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The Medicare Durable Medical Equipment (Encounter, Preliminary) file includes Medicare Advantage plans paid records for medical supplies.

What does this file include? (variable highlights)

  • Part C Benefit Package and Contract number
  • diagnosis (ICD diagnosis)
  • HCPCS code
  • Organization NPI
  • NPI for line supplier
  • Date of service (line date)

Special considerations

  • Many Medicare Advantage Plans offer extra coverage in addition to services covered under traditional fee-for-service Medicare (e.g., vision, hearing, dental, and/or health and wellness programs). Encounter data will include records for these additional items and services provided under the plan.

This file is no longer available since the final version is now available for request.

Program
Medicare
Category
Privacy Level
Research Identifiable Files