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Master Data Element Dictionary, version 20240608: NCMMIS 2001 - 2500

Master Data Element Dictionary, version 20240608: NCMMIS 2001 - 2500

Claim Data Sequence Number

NCMMIS Number: 2001

Description: Claim Data Sequence Number is an application generated number assigned to each segment of a claim record (DE 1583).

Data Type: SMALLINT

Size: 9(2)

Functional Area Owner: Claims

Valid Values:

Last Update: 12/16/2009 4:32:12 PM

 

Claim Data Count Total

NCMMIS Number: 2002

Description: Claim Data Count (Total) is the total number of segments used to store an entire claim record (DE 1583).

Data Type: SMALLINT

Size: 9(2)

Functional Area Owner: Claims

Valid Values:

Last Update: 8/3/2010 1:56:59 PM

 

Claim Data Additional Count

NCMMIS Number: 2003

Description: Claim Data Count (Additional) is the number of additional segments, after the primary segment, used to store an entire claim record (DE 1583).

Data Type: SMALLINT

Size: 9(2)

Functional Area Owner: Claims

Valid Values:

Last Update: 7/27/2010 11:06:11 AM

 

Report Request Covered Indicator

NCMMIS Number: 2004

Description: Report Request Covered Indicator specifies whether or not a parameter report should be limited to covered services (DE 0446).

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Reference

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

N

N

ALL

ALL SERVICES INCLUDED ON REPORT

Y

Y

COVRDONLY

COVERED ONLY

 

Last Update: 3/12/2021 2:14:34 PM

 

Non-Shared Work Directory Path

NCMMIS Number: 2005

Description: Non-Shared Work Directory Path is the directory path for eCommerce batch processing.

Data Type: CHARACTER

Size: X(256)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 1:52:00 PM

 

Provider On Review Last Match Timestamp

NCMMIS Number: 2006

Description: Provider On Review Last Match Timestamp is the most recent date and time when a claim matched against the provider on review selection criteria, causing an edit 01141 to be posted to the claim.

Data Type: TIMESTAMP

Size: X(26)

Functional Area Owner: Claims

Valid Values:

Last Update: 12/16/2009 4:32:12 PM

 

Internet Protocol (IP) Address

NCMMIS Number: 2007

Description: Internet Protocol (IP) Address is a 32-bit numeric address representing a computer or network.

Data Type: CHARACTER

Size: X(15)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 2:03:34 PM

 

Port Number

NCMMIS Number: 2008

Description: Port number is a communication channel for computers in networks. It enables the receiving computer to determine which program is needed for the incoming data.

Data Type: CHARACTER

Size: X(4)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 1:51:41 PM

 

Globally Unique Identifier (GUID) Number

NCMMIS Number: 2009

Description: Globally Unique Identifier (GUID) Number is a unique number used to identify the physical location of a transaction.

Data Type: CHARACTER

Size: X(32)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 1:59:39 PM

 

Prescription Serial Number

NCMMIS Number: 2011

Description: Prescription Serial Number is a unique number used to identify an individual prescription sheet within a prescription pad.

Data Type: CHARACTER

Size: X(12)

Functional Area Owner: Reference

Valid Values:

Last Update: 12/16/2009 4:32:12 PM

 

Processing Status Code

NCMMIS Number: 2012

Description: Processing Status Code specifies the current processing state.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Reference

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

I

I

INILOAD

INITIAL LOAD

P

P

PRCS

PROCESSING

R

R

RESET

RESET

S

S

SUCCESS

SUCCESSFUL

U

U

UNSUCCESS

UNSUCCESSFUL

 

Last Update: 3/12/2021 2:14:34 PM

 

Processing Complete Code

NCMMIS Number: 2013

Description: Processing Complete Code specifies the most recent processing to have successfully completed.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Reference

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

R

R

RETRO

RETRO PROCESSING COMPLETED

 

Last Update: 3/12/2021 2:14:35 PM

 

User Exchange Identifier

NCMMIS Number: 2014

Description: User Exchange Identifier uniquely identifies a provider and Transmission Supplier Number (TSN) combination.

 

 

Data Type: CHARACTER

Size: X(12)

Functional Area Owner: Claims

Valid Values:

Last Update: 12/16/2009 4:32:12 PM

 

HIPAA Log Sequence Number

NCMMIS Number: 2015

Description: HIPAA Log Sequence Number is an application generated number assigned to each segment of a HIPAA log record (DE 6912).

