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
