| BENE_ID |
Encrypted 723 CCW Beneficiary ID |
| MSIS_ID |
Encrypted MSIS Identification Number |
| STATE_CD |
State |
| YR_NUM |
Year of MAX Record |
| EL_DOB |
Birth date |
| EL_SEX_CD |
Sex (MAX) |
| EL_RACE_ETHNCY_CD |
Race/ethnicity (from MSIS) |
| RACE_CODE_1 |
Race - White (from MSIS) |
| RACE_CODE_2 |
Race - Black (from MSIS) |
| RACE_CODE_3 |
Race - Am Indian/Alaskan (from MSIS) |
| RACE_CODE_4 |
Race - Asian (from MSIS) |
| RACE_CODE_5 |
Race - Hawaiian/Pac Islands (from MSIS) |
| ETHNICITY_CODE |
Ethnicity - Hispanic (from MSIS) |
| EL_SS_ELGBLTY_CD_LTST |
State specific eligibility - most recent |
| EL_SS_ELGBLTY_CD_MO |
State specific eligibility - mo of svc |
| EL_MAX_ELGBLTY_CD_LTST |
MAX eligibility - most recent |
| EL_MAX_ELGBLTY_CD_MO |
MAX eligibility - mo of svc |
| EL_MDCR_ANN_XOVR_OLD |
Medicare Crossover code (Annual) old values |
| MSNG_ELG_DATA |
Missing eligibility data |
| EL_MDCR_XOVR_CLM_BSD_CD |
Crossover code (from claims only) |
| EL_MDCR_ANN_XOVR_99 |
Crossover code (Annual) |
| MSIS_TOS |
MSIS Type of Service (TOS) |
| MSIS_TOP |
MSIS Type of Program (TOP) |
| MAX_TOS |
MAX Type of Service (TOS) |
| PRVDR_ID_NMBR |
Billing provider identification number (MAX) |
| NPI |
National Provider Identifier (MAX) |
| TAXONOMY |
Provider Taxonomy |
| TYPE_CLM_CD |
Type of claim |
| ADJUST_CD |
Adjustment code |
| PHP_TYPE |
Managed care type of plan code |
| PHP_ID |
Managed care plan identification code |
| MDCD_PYMT_AMT |
Medicaid payment amount |
| TP_PYMT_AMT |
Third party payment amount |
| PYMT_DT |
Payment/adjudication date |
| CHRG_AMT |
Charge amount |
| PHP_VAL |
Prepaid plan value |
| MDCR_COINSUR_PYMT_AMT |
Medicare coinsurance payment amount |
| MDCR_DED_PYMT_AMT |
Medicare deductible payment amount |
| ADMSN_DT |
Admission date (MAX) |
| SRVC_BGN_DT |
Beginning date of service |
| SRVC_END_DT |
Ending date of service |
| DIAG_CD_1 |
Principle Diagnosis code |
| ICD_DGNS_VRSN_CD1 |
Claim Diagnosis Code 1 Diagnosis Version Code (ICD-9 or ICD-10) (Encounter) |
| DIAG_CD_2 |
Diagnosis codes (2nd diagnosis) |
| DIAG_CD_3 |
Diagnosis codes (3rd diagnosis) |
| DIAG_CD_4 |
Diagnosis codes (4th diagnosis) |
| DIAG_CD_5 |
Diagnosis codes (5th diagnosis) |
| MDCD_CVRD_MENTL_DAY_CNT |
Mental hospital for the aged days |
| MDCD_CVRD_PSYCH_DAY_CNT |
Inpatient Psychiatric (age < 21) days |
| INTRMDT_FAC_MR_DAY_CNT |
ICF-MR days |
| NRSNG_FAC_DAY_CNT |
Nursing facility days |
| LT_CARE_LVE_DAY_CNT |
Leave days |
| PATIENT_STATUS_CD |
Patient status |
| PATIENT_LIB_AMT |
Patient liability amount |
| UPDT_DT |
MAX File Update Date |