| Name |
Label |
Category |
| AIDPAYM
| QC4c SOURCE OF PAYMENT - MEDICAID |
|
| ALLEVNTS
| QE5 COVERED ALL MONTHS FOR 1999 |
|
| ANYCOPAY
| QC7b ANY CO-PAYMENT |
|
| BADDEB
| QC6r BAD DEBT |
|
| BETOS1
| BETOS CODE 1 (CPT4 OR CODED BETOS) |
|
| BETOS10
| BETOS CODE 10 (CPT4 OR CODED BETOS) |
|
| BETOS11
| BETOS CODE 11 (CPT4 OR CODED BETOS) |
|
| BETOS12
| BETOS CODE 12 (CPT4 OR CODED BETOS) |
|
| BETOS13
| BETOS CODE 13 (CPT4 OR CODED BETOS) |
|
| BETOS14
| BETOS CODE 14 (CPT4 OR CODED BETOS) |
|
| BETOS15
| BETOS CODE 15 (CPT4 OR CODED BETOS) |
|
| BETOS2
| BETOS CODE 2 (CPT4 OR CODED BETOS) |
|
| BETOS3
| BETOS CODE 3 (CPT4 OR CODED BETOS) |
|
| BETOS4
| BETOS CODE 4 (CPT4 OR CODED BETOS) |
|
| BETOS5
| BETOS CODE 5 (CPT4 OR CODED BETOS) |
|
| BETOS6
| BETOS CODE 6 (CPT4 OR CODED BETOS) |
|
| BETOS7
| BETOS CODE 7 (CPT4 OR CODED BETOS) |
|
| BETOS8
| BETOS CODE 8 (CPT4 OR CODED BETOS) |
|
| BETOS9
| BETOS CODE 9 (CPT4 OR CODED BETOS) |
|
| CAREPAYM
| QC4b SOURCE OF PAYMENT - MEDICARE |
|
| CCCNDPR
| PRINCIPAL COLLAPSED CCHPR (NK) CODE |
|
| CCHPRC1
| COLLAPSED CCHPR (NK) CODE #1 |
|
| CCHPRC10
| COLLAPSED CCHPR (NK) CODE #10 |
|
| CCHPRC11
| COLLAPSED CCHPR (NK) CODE #11 |
|
| CCHPRC2
| COLLAPSED CCHPR (NK) CODE #2 |
|
| CCHPRC3
| COLLAPSED CCHPR (NK) CODE #3 |
|
| CCHPRC4
| COLLAPSED CCHPR (NK) CODE #4 |
|
| CCHPRC5
| COLLAPSED CCHPR (NK) CODE #5 |
|
| CCHPRC6
| COLLAPSED CCHPR (NK) CODE #6 |
|
| CCHPRC7
| COLLAPSED CCHPR (NK) CODE #7 |
|
| CCHPRC8
| COLLAPSED CCHPR (NK) CODE #8 |
|
| CCHPRC9
| COLLAPSED CCHPR (NK) CODE #9 |
|
| CCNDPR
| PRINCIPAL CCHPR CONDITION CODE |
|
| CHAMPAYM
| QC4f SOURCE OF PAYMENT - CHAMPVA/CHAMPUS |
|
| CHP1C1
| CCHPR CONDITION CODE #1 |
|
| CHP1C10
| CCHPR CONDITION CODE #10 |
|
| CHP1C11
| CCHPR CONDITION CODE #11 |
|
| CHP1C2
| CCHPR CONDITION CODE #2 |
|
| CHP1C3
| CCHPR CONDITION CODE #3 |
|
| CHP1C4
| CCHPR CONDITION CODE #4 |
|
| CHP1C5
| CCHPR CONDITION CODE #5 |
|
| CHP1C6
| CCHPR CONDITION CODE #6 |
|
| CHP1C7
| CCHPR CONDITION CODE #7 |
|
| CHP1C8
| CCHPR CONDITION CODE #8 |
|
| CHP1C9
| CCHPR CONDITION CODE #9 |
|
| CKBX1
| QE2 CHECK BOX1 FOR PRINCIPAL DIAG #1 |
|
| CKBX10
| QE2 CHECK BOX10 FOR PRINCIPAL DIAG #10 |
|
| CKBX11
| QE2 CHECK BOX11 FOR PRINCIPAL DIAG #11 |
|
| CKBX2
| QE2 CHECK BOX2 FOR PRINCIPAL DIAG #2 |
|
| CKBX3
| QE2 CHECK BOX3 FOR PRINCIPAL DIAG #3 |
|
| CKBX4
| QE2 CHECK BOX4 FOR PRINCIPAL DIAG #4 |
