Quantity of service

This variable is contained in the following files:

MAX Other Services File MAX Prescription Drug File

SAS Name

QTY_SRVC_UNITS

THE NUMBER OF UNITS OF SERVICE RECEIVED BY THE ELIGIBLE.

FOR MAX 1999 AND BEYOND, THIS FIELD IS ONLY APPLICABLE WHEN THE SERVICE BEING BILLED CAN BE QUANTIFIED IN DISCRETE UNITS, E.G., A NUMBER OF VISITS OR THE NUMBER OF UNITS OF A PRESCRIPTION/REFILL THAT WERE FILLED. FOR PRESCRIPTIONS/REFILLS, USE THE MEDICAID DRUG REBATE DEFINITION OF A UNIT, WHICH IS THE SMALLEST UNIT BY WHICH THE DRUG IS NORMALLY MEASURED; E.G. TABLET, CAPSULE, MILLILITER, ETC. FOR DRUGS NOT IDENTIFIABLE OR DISPENSED BY A NORMAL UNIT, E.G. POWDER-FILLED VIALS, USE 1 AS THE NUMBER OF UNITS.

THIS FIELD IS NOT APPLICABLE FOR INSTITUTIONAL SERVICES, DENTAL SERVICES, LABORATORY AND X-RAY SERVICES, PREMIUM PAYMENTS, OR MISCELLANEOUS SERVICES (INCLUDES CLAIMS WITH TOS = 09, 15, 17, 19, 20, 21, 22). USE 8-FILL FOR THESE SERVICES.

Comments

NOTE: ONE PRESCRIPTION FOR 100 250-MILLIGRAM TABLETS RESULTS IN 'QUANTITY OF SERVICE' = 100. PRIOR TO 1998, ONE PRESCRIPTION FOR 100 TABLETS RESULTED IN 'QUANTITY OF SERVICE' = 1.

NOTE: IN MAX 2008, THIS DESCRIPTION WAS COMPLETELY REWRITTEN.

SOURCE: MSIS CLAIMS FILE: 'QUANTITY-OF-SERVICE'.