E_MEDICAREMA_1 - 12

SAS Name
E_MEDICAREMA_1 - 12

Monthly Medicare Managed Care (Medicare Advantage; MA) Indicator. January through December.

Code Code value
0 Not a member of HMO
1 Non lock-in, HCFA to process provider claim
2 Non lock-in, GHO to process in-plan Part A and in-area Part B claims
4 Fee for service participant in case or disease management demonstration project (effective 2005 forward)
A Lock-in, HCFA to process provider claims
B Lock-in, GHO to process in-plan Part a and in-area Part B claims
C Lock-in, GHO to process all provider claims