RECIPIENT'S TOTAL NUMBER OF FEE-F0R-SERVICE CLAIMS, PREMIUM PAYMENT CLAIMS AND ENCOUNTER RECORDS FOR THE CALENDAR YEAR, FOR ALL TYPES OF SERVICE AND ANY TYPE OF CLAIM.
(SAS USERS: ZONED DECIMAL - ZD5)
Comments
USER NOTES: THIS IS A SUM OF THE COUNTS IN 'RECIPIENT TOTAL MEDICAID FEE-F0R-SERVICE CLAIM COUNT', 'RECIPIENT TOTAL MEDICAID PRE-PAID PLAN PREMIUM PAYMENT RECORD COUNT' AND 'RECIPIENT TOTAL MEDICAID ECOUNTER RECORD COUNT'. MSIS RECORDS WITH TYPE OF CLAIM = 4 (SERVICE TRACKING CLAIM) ARE EXCLUDED FROM ALL MAX FILES.
USER NOTES: THIS IS A SUM OF THE COUNTS IN 'RECIPIENT TOTAL MEDICAID FEE-F0R-SERVICE CLAIM COUNT', 'RECIPIENT TOTAL MEDICAID PRE-PAID PLAN PREMIUM PAYMENT RECORD COUNT' AND 'RECIPIENT TOTAL MEDICAID ECOUNTER RECORD COUNT'. MSIS RECORDS WITH TYPE OF CLAIM = 4 (SERVICE TRACKING CLAIM) ARE EXCLUDED FROM ALL MAX FILES.
SOURCE: MSIS CLAIMS FILES.