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1. Durable Medical Equipment RIF

   The Durable Medical Equipment (DME) file contains final action, fee-for-service claims submitted by Durable Medical Equipment suppliers. This file includes: ...

2. Skilled Nursing Facility RIF

   The Skilled Nursing Facility ( SNF ) file contains final action, fee-for-service, claims data submitted by SNF providers. ...

3. Carrier RIF

   The Carrier file (also known as the Physician/Supplier Part B claims file) contains final action fee-for-service claims submitted on a CMS -1500 claim form. Most of the claims are from non-institutional providers, such as physicians, physician assistants, ...

4. MedPAR RIF

   The MedPAR File contains inpatient hospital and skilled nursing facility ( SNF ) final action stay records. Each MedPAR record represents a stay in an inpatient hospital or SNF. Each MedPAR record may represent one claim or multiple claims, depending on ...

5. Carrier LDS

   The Carrier file (also known as the Physician/Supplier Part B claims file) contains final action fee-for-service claims submitted on a CMS -1500 claim form. Most of the claims are from non-institutional providers, such as physicians, physician assistants, ...

6. Durable Medical Equipment LDS

   The Durable Medical Equipment (DME) file contains final action, fee-for-service claims submitted by Durable Medical Equipment suppliers. This file includes: diagnosis, (ICD-9 diagnosis), services provided ( CMS Common Procedure Coding System ( HCPCS ) ...

7. Home Health Agency LDS

   The Home Health Agency (HHA) file contains final action, fee-for-service claims submitted by HHA providers. This file includes: the number of visits, type of visit (skilled-nursing care, home health aides, physical therapy, speech therapy, occupational ...

8. Hospice LDS

   The Hospice file contains final action claims submitted by Hospice providers. Once a beneficiary elects Hospice, all Hospice related claims will be found in this file, regardless if the beneficiary is in Medicare fee-for-service or in a Medicare managed ...

9. Inpatient LDS

   The Inpatient file contains final action fee-for-service claims data submitted by inpatient hospital providers for reimbursement of facility costs. Medicare Institutional provider numbers are not encrypted; however, physician identifiers, e.g. NPI s or ...

10. Skilled Nursing Facility LDS

    The Skilled Nursing Facility ( SNF ) file contains final action, fee-for-service, claims data submitted by SNF providers. Medicare Institutional provider numbers are not encrypted; however, physician identifiers, e.g. NPI s or UPIN s are encrypted. This ...

11. MedPAR Hospital National LDS

    The MedPAR File contains inpatient hospital final action stay records. Each MedPAR record represents a stay in an inpatient hospital. Each MedPAR record may represent one claim or multiple claims, depending on the length of a beneficiary's stay and ...

12. Outpatient LDS

    The Outpatient file contains final action, fee-for-service claims data submitted by institutional outpatient providers. Medicare Institutional provider numbers are not encrypted; however, physician identifiers, e.g. NPI s or UPIN s are encrypted. Examples ...

13. Master Beneficiary Summary File

    The Master Beneficiary Summary File includes several segments. Base (A/B/D) segment : This segment includes beneficiary enrollment information, such as the beneficiary unique identifier, state and county codes, zipcode, date of birth, date of death, sex, ...

14. Inpatient RIF

    The Inpatient file contains final action fee-for-service claims data submitted by inpatient hospital providers for reimbursement of facility costs. This file includes: diagnosis (ICD-9 diagnosis), procedure (ICD-9 procedure code), Medicare Severity ...

15. Outpatient RIF

    The Outpatient file contains final action, fee-for-service claims data submitted by institutional outpatient providers. Examples of institutional outpatient providers include hospital outpatient departments, rural health clinics, renal dialysis facilities ...

16. MedPAR Longterm Care Hospital PPS Expanded Modified

    The Medicare Provider Analysis and Review (MEDPAR) LTCH file contains records for 100% of Medicare beneficiaries who received hospital inpatient services at a LTCH as defined in Sections 1886(d)(1)(B)(iv) and 1861(ccc) of the Social ...

17. Provider of Services File

    The Provider of Services (POS) Extract is created from the QIES (Quality Improvement Evaluation System) database as of second quarter 2011 and all future POS files. The file contains an individual record for each Medicare-approved provider ...

18. Supplemental Date File LDS

    This supplemental file contains all date fields for the LDS Standard Analytical Files (SAFs). There are separate date files for each SAF claim type.  It was produced for Calendar Year 2009. Starting in 2010, the actual MM/DD/YY dates ...

19. Denominator RIF

    The Denominator File contains demographic and enrollment information about each Medicare beneficiary during a calendar year. The information in the Denominator File is 'frozen' in March of the following calendar year. This file is not ...

20. Denominator LDS

    The Denominator LDS File combines Medicare beneficiary entitlement status information from administrative enrollment records with third-party payer information and GHP enrollment information. The Denominator File contains data on all Medicare ...

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