Data Documentation

Number	SAS Name	Variable Name
1	BENE_ID	Encrypted 723 CCW Beneficiary ID
2	MSIS_ID	Encrypted MSIS Identification Number
3	STATE_CD	State
4	YR_NUM	Year of MAX Record
5	EL_DOB	Birth date
6	EL_SEX_CD	Sex (MAX)
7	EL_RACE_ETHNCY_CD	Race/ethnicity (from MSIS)
8	RACE_CODE_1	Race - White (from MSIS)
9	RACE_CODE_2	Race - Black (from MSIS)
10	RACE_CODE_3	Race - Am Indian/Alaskan (from MSIS)
11	RACE_CODE_4	Race - Asian (from MSIS)
12	RACE_CODE_5	Race - Hawaiian/Pac Islands (from MSIS)
13	ETHNICITY_CODE	Ethnicity - Hispanic (from MSIS)
14	EL_SS_ELGBLTY_CD_LTST	State specific eligibility - most recent
15	EL_SS_ELGBLTY_CD_MO	State specific eligibility - mo of svc
16	EL_MAX_ELGBLTY_CD_LTST	MAX eligibility - most recent
17	EL_MAX_ELGBLTY_CD_MO	MAX eligibility - mo of svc
18	EL_MDCR_ANN_XOVR_OLD	Medicare Crossover code (Annual) old values
19	MSNG_ELG_DATA	Missing eligibility data
20	EL_MDCR_XOVR_CLM_BSD_CD	Crossover code (from claims only)
21	EL_MDCR_ANN_XOVR_99	Crossover code (Annual)
22	MSIS_TOS	MSIS Type of Service (TOS)
23	MSIS_TOP	MSIS Type of Program (TOP)
24	HCBS_TXNMY_WVR_CD	Home and community-based services (HCBS) taxonomy code for waviers
25	MAX_TOS	MAX Type of Service (TOS)
26	CLTC_FLAG	Community-based LT care (CLTC) flag
27	PRVDR_ID_NMBR	Billing provider identification number (MAX)
28	NPI	National Provider Identifier (MAX)
29	TAXONOMY	Provider Taxonomy
30	TYPE_CLM_CD	Type of claim
31	ADJUST_CD	Adjustment code
32	PHP_TYPE	Managed care type of plan code
33	PHP_ID	Managed care plan identification code
34	MDCD_PYMT_AMT	Medicaid payment amount
35	TP_PYMT_AMT	Third party payment amount
36	PYMT_DT	Payment/adjudication date
37	CHRG_AMT	Charge amount
38	PHP_VAL	Prepaid plan value
39	MDCR_COINSUR_PYMT_AMT	Medicare coinsurance payment amount
40	MDCR_DED_PYMT_AMT	Medicare deductible payment amount
41	SRVC_BGN_DT	Beginning date of service
42	SRVC_END_DT	Ending date of service
43	PRCDR_CD_SYS	Procedure (service) coding system
44	PRCDR_CD	Procedure (service) code
45	PRCDR_SRVC_MDFR_CD	Procedure (service) code modifier
46	DIAG_CD_1	Principle Diagnosis code
47	ICD_DGNS_VRSN_CD1	Claim Diagnosis Code 1 Diagnosis Version Code (ICD-9 or ICD-10) (Encounter)
48	DIAG_CD_2	Diagnosis codes (2nd diagnosis)
49	QTY_SRVC_UNITS	Quantity of service
50	SRVC_PRVDR_ID_NMBR	Servicing provider identification number (MAX)
51	SRVC_PRVDR_SPEC_CD	Servicing provider specialty code (MAX)
52	PLC_OF_SRVC_CD	Place of service
53	UB_92_REV_CD	UB-92 revenue code