|
| CKBX5
| QE2 CHECK BOX5 FOR PRINCIPAL DIAG #5 |
|
| CKBX6
| QE2 CHECK BOX6 FOR PRINCIPAL DIAG #6 |
|
| CKBX7
| QE2 CHECK BOX7 FOR PRINCIPAL DIAG #7 |
|
| CKBX8
| QE2 CHECK BOX8 FOR PRINCIPAL DIAG #8 |
|
| CKBX9
| QE2 CHECK BOX9 FOR PRINCIPAL DIAG #9 |
|
| COPAYAMT
| QC7c CO-PAYMENT AMOUNT |
|
| COVAID
| QC7ab INSURANCE PLAN - MEDICAID |
|
| COVCARE
| QC7aa INSURANCE PLAN - MEDICARE |
|
| COVCHAM
| QC7ae INSURANCE PLAN - CHAMPVA/CHAMPUS |
|
| COVOTHR
| QC7ag INSURANCE PLAN - OTHER |
|
| COVOTOS
| QC7ag INSURANCE PLAN - OTHER (SPECIFY) |
|
| COVPINS
| QC7ac INSURANCE PLAN - PRIVATE INS |
|
| COVVA
| QC7ad INSURANCE PLAN - VA |
|
| COVWORK
| QC7af INSURANCE PLAN - WORKERS COMP |
|
| CPAYAID
| QC7dc CO-PAYMENT - MEDICAID |
|
| CPAYCARE
| QC7db CO-PAYMENT - MEDICARE |
|
| CPAYOTHR
| QC7de CO-PAYMENT - OTHER |
|
| CPAYOTOS
| QC7de CO-PAYMENT - OTHER (SPECIFY) |
|
| CPAYPAT
| QC7da CO-PAYMENT - PATIENT |
|
| CPAYPINS
| QC7dd CO-PAYMENT - PRIVATE INS |
|
| DISCAID
| QC6b ADJUST/DISCOUNT - MEDICAID |
|
| DISCARE
| QC6a ADJUST/DISCOUNT - MEDICARE |
|
| DISCNT
| QC6c ADJUST/DISCOUNT -CONTRACT AGREEMENT |
|
| DISCRTS
| QC6d ADJUST/DISCOUNT - COURTESY DISCOUNT |
|
| DISINSU
| QC6e ADJUST/DISCOUNT -INSURANCE WRITEOFF |
|
| DISOTH
| QC6h ADJUST/DISCOUNT - OTHER |
|
| DISOTOS
| QC6h ADJUST/DISCOUNT - OTHER (SPECIFY) |
|
| DISWORK
| QC6f ADJUST/DISCOUNT - WORKERS COMP |
|
| DUPERSID
| PUBLIC USE PERSON ID (DUID + PID) |
Identifiers |
| DURMEDEQ
| QE3 DURABLE MEDICAL EQUIPMENT ONLY |
|
| ELIGVET
| QC6g ADJUST/DISCOUNT - ELIGIBLE VETERAN |
|
| EPAYAID
| QC6k EXPECTS ADD PAYMENT - MEDICAID |
|
| EPAYCAR
| QC6j EXPECTS ADD PAYMENT - MEDICARE |
|
| EPAYCHAM
| QC6n EXPECTS ADD PAYMENT-CHAMPVA/CHAMPUS |
|
| EPAYOTH
| QC6p EXPECTS ADD PAYMENT - OTHER |
|
| EPAYOTOS
| QC6p EXPECTS ADD PAYMENT-OTHER (SPECIFY) |
|
| EPAYPAT
| QC6i EXPECTS ADD PAYMENT - PATIENT |
|
| EPAYPINS
| QC6l EXPECTS ADD PAYMENT - PRIVATE INS |
|
| EPAYVA
| QC6m EXPECTS ADD PAYMENT - VA |
|
| EPAYWORK
| QC6o EXPECTS ADD PAYMENT - WORKERS COMP |
|
| EVNTBEGM
| QE1 EVENT DATE - MONTH |
|
| EVNTBEGY
| QE1 EVENT DATE - YEAR |
|
| EVNTTYPE
| EVENT TYPE |
|
| FEEORCAP
| QC3 FEE FOR SERVICE OR CAPITATED BASIS |
|
| FORMID
| UNIQUE FORM IDENTIFIER |
|
| FORMNUM
| COVER SHEET - FORM NUMBER OF THE TOTAL |
|
| FORMTOT
| COVER SHEET - TOTAL NUMBER OF FORMS |
|
| HHAIDHR
| QE3 HOME HEALTH AIDE - HOURS |
