| Name |
Label |
Category |
| AIDPAYM
| Q5 SOURCE OF PAYMENT - MEDICAID |
Person-level Charges & Expenditures, by Source of Payment |
| ALLEVNTS
| Q8 ALL OF THE MONTHS COVERED FOR 1996 |
|
| BADDEB
| Q7 BAD DEBT |
Person-level Charges & Expenditures, by Source of Payment |
| BETOS1
| BETOS CODE 1 (CPT4 OR CODED BETOS) |
Conditions |
| BETOS2
| BETOS CODE 2 (CPT4 OR CODED BETOS) |
Conditions |
| BETOS3
| BETOS CODE 3 (CPT4 OR CODED BETOS) |
Conditions |
| BETOS4
| BETOS CODE 4 (CPT4 OR CODED BETOS) |
Conditions |
| BX1PEC
| BOX1 DO TOTAL PAYMENTS = TOTAL CHARGES |
Person-level Charges & Expenditures, by Source of Payment |
| CAREPAYM
| Q5 SOURCE OF PAYMENT - MEDICARE |
Person-level Charges & Expenditures, by Source of Payment |
| CHAMPAYM
| Q5 SOURCE OF PAYMENT - CHAMPVA/CHAMPUS |
Insurance |
| CHILDCAR
| Q3 SERVICES PROVIDED - CHILD CARE |
Insurance |
| CLEANING
| Q3 SERVICES PROVIDED -CLEANING/YARD WORK |
|
| DISCNT
| Q7 ADJUST/DISCOUNT - CONTRACT AGREEMENT |
Person-level Charges & Expenditures, by Source of Payment |
| DISCRTS
| Q7 ADJUST/DISCOUNT - COURTESY DISCOUNT |
Person-level Charges & Expenditures, by Source of Payment |
| DISINSU
| Q7 ADJUST/DISCOUNT - INSURANCE WRITEOFF |
Person-level Charges & Expenditures, by Source of Payment |
| DISMED
| Q7 ADJUST/DISCOUNT - MEDICARE/MEDICAID |
Person-level Charges & Expenditures, by Source of Payment |
| DISOTH
| Q7 ADJUST/DISCOUNT - OTHER |
Person-level Charges & Expenditures, by Source of Payment |
| DISOTOS
| Q7 ADJUST/DISCOUNT - OTHER (SPECIFY) |
Person-level Charges & Expenditures, by Source of Payment |
| DUPERSID
| PUBLIC USE PERSON UD (DUID + PID) |
Identifiers |
| EPAYAID
| Q7 EXPECTS ADD PAYMENT - MEDICAID |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYCAR
| Q7 EXPECTS ADD PAYMENT - MEDICARE |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYCHAM
| Q7 EXPECTS ADD PAYMENT - CHAMPVA/CHAMPUS |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYOTH
| Q7 EXPECTS ADD PAYMENT - OTHER |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYOTOS
| Q7 EXPECTS ADD PAYMENT - OTHER (SPECIFY) |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYPAT
| Q7 EXPECTS ADD PAYMENT - PATIENT |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYPIN
| Q7 EXPECTS ADD PAYMENT - PRIVATE INS |
Person-level Charges & Expenditures, by Source of Payment |
| EPAYVA
| Q7 EXPECTS ADD PAYMENT - VA |
Person-level Charges & Expenditures, by Source of Payment |
| ESUPPORT
| Q3 SERVICES PROVIDED - EMOTIONAL SUPPORT |
|
| EVNNUM
| EVENT NUMBER |
Survey Administration and Eligibility Status |
| EVNTDATM
| Q1 EVENT DATE - MONTH |
Survey Administration and Eligibility Status |
| EVNTDATY
| Q1 EVENT DATE - YEAR |
Survey Administration and Eligibility Status |
| EVNTTYPE
| EVENT TYPE |
Survey Administration and Eligibility Status |
| FORMNUM
| COVER SHEET - FORM NUMBER OF THE TOTAL |
Survey Administration and Eligibility Status |
| HHRKUID
| COVER SHEET - PATIENT ID |
Survey Administration and Eligibility Status |
| MPSID
| UNIQUE MPS IDENTIFIER |
Survey Administration and Eligibility Status |
| MREVDFOS
| Q9 WHY PROV RPT FEWER MONTHS (SPECIFY) |
