
year 1991).
DB2 ALIAS: OCRNC_TRLR_IND_CD
SAS ALIAS: OCRNCIND
STANDARD ALIAS: NCH_OCRNC_TRLR_IND_CD
CODES:
O = Occurrence code trailer present
SOURCE:
NCH
Variable Name : OCRCND{x} where { x } ranges from 1 to 30
Label : NCH Occurrence Trailer Indicator Code
Effective with Version H, the code indicating the presence
of a occurrence code trailer.
NOTE: During the Version H conversion this field
was populated throughout history (back to service
year 1991).
DB2 ALIAS: OCRNC_TRLR_IND_CD
SAS ALIAS: OCRNCIND
STANDARD ALIAS: NCH_OCRNC_TRLR_IND_CD
CODES:
O = Occurrence code trailer present
SOURCE:
NCH
Variable Name : OCRCCD{x}
where { x } ranges from 1 to 30
Label : Claim Related Occurrence Code
The code that identifies a significant event relating to an
institutional claim that may affect payer processing. These
codes are
claim-related occurrences that are related
to a specific date.
DB2 ALIAS: CLM_RLT_OCRNC_CD
SAS ALIAS: OCRNC_CD
STANDARD ALIAS: CLM_RLT_OCRNC_CD
SYSTEM ALIAS: LTOCRNC
TITLE ALIAS: OCCURRENCE_CD
CODES:
01 THRU 09 = Accident
10 THRU 19 = Medical condition
20 THRU 39 = Insurance related
40 THRU 69 = Service related
A1-A3 = Miscellaneous
CODES:
REFER TO: CLM_RLT_OCRNC_TB
IN THE CODES APPENDIX
SOURCE:
CWF
Variable Name : OCRCDT{x}
where { x } ranges from 1 to 30
Label : Claim Related Occurrence Date
The date associated with a significant event related to an
institutional claim that may affect payer processing.
8 DIGITS UNSIGNED
DB2 ALIAS: CLM_RLT_OCRNC_DT
SAS ALIAS: OCRNCDT
STANDARD ALIAS: CLM_RLT_OCRNC_DT
TITLE ALIAS: RLT_OCRNC_DT
EDIT-RULES:
YYYYMMDD
SOURCE:
CWF