|
| HHAIDMN
| QE3 HOME HEALTH AIDE - MINUTES |
|
| HHAIDVS
| QE3 HOME HEALTH AIDE - VISITS |
|
| HHRKUID
| COVER SHEET - PATIENT ID |
|
| HMAKEHR
| QE3 HOMEMAKER - HOURS |
|
| HMAKEMN
| QE3 HOMEMAKER - MINUTES |
|
| HMAKEVS
| QE3 HOMEMAKER - VISITS |
|
| ICDCND1
| QE2 ORIG ICD9 CONDITION CODE #1 |
|
| ICDCND10
| QE2 ORIG ICD9 CONDITION CODE #10 |
|
| ICDCND11
| QE2 ORIG ICD9 CONDITION CODE #11 |
|
| ICDCND2
| QE2 ORIG ICD9 CONDITION CODE #2 |
|
| ICDCND3
| QE2 ORIG ICD9 CONDITION CODE #3 |
|
| ICDCND4
| QE2 ORIG ICD9 CONDITION CODE #4 |
|
| ICDCND5
| QE2 ORIG ICD9 CONDITION CODE #5 |
|
| ICDCND6
| QE2 ORIG ICD9 CONDITION CODE #6 |
|
| ICDCND7
| QE2 ORIG ICD9 CONDITION CODE #7 |
|
| ICDCND8
| QE2 ORIG ICD9 CONDITION CODE #8 |
|
| ICDCND9
| QE2 ORIG ICD9 CONDITION CODE #9 |
|
| ICDPDS1
| QE2 ORIG TEXT DESC FOR DIAGNOSIS #1 |
|
| ICDPDS10
| QE2 ORIG TEXT DESC FOR DIAGNOSIS #10 |
|
| ICDPDS11
| QE2 ORIG TEXT DESC FOR DIAGNOSIS #11 |
|
| ICDPDS2
| QE2 ORIG TEXT DESC FOR DIAGNOSIS #2 |
|
| ICDPDS3
| QE2 ORIG TEXT DESC FOR DIAGNOSIS #3 |
|
| ICDPDS4
| QE2 ORIG TEXT DESC FOR DIAGNOSIS #4 |
|
| ICDPDS5
| QE2 ORIG TEXT DESC FOR DIAGNOSIS #5 |
|
| ICDPDS6
| QE2 ORIG TEXT DESC FOR DIAGNOSIS #6 |
|
| ICDPDS7
| QE2 ORIG TEXT DESC FOR DIAGNOSIS #7 |
|
| ICDPDS8
| QE2 ORIG TEXT DESC FOR DIAGNOSIS #8 |
|
| ICDPDS9
| QE2 ORIG TEXT DESC FOR DIAGNOSIS #9 |
|
| ICDPRC1
| ORIG ICD9 PROCEDURE CODE #1 |
|
| ICDPRC10
| ORIG ICD9 PROCEDURE CODE #10 |
|
| ICDPRC11
| ORIG ICD9 PROCEDURE CODE #11 |
|
| ICDPRC2
| ORIG ICD9 PROCEDURE CODE #2 |
|
| ICDPRC3
| ORIG ICD9 PROCEDURE CODE #3 |
|
| ICDPRC4
| ORIG ICD9 PROCEDURE CODE #4 |
|
| ICDPRC5
| ORIG ICD9 PROCEDURE CODE #5 |
|
| ICDPRC6
| ORIG ICD9 PROCEDURE CODE #6 |
|
| ICDPRC7
| ORIG ICD9 PROCEDURE CODE #7 |
|
| ICDPRC8
| ORIG ICD9 PROCEDURE CODE #8 |
|
| ICDPRC9
| ORIG ICD9 PROCEDURE CODE #9 |
|
| ICDPRCPR
| PRINCIPAL ICD9 PROCEDURE CODE |
|
| ICDPRIN
| QE2a PRINCIPAL DIAGNOSIS CODE |
|
| IVTHERHR
| QE3 IV/INFUSION THERAPIST - HOURS |
|
| IVTHERMN
| QE3 IV/INFUSION THERAPIST - MINUTES |
|
| IVTHERVS
| QE3 IV/INFUSION THERAPIST - VISITS |
|
| MCPT1
| QE4 ORIG CPT4 PROCEDURE CODE #1 |
|
| MCPT10
| QE4 ORIG CPT4 PROCEDURE CODE #10 |
|
| MCPT11
| QE4 ORIG CPT4 PROCEDURE CODE #11 |
|
| MCPT12
| QE4 ORIG CPT4 PROCEDURE CODE #12 |
|
| MCPT13
| QE4 ORIG CPT4 PROCEDURE CODE #13 |
|
| MCPT14
| QE4 ORIG CPT4 PROCEDURE CODE #14 |
|