|
| MREVDIFF
| Q9 NO DIFF OR MORE MONTHS FROM PROVIDER |
|
| NHCARHR1
| Q2 TYPE OF SERVICE - HOURS #1 |
|
| NHCARHR2
| Q2 TYPE OF SERVICE - HOURS #2 |
|
| NHCARHR3
| Q2 TYPE OF SERVICE - HOURS #3 |
|
| NHCARHR4
| Q2 TYPE OF SERVICE - HOURS #4 |
|
| NHCARMN1
| Q2 TYPE OF SERVICE - MINUTES #1 |
|
| NHCARMN2
| Q2 TYPE OF SERVICE - MINUTES #2 |
|
| NHCARMN3
| Q2 TYPE OF SERVICE - MINUTES #3 |
|
| NHCARMN4
| Q2 TYPE OF SERVICE - MINUTES #4 |
|
| NHCARSV1
| Q2 DESCRIPTION OF TYPE OF SERVICE #1 |
Person-level Charges & Expenditures, by Source of Payment |
| NHCARSV2
| Q2 DESCRIPTION OF TYPE OF SERVICE #2 |
Person-level Charges & Expenditures, by Source of Payment |
| NHCARSV3
| Q2 DESCRIPTION OF TYPE OF SERVICE #3 |
Person-level Charges & Expenditures, by Source of Payment |
| NHCARSV4
| Q2 DESCRIPTION OF TYPE OF SERVICE #4 |
Person-level Charges & Expenditures, by Source of Payment |
| NHCARVS1
| Q2 TYPE OF SERVICE - VISITS #1 |
Person-level Charges & Expenditures, by Source of Payment |
| NHCARVS2
| Q2 TYPE OF SERVICE - VISITS #2 |
Person-level Charges & Expenditures, by Source of Payment |
| NHCARVS3
| Q2 TYPE OF SERVICE - VISITS #3 |
Person-level Charges & Expenditures, by Source of Payment |
| NHCARVS4
| Q2 TYPE OF SERVICE - VISITS #4 |
Person-level Charges & Expenditures, by Source of Payment |
| OTHRPAYM
| Q5 SOURCE OF PAYMENT - OTHER |
Income |
| OTHRSERV
| Q3 SERVICES PROVIDED - OTHER |
Person-level Charges & Expenditures, by Source of Payment |
| OTPAYMOS
| Q5 SOURCE OF PAYMENT - OTHER (SPECIFY) |
Person-level Charges & Expenditures, by Source of Payment |
| OTSERVOS
| Q3 SERVICES PROVIDED - OTHER (SPECIFY) |
|
| PATPAYM
| Q5 SOURCE OF PAYMENT - PATIENT |
Person-level Charges & Expenditures, by Source of Payment |
| PAYMCRM
| Q7 PAYMENT>CHARGES - MEDICARE/MEDICAID |
Person-level Charges & Expenditures, by Source of Payment |
| PAYMOTH
| Q7 PAYMENT>CHARGES - OTHER |
Person-level Charges & Expenditures, by Source of Payment |
| PAYMOTOS
| Q7 PAYMENT>CHARGES - OTHER (SPECIFY) |
Person-level Charges & Expenditures, by Source of Payment |
| PDDIRID
| COVER SHEET - PROVIDER DIRECTORY ID |
Survey Administration and Eligibility Status |
| PDGRPNAM
| COVER SHEET - PROVIDER NAME |
Survey Administration and Eligibility Status |
| PERSID
| CONFIDENTIAL INTERNAL USE ONLY PERSON ID |
Identifiers |
| PINSPAYM
| Q5 SOURCE OF PAYMENT - PRIVATE INS |
Person-level Charges & Expenditures, by Source of Payment |
| SHOPPING
| Q3 SERVICES PROVIDED - SHOPPING |
|
| SLIDSCA
| Q7 CHARITY CARE OR SLIDING SCALE |
|
| SUPPTGRP
| Q3 SERVICES PROVIDED - SUPPORT GROUPS |
|
| TOTFORMS
| COVER SHEET - TOTAL NUMBER OF FORMS |
Person-level Charges & Expenditures, by Source of Payment |
| TOTLCHRG
| Q4 TOTAL CHARGES |
Person-level Charges & Expenditures, by Source of Payment |
| TOTLPAYM
| Q6 TOTAL PAYMENTS |
Person-level Charges & Expenditures, by Source of Payment |
| TRANSPRT
| Q3 SERVICES PROVIDED - TRANSPORTATION |
|
| VAPAYM
| Q5 SOURCE OF PAYMENT - VA |
Person-level Charges & Expenditures, by Source of Payment |
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