| BENE_ID |
Encrypted CCW Beneficiary ID |
| SAMPLE_GROUP |
CCW Beneficiary Random Sample Group |
| ENC_JOIN_KEY |
Unique Encounter Join Key |
| CLM_TYPE_CD |
Claim Type Code |
| CLM_FROM_DT |
Claim From Date (Encounter) |
| CLM_THRU_DT |
Claim Through Date (Encounter) |
| SRVC_MONTH |
Service Month |
| CLM_CHRT_RVW_SW |
Claim Chart Review Switch |
| CLM_CNTL_NUM |
Claim Control Number |
| CLM_ORIG_CNTL_NUM |
Claim Original Control Number |
| CLM_FINL_ACTN_IND |
Claim Final Action Indicator |
| CLM_LTST_CLM_IND |
Latest Claim Indicator |
| EDPS_CREATE_DT |
Encounter Data Processing System (EDPS) Create Date |
| CLM_RCPT_DT |
Claim Receipt Date |
| CLM_FAC_TYPE_CD |
Claim Facility Type Code (Encounter) |
| CLM_SRVC_CLSFCTN_TYPE_CD |
Claim Service Classification Type Code (Encounter) |
| CLM_FREQ_CD |
Claim Frequency Code (Encounter) |
| CNTRCT_NUM |
Medicare Part C Contract Number |
| CNTRCT_PBP_NUM |
Medicare Part C Plan Benefit Package (PBP) Number |
| CLM_MDCL_REC |
Claim Medical Record Number (Encounter) |
| ORG_NPI |
Organization NPI Number (Encounter) |
| ORG_TXNMY_CD |
Organization Taxonomy Code |
| RNDRNG_PHYSN_NPI |
Rendering Physician NPI (Encounter) |
| RFRG_PHYSN_NPI |
Carrier/DME Referring Physician NPI Number |
| AT_PHYSN_NPI |
Claim Attending Physician NPI Number (Encounter) |
| AT_PHYSN_TXNMY_CD |
Claim Attending Physician Taxonomy Code |
| OP_PHYSN_NPI |
Claim Operating Physician NPI Number (Encounter) |
| OT_PHYSN_NPI |
Claim Other Physician NPI Number (Encounter) |
| CLM_ADMSN_DT |
Claim Admission Date (Encounter) |
| PTNT_DSCHRG_STUS_CD |
Patient Discharge Status Code (Encounter) |
| BENE_DSCHRG_DT |
Beneficiary Discharge Date |
| PRNCPAL_DGNS_CD |
Claim Principal Diagnosis Code (Encounter) |
| ICD_DGNS_CD1 |
Claim Diagnosis Code 1 (Encounter) |
| ICD_DGNS_CD2 |
Claim Diagnosis Code 2 (Encounter) |
| ICD_DGNS_CD3 |
Claim Diagnosis Code 3 (Encounter) |
| ICD_DGNS_CD4 |
Claim Diagnosis Code 4 (Encounter) |
| ICD_DGNS_CD5 |
Claim Diagnosis Code 5 (Encounter) |
| ICD_DGNS_CD6 |
Claim Diagnosis Code 6 (Encounter) |
| ICD_DGNS_CD7 |
Claim Diagnosis Code 7 (Encounter) |
| ICD_DGNS_CD8 |
Claim Diagnosis Code 8 (Encounter) |
| ICD_DGNS_CD9 |
Claim Diagnosis Code 9 (Encounter) |
| ICD_DGNS_CD10 |
Claim Diagnosis Code 10 (Encounter) |
| ICD_DGNS_CD11 |
Claim Diagnosis Code 11 (Encounter) |
| ICD_DGNS_CD12 |
Claim Diagnosis Code 12 (Encounter) |
| ICD_DGNS_CD13 |
Claim Diagnosis Code 13 (Encounter) |
| ICD_DGNS_CD14 |
Claim Diagnosis Code 14 (Encounter) |
| ICD_DGNS_CD15 |
Claim Diagnosis Code 15 (Encounter) |
| ICD_DGNS_CD16 |
Claim Diagnosis Code 16 (Encounter) |
| ICD_DGNS_CD17 |
Claim Diagnosis Code 17 (Encounter) |
| ICD_DGNS_CD18 |
Claim Diagnosis Code 18 (Encounter) |
| ICD_DGNS_CD19 |
Claim Diagnosis Code 19 (Encounter) |
| ICD_DGNS_CD20 |
Claim Diagnosis Code 20 (Encounter) |
| ICD_DGNS_CD21 |
Claim Diagnosis Code 21 (Encounter) |
| ICD_DGNS_CD22 |
Claim Diagnosis Code 22 (Encounter) |
| ICD_DGNS_CD23 |
Claim Diagnosis Code 23 (Encounter) |
| ICD_DGNS_CD24 |
Claim Diagnosis Code 24 (Encounter) |
| ICD_DGNS_CD25 |
Claim Diagnosis Code 25 (Encounter) |
| CLM_1ST_DGNS_E_CD |
First Claim Diagnosis E Code (Encounter) |
| ICD_DGNS_E_CD1 |
Claim Diagnosis E Code 1 (Encounter) |
| ICD_DGNS_E_CD2 |
Claim Diagnosis E Code 2 (Encounter) |
| ICD_DGNS_E_CD3 |
Claim Diagnosis E Code 3 (Encounter) |
| RSN_VISIT_CD1 |
Reason for Visit Diagnosis Code 1 (Encounter) |
| RSN_VISIT_CD2 |
Reason for Visit Diagnosis Code 2 (Encounter) |
| RSN_VISIT_CD3 |
Reason for Visit Diagnosis Code 3 (Encounter) |
| CLM_OBSLT_DT |
Claim Obsolete Date |
| CLM_BPRVDR_CITY_NAME |
Billing Provider Address - City |
| CLM_BPRVDR_USPS_STATE_CD |
Billing Provider Address - USPS State Code |
| CLM_BPRVDR_ADR_ZIP_CD |
Billing Provider Zip Code |
| CLM_SUBSCR_CITY_NAME |
Medicare Subscriber Address - City |
| CLM_SUBSCR_USPS_STATE_CD |
Medicare Subscriber Address - USPS State Code |
| CLM_SUBSCR_ADR_ZIP_CD |
Medicare Subscriber Address - ZIP Code |
| BENE_CNTY_CD |
Beneficiary County Code from Claim (SSA) |
| BENE_STATE_CD |
Beneficiary Residence (SSA) State Code (Encounter) |
| BENE_MLG_CNTCT_ZIP_CD |
Beneficiary ZIP Code of Residence from Claim |
| BENE_RACE_CD |
Beneficiary Race Code (Encounter) |
| DOB_DT |
Date of Birth from Encounter |
| BENE_MDCR_STUS_CD |
Beneficiary Medicare Status Code |
| TAX_NUM |
Provider Tax Number |
| BENE_STATE |
State of beneficiary (postal abbreviation) |