| MCPT15
| QE4 ORIG CPT4 PROCEDURE CODE #15 |
|
| MCPT2
| QE4 ORIG CPT4 PROCEDURE CODE #2 |
|
| MCPT3
| QE4 ORIG CPT4 PROCEDURE CODE #3 |
|
| MCPT4
| QE4 ORIG CPT4 PROCEDURE CODE #4 |
|
| MCPT5
| QE4 ORIG CPT4 PROCEDURE CODE #5 |
|
| MCPT6
| QE4 ORIG CPT4 PROCEDURE CODE #6 |
|
| MCPT7
| QE4 ORIG CPT4 PROCEDURE CODE #7 |
|
| MCPT8
| QE4 ORIG CPT4 PROCEDURE CODE #8 |
|
| MCPT9
| QE4 ORIG CPT4 PROCEDURE CODE #9 |
|
| MCPTDS1
| QE4 DESCRIPTION OF SERVICE #1 |
|
| MCPTDS10
| QE4 DESCRIPTION OF SERVICE #10 |
|
| MCPTDS11
| QE4 DESCRIPTION OF SERVICE #11 |
|
| MCPTDS12
| QE4 DESCRIPTION OF SERVICE #12 |
|
| MCPTDS13
| QE4 DESCRIPTION OF SERVICE #13 |
|
| MCPTDS14
| QE4 DESCRIPTION OF SERVICE #14 |
|
| MCPTDS15
| QE4 DESCRIPTION OF SERVICE #15 |
|
| MCPTDS2
| QE4 DESCRIPTION OF SERVICE #2 |
|
| MCPTDS3
| QE4 DESCRIPTION OF SERVICE #3 |
|
| MCPTDS4
| QE4 DESCRIPTION OF SERVICE #4 |
|
| MCPTDS5
| QE4 DESCRIPTION OF SERVICE #5 |
|
| MCPTDS6
| QE4 DESCRIPTION OF SERVICE #6 |
|
| MCPTDS7
| QE4 DESCRIPTION OF SERVICE #7 |
|
| MCPTDS8
| QE4 DESCRIPTION OF SERVICE #8 |
|
| MCPTDS9
| QE4 DESCRIPTION OF SERVICE #9 |
|
| MORECAID
| QC6t PAYMENT>CHARGES - MEDICAID |
|
| MORECARE
| QC6s PAYMENT>CHARGES - MEDICARE |
|
| MOREPINS
| QC6u PAYMENT>CHARGES - PRIVATE INS |
|
| MPSID
| UNIQUE MPS IDENTIFIER |
|
| MPSTYPE
| SINGLE, GLOBAL, OR REPEAT VISIT EVENT |
|
| MREVCD1
| QE4 REVENUE CENTER CODE #1 |
|
| MREVCD10
| QE4 REVENUE CENTER CODE #10 |
|
| MREVCD11
| QE4 REVENUE CENTER CODE #11 |
|
| MREVCD12
| QE4 REVENUE CENTER CODE #12 |
|
| MREVCD13
| QE4 REVENUE CENTER CODE #13 |
|
| MREVCD14
| QE4 REVENUE CENTER CODE #14 |
|
| MREVCD15
| QE4 REVENUE CENTER CODE #15 |
|
| MREVCD2
| QE4 REVENUE CENTER CODE #2 |
|
| MREVCD3
| QE4 REVENUE CENTER CODE #3 |
|
| MREVCD4
| QE4 REVENUE CENTER CODE #4 |
|
| MREVCD5
| QE4 REVENUE CENTER CODE #5 |
|
| MREVCD6
| QE4 REVENUE CENTER CODE #6 |
|
| MREVCD7
| QE4 REVENUE CENTER CODE #7 |
|
| MREVCD8
| QE4 REVENUE CENTER CODE #8 |
|
| MREVCD9
| QE4 REVENUE CENTER CODE #9 |
|
| NOICDPRN
| NO PRINCIPAL DIAGNOSIS CHECKED |
|
| NONPCHRG
| QC1b ALL OTHER CHARGES |
|
| NURAIDHR
| QE3 NURSES AIDE - HOURS |
|
| NURAIDMN
| QE3 NURSES AIDE - MINUTES |
|
| NURAIDVS
| QE3 NURSES AIDE - VISITS |
|
| NURSEHR
| QE3 NURSE/NURSE PRACTITIONER - HOURS |
|
| NURSEMN
| QE3 NURSE/NURSE PRACTITIONER - MINUTES |
|
| NURSEVS
| QE3 NURSE/NURSE PRACTITIONER - VISITS |
