Master Data Element Dictionary, version 20240608: NCMMIS 3501 - 4000
Fragment Sequence Number
NCMMIS Number: 3501
Description: fragment sequence number
Data Type: CHARACTER
Size: X(18)
Functional Area Owner: Reference
Valid Values:
Last Update: 2/10/2010 8:11:11 PM
Row Sequence Number
NCMMIS Number: 3502
Description: row sequence number
Data Type: SMALLINT
Size: S9(4)
Functional Area Owner: Reference
Valid Values:
Last Update: 2/10/2010 8:11:13 PM
Rule Condition Text
NCMMIS Number: 3503
Description: rule condition text
Data Type: CHARACTER
Size: X(50)
Functional Area Owner: Reference
Valid Values:
Last Update: 2/10/2010 8:11:15 PM
Claim History Edit Action
NCMMIS Number: 3504
Description: claim history edit action
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Reference
Valid Values:
Last Update: 2/10/2010 8:11:17 PM
Claim History Edit Accumulator
NCMMIS Number: 3505
Description: claim history edit accumulator
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Reference
Valid Values:
Last Update: 2/10/2010 8:11:19 PM
Claim History Edit Accumulator Amount
NCMMIS Number: 3506
Description: claim history edit accumulator amount
Data Type: DECIMAL
Size: S9(9)V99
Functional Area Owner: Reference
Valid Values:
Last Update: 2/10/2010 8:11:22 PM
Claim History Edit Accumulator Days
NCMMIS Number: 3507
Description: claim history edit accumulator days
Data Type: CHARACTER
Size: X(4)
Functional Area Owner: Reference
Valid Values:
Last Update: 2/10/2010 8:11:24 PM
Drug Brand Name
NCMMIS Number: 3508
Description: Product description name that appears on the package label provided by the manufacturer
Data Type: CHARACTER
Size: X(30)
Functional Area Owner: Reference
Valid Values:
Last Update: 2/22/2010 1:43:16 PM
Medication Identifier
NCMMIS Number: 3509
Description: Identifies the unique combination of product or generic name, route of administration, dosage form, strength, and strength unit-of-measure.
Data Type: CHARACTER
Size: X(8)
Functional Area Owner: Reference
Valid Values:
Last Update: 10/13/2010 1:49:56 PM
Enhanced Therapeutic Class Description
NCMMIS Number: 3510
Description: Enhanced Therapeutic Class Description
Data Type: CHARACTER
Size: X(70)
Functional Area Owner: Reference
Valid Values:
Last Update: 2/16/2010 6:06:15 PM
GC4 Description
NCMMIS Number: 3511
Description: GC4 Description
Data Type: CHARACTER
Size: X(50)
Functional Area Owner: Reference
Valid Values:
Last Update: 2/16/2010 6:06:17 PM
CMS Drug Category Indicator
NCMMIS Number: 3512
Description: Identifies single source, multi-source, or innovator status.
Data Type: CHARACTER
Size: X(01)
Functional Area Owner: Reference
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
Blank | Blank | UNSPEC | Unspecified |
I | I | INNOVMS | Innovator Mult-Source |
N | N | NONINNOVMS | Non-Innovator Multi-Source |
S | S | SINGLESRC | Single Source |
Last Update: 3/12/2021 2:16:02 PM
Reference Health Check Screening Indicator
NCMMIS Number: 3513
Description: Reference Health Check Screening Indicator
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Reference
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
N | N | NOT HLTH C | DRUG NOT APPLICABLE TO HEALTH CHECK |
Y | Y | HEALTH CHK | DRUG APPLICABLE TO HEALTH CHECK |
Last Update: 3/12/2021 2:16:03 PM
TPL - Start Date
NCMMIS Number: 3514
Description: Start Date
Data Type: DATE
Size: X(10)
Functional Area Owner: Third Party Liability
Valid Values:
Last Update: 3/12/2021 1:33:43 PM
CheckWrite Status Code
NCMMIS Number: 3515
Description: Status of the CheckWrite Cycle
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Financial
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
1 | 1 | To-be-Pros | To-be-Processed |
2 | 2 | In-Process | In-Process |
3 | 3 | Processed | Processed |
4 | 4 | Cancelled | Cancelled |
Last Update: 3/12/2021 1:56:37 PM
Claim Exclusion Code
NCMMIS Number: 3516
Description: Reason for excluding the claim in Checkwrite
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Financial
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
A | A | STATE REQA | STATE REQUESTED NOT TO PROCESS - AFTER REQUEST |
B | B | INVBNFTPLN | INVALID BENEFIT PLAN |
C | C | CLM EDIT | CLAIM HAS EDIT CODE ''00046'', ''00300'' OR ''00628'' |
D | D | DB ISSUE | FS10001 HAD A DB ISSUE WITH THE CLAIM |
E | E | INVRC CLM | BAD RETURN FROM CLAIMS PROCESS |
F | F | FIX RCYCLE | FIXED AND READY TO RECYCLE |
G | G | NO CMS64 | CAN NOT DETERMINE CMS64 FED COST CODE |
H | H | INVHLTHPLN | INVALID HEALTH PLAN |
I | I | INV PROV | INVALID PROVIDER |
J | J | INVCAPSTAT | INVALID CAPITATION CLAIM STATUS |
K | K | NO MCCTOS | CAN NOT DETERMINE MCC TOS CODE |
L | L | NO CAC | CAN NOT DETERMINE CAC CODE |
M | M | PROVMISSNG | PROVIDER IS NOT ON FILE |
N | N | NO COS | CAN NOT DETERMINE COS CODE |
O | O | NO SHARES | CAN NOT DETERMINE CAC SHARES |
P | P | PAYR MSNG | PAYER ID IS MISSING |
Q | Q | HMO EDIT | HMO SUBMITTING MEDICAL SERVICES FOR PAYMENT, EDIT CODE: '07026' |
R | R | NO COSADJ | COS NOT FOUND FOR DHB ADJUSTMENTS |
S | S | STATE REQ | STATE REQUESTED NOT TO PROCESS |
T | T | THRSLD AMT | THRESHOLD AMOUNT EXCEEDED |
U | U | NO FUNDS | INSUFFICIENT FUNDS FOR DPH PHARMACY |
V | V | EXCL DPHRX | EXCLUDE DPH PHARMACY CLAIMS |
W | W | NO CACADJ | CAC NOT FOUND FOR ADJUSTMENTS |
X | X | COS 6263 | ISSUE WITH COS 62/63 PROCESS |
Y | Y | INVRC MARS | BAD RETURN FROM MARS PROCESS |
Z | Z | INVRC TPL | BAD RETURN FROM TPL PROCESS |
0 | 0 | CAP$LIMIT | PAYMENT AMT UPPER LIMIT EXCEEDED - CAPITATION CLAIMS |
1 | 1 | NPI CHANGE | TCN EXCLUDED DUE TO NPI DELETION |
2 | 2 | CSR1794 | ORIG CLM NOT PRCSD FOR ITS ADJ |
3 | 3 | REG$LIMIT | PAYMENT AMT UPPER LIMIT EXCEEDED - NON CAPITATION CLAIMS |
4 | 4 | CAP CLAIM | CAP CLM WILL NOT BE PROCESSED IN SAME CHKWRT |
5 | 5 | NON CAPCLM | NONCAP CLM WILL NOT BE PROCESSED IN SAME CHKWRT |
6 | 6 | NO FRC MCH | NO FRC MATCH FOUND IN THE LIST 2060 |