Data Type: SMALLINT

Size: 9(2)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 2:05:15 PM

 

Place of Service Include Exclude Code

NCMMIS Number: 2016

Description: Place of Service Include/Exclude Code specifies whether place of service (DE 4178) is to be included or excluded from consideration of the Utilization Review exception criteria.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Reference

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

E

E

EXCLUDE

EXCLUDE

I

I

INCLUDE

INCLUDE

Z

Z

IGNORE

IGNORE

 

Last Update: 3/12/2021 2:03:52 PM

 

Drug Batch Sequence Number

NCMMIS Number: 2017

Description: Drug Batch Sequence Number is a number generated by the CICS named counter that uniquely identifies a batch update, entered by a state agency and used to modify multiple drug records simultaneously.

Data Type: INTEGER

Size: 9(7)

Functional Area Owner: Reference

Valid Values:

Last Update: 12/16/2009 4:32:13 PM

 

Drug Batch Description

NCMMIS Number: 2018

Description: Drug Batch Description is a text description of and reason for a batch update. It is provided by the state agency when the batch update is submitted.

Data Type: CHARACTER

Size: X(100)

Functional Area Owner: Reference

Valid Values:

Last Update: 12/16/2009 4:32:13 PM

 

Drug Label Code

NCMMIS Number: 2019

Description: Drug Label Code is the first five bytes of the National Drug Code (NDC) and groups similar drugs together.

Data Type: CHARACTER

Size: X(5)

Functional Area Owner: Reference

Valid Values:

Last Update: 12/16/2009 4:32:13 PM

 

Error Return Code

NCMMIS Number: 2020

Description: Error Return Code is the code returned when an error is encountered.

Data Type: INTEGER

Size: S9(9)

Functional Area Owner: Reference

Valid Values:

Last Update: 12/16/2009 4:32:13 PM

 

Error Message Text

NCMMIS Number: 2021

Description: Error Message Text is the text description of an error encountered.

Data Type: CHARACTER

Size: X(30)

Functional Area Owner: Reference

Valid Values:

Last Update: 12/16/2009 4:32:13 PM

 

Letter Carbon Copy Type Code

NCMMIS Number: 2022

Description: Letter Carbon Copy Type Code specifies the type of letter that should be sent to the carbon copy addresses listed.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Prior Authorization

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

B

B

BOTH LTRS

BOTH PROVIDER AND CLIENT LETTERS

C

C

CLNT LTRS

CLIENT LETTERS

P

P

PROV LTRS

PROVIDER LETTERS

 

Last Update: 11/20/2023 8:39:36 AM

 

Letter Carbon Copy Identifying Number

NCMMIS Number: 2023

Description: Letter Carbon Copy Identifying Number is a database generated number that uniquely identifies a carbon copy of a PA letter.

Data Type: INTEGER

Size: S9(9)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 5/10/2010 11:17:44 AM

 

Provider Electronic Routing Mailbox Identifier

NCMMIS Number: 2024

Description: Provider Electronic Routing Mailbox Identifier is a provider's user identifier on a given electronic routing platform (DE ####). This user identifier uniquely identifies an electronic routing mailbox location.

Data Type: CHARACTER

Size: X(8)

Functional Area Owner: Provider

Valid Values:

Last Update: 12/16/2009 4:32:13 PM

 

Provider Electronic Routing Platform Code

NCMMIS Number: 2025

Description: Provider Electronic Routing Platform Code specifies a provider's routing platform for electronic communications.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Provider

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

E

E

EMEDNYEXCH

EMEDNY EXCHANGE

F

F

FTP

FILE TRANSFER PROTOCOL

I

I

INTERNET

INTERNET FILE TRANSFER PROTOCOL

 

Last Update: 3/8/2021 4:19:55 PM

 

PA Count

NCMMIS Number: 2026

Description: PA Count is the number of Prior Approvals counted.

Data Type: INTEGER

Size: 9(6)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 5/10/2010 11:19:04 AM

 

PA Count Balance Status Code

NCMMIS Number: 2027

Description: PA Count Balance Status Code specifies the current status for balancing the PA form counts each day.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Prior Authorization

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

C

C

COMPLETE

COMPLETE FOR DAY AND FORM

R

R

REPORTED

DAY AND FORM HAS BEEN REPORTED