|
| OCCTHHR
| QE3 OCCUPATIONAL THERAPIST - HOURS |
|
| OCCTHMN
| QE3 OCCUPATIONAL THERAPIST - MINUTES |
|
| OCCTHVS
| QE3 OCCUPATIONAL THERAPIST - VISITS |
|
| OTHAID
| QC7fc SOURCE OF PAYMENT - MEDICAID |
|
| OTHCARE
| QC7fb SOURCE OF PAYMENT - MEDICARE |
|
| OTHCHAM
| QC7ff SOURCE OF PAYMENT -CHAMPVA/CHAMPUS |
|
| OTHHCRHR
| QE3 OTHER HOME CARE - HOURS |
|
| OTHHCRMN
| QE3 OTHER HOME CARE - MINUTES |
|
| OTHHCRVS
| QE3 OTHER HOME CARE - VISITS |
|
| OTHOTHR
| QC7fh SOURCE OF PAYMENT - OTHER |
|
| OTHOTOS
| QC7fh SOURCE OF PAYMENT -OTHER (SPECIFY) |
|
| OTHPAT
| QC7fa SOURCE OF PAYMENT - PATIENT |
|
| OTHPAY
| QC7e ANY OTHER PAYMENTS |
|
| OTHPINS
| QC7fd SOURCE OF PAYMENT - PRIVATE INS |
|
| OTHRPAYM
| QC4h SOURCE OF PAYMENT - OTHER |
|
| OTHVA
| QC7fe SOURCE OF PAYMENT - VA |
|
| OTHWORK
| QC7fg SOURCE OF PAYMENT - WORKERS COMP |
|
| OTPAYMOS
| QC4h SOURCE OF PAYMENT - OTHER (SPECIFY) |
|
| PAIRID
| PERSON PROVIDER RU LEVEL IDENTIFIER |
|
| PATPAYM
| QC4a SOURCE OF PAYMENT - PATIENT |
|
| PAYMOTH
| QC6v PAYMENT>CHARGES - OTHER |
|
| PAYMOTOS
| QC6v PAYMENT>CHARGES - OTHER (SPECIFY) |
|
| PDDIRID
| COVER SHEET - PROVIDER DIRECTORY ID |
|
| PERCARHR
| QE3 PERSONAL CARE ATTENDANT - HOURS |
|
| PERCARMN
| QE3 PERSONAL CARE ATTENDANT - MINUTES |
|
| PERCARVS
| QE3 PERSONAL CARE ATTENDANT - VISITS |
|
| PERSCHRG
| QC1a PERSONNEL SERVICES FULL CHARGES |
|
| PERSID
| CONFIDENTIAL INTERNAL USE ONLY PERSON ID |
Identifiers |
| PHYSTHHR
| QE3 PHYSICAL THERAPIST - HOURS |
|
| PHYSTHMN
| QE3 PHYSICAL THERAPIST - MINUTES |
|
| PHYSTHVS
| QE3 PHYSICAL THERAPIST - VISITS |
|
| PINSPAYM
| QC4d SOURCE OF PAYMENT - PRIVATE INS |
|
| PROVNAME
| COVER SHEET - PROVIDER NAME |
|
| RESPTHHR
| QE3 RESPIRATORY THERAPIST - HOURS |
|
| RESPTHMN
| QE3 RESPIRATORY THERAPIST - MINUTES |
|
| RESPTHVS
| QE3 RESPIRATORY THERAPIST - VISITS |
|
| SLIDSCA
| QC6q CHARITY CARE OR SLIDING SCALE |
|
| SOCWRKHR
| QE3 SOCIAL WORKER - HOURS |
|
| SOCWRKMN
| QE3 SOCIAL WORKER - MINUTES |
|
| SOCWRKVS
| QE3 SOCIAL WORKER - VISITS |
|
| SPECTHHR
| QE3 SPEECH THERAPIST - HOURS |
|
| SPECTHMN
| QE3 SPEECH THERAPIST - MINUTES |
|
| SPECTHVS
| QE3 SPEECH THERAPIST - VISITS |
|
| TOTLCHRG
| QC2 TOTAL CHARGES |
|
| TOTLPAYM
| QC5 TOTAL PAYMENTS |
|
| VAPAYM
| QC4e SOURCE OF PAYMENT - VA |
|
| WORKPAYM
| QC4g SOURCE OF PAYMENT - WORKERS COMP |
|
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