Encounter record count (MAX TOS 31)

SAS Name
ENCTR_REC_CNT_31

TOTAL NUMBER OF ENCOUNTER RECORDS (TYPE OF CLAIM = 3), RELATED TO CARE PROVIDED BY A CAPITATED (PREPAID) PLAN FOR THE RECIPIENT DURING THECALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATA ELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.

Comments

USER NOTE: THIS DATA ELEMENT IS THE ONLY EXCEPTION TO THE RULE OF EXCLUDING ENCOUNTER RECORDS FROM SUMMARY COUNTS. THE RULE IS DISCUSSED AT THE BEGINNING OF THE "RECIPIENT CLAIMS SUMMARY REGION".

SOURCE: CREATED FOR EACH OF 31 MAX TYPES OF SERVICE, USING MSIS CLAIMS FILES, AS NOTED ABOVE.