Master Data Element Dictionary, version 20240608: NCMMIS 5001 - 5500
Billing Taxonomy Code
NCMMIS Number: 5001
Description: Code identfying the provider Taxonomy
Data Type: CHARACTER
Size: X(10)
Functional Area Owner: Claims
Valid Values:
Last Update: 9/10/2011 7:53:31 AM
Security Data Context Parameter Value Type
NCMMIS Number: 5002
Description: Security Data Context Parameter Value Type
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Reference
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
F | F | FUNCTION P | A STANDARD FUNCTION POINT THAT GETS USED BY THE APPLICATION. |
O | O | OTHER | ANY OTHER DATA CONTEXT PARAMETER VALUE. |
V | V | FUNCTION_2 | A FUNCTION POINT THAT DOESN'T NOT GET BROKEN DOWN. IT GETS USED AS-IS |
X | X | PARTIAL RE | A PARTIAL READ FUNCTION POINT THAT NEEDS A MATCH IN THE USERS FUNCTION POINTS TO ACTIVATE IT. |
Y | Y | PARTIAL UP | A PARTIAL READ FUNCTION POINT THAT NEEDS A MATCH IN THE USERS FUNCTION POINTS TO ACTIVATE IT. 2 |
Last Update: 3/12/2021 2:17:52 PM
MC Cohort Benefit Plan
NCMMIS Number: 5003
Description: Managed Care Cohort Benefit Plan
Data Type: NUMERIC
Size: 9(03)
Functional Area Owner: Recipient
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
011 | 011 | PACE | PACE |
012 | 012 | PHPB | PHPB |
013 | 013 | PHPC | PHPC |
014 | 014 | TBI | TRAUMATIC BRAIN INJURY |
015 | 015 | MEDICAID | MEDICAID |
016 | 016 | NCHC | NCHC |
088 | 088 | DHB ADMIN | DHB ADMINISTRATION |
100 | 100 | MCAIDSTD | MC-MEDICAID STANDARD PLAN |
102 | 102 | HLTHCHSSTD | MC-NCHC STANDARD PLAN |
106 | 106 | TPMC | TAILORED PLAN MEDICAID MANAGED CARE |
107 | 107 | TPHC | TAILORED PLAN HEALTH CHOICE MANAGED CARE |
108 | 108 | TPINV | TAILORED PLAN INNOVATIONS WAIVER MANAGED CARE |
109 | 109 | TPTBI | TAILORED PLAN TRAUMATIC BRAIN INJURY MANAGED CARE |
111 | 111 | PHHC | BEHAVIORAL HEALTH SERVICES FOR NORTH CAROLINA HEALTH CHOICE |
120 | 120 | HEALTHCHEC | HEALTHCHECK |
121 | 121 | MED-SOLUTI | MED-SOLUTIONS |
122 | 122 | CC4C | CARE COORDINATION FOR CHILDREN |
123 | 123 | PREG CARE | PREGNANCY CARE MANAGEMENT |
124 | 124 | PMH | PREGNANCY MEDICAL HOME |
Last Update: 8/18/2022 9:00:09 AM
Attending Provider Taxonomy Code
NCMMIS Number: 5004
Description: Code identfying the provider Taxonomy
Data Type: CHARACTER
Size: X(10)
Functional Area Owner: Claims
Valid Values:
Last Update: 10/25/2011 10:31:00 AM
DMH Rate Procedure Code
NCMMIS Number: 5005
Description: Procedure Code uniquely identifies a service rendered by a provider.
Data Type: CHARACTER
Size: X(5)
Functional Area Owner: Reference
Valid Values:
Last Update: 4/25/2013 10:43:58 AM
DMH Rate Attending Provider
NCMMIS Number: 5006
Description: Provider Identification Number is a unique number assigned to each provider enrolled to provide services to clients of the Medicaid program. This number is the primary method of identifying a provider.
Data Type: CHARACTER
Size: X(10)
Functional Area Owner: Reference
Valid Values:
Last Update: 4/25/2013 10:47:35 AM
DMH Rate Action Code
NCMMIS Number: 5007
Description: This data element is used for decision logic.
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Reference
Valid Values:
Last Update: 4/25/2013 10:45:36 AM
Health Check Line Ind
NCMMIS Number: 5008
Description: Indicator is used to differentiate between health check & non health check line items.
Data Type: CHARACTER
Size: X(01)
Functional Area Owner: Claims
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
N | N | NO | NO |
Y | Y | YES | YES |
Last Update: 3/15/2022 11:50:54 AM
Initial Treatment Date
NCMMIS Number: 5009
Description: Used to identify the initial treatment date
Data Type: DATE
Size: X(10)
Functional Area Owner: Claims
Valid Values:
Last Update: 8/3/2010 9:25:12 AM
Post OP/ relinquished Care Date -From
NCMMIS Number: 5010
Description: Used to identify the From date the patient is unable to work in current occupation
Data Type: DATE
Size: X(10)
Functional Area Owner: Claims
Valid Values:
Last Update: 3/24/2010 8:13:26 AM
Post OP/ relinquished Care Date -Thru
NCMMIS Number: 5011
Description: Used to identify the Thru date the patient is unable to work in current occupation
Data Type: DATE
Size: X(10)
Functional Area Owner: Claims
Valid Values:
Last Update: 3/24/2010 8:13:26 AM
Claim Type Exclusions
NCMMIS Number: 5012
Description: This field exists on MA UI pages and the user can select the check boxes to exclude claims for certain claim types from and being included in the mass adjustment claims extract
Data Type: CHARACTER
Size: X(01)
Functional Area Owner: Claims
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
C | C | XOVER | Medicare Cross Over |
E | E | ENCTR | Encounter Claims |
M | M | MGMNT FEE | Management Fee Claim |
4 | 4 | CAP | Capitation Claim |
Last Update: 3/15/2022 11:50:55 AM
Auto Assign Unique Gr Number
NCMMIS Number: 5013
Description: Unique Group Number identifies an Auto Assignment request
Data Type: CHARACTER
Size: X(10)
Functional Area Owner: Managed Care-Use_Recipient
Valid Values:
Last Update: 4/23/2010 3:10:13 PM
Auto Assignment Begin Date
NCMMIS Number: 5014
Description: Auto Assignment Begin Date
Data Type: DATE
Size: X(10)
Functional Area Owner: Managed Care-Use_Recipient
Valid Values:
Last Update: 4/23/2010 3:10:15 PM
Auto Assignment End Date
NCMMIS Number: 5015
Description: Auto Assignment End Date
Data Type: DATE
Size: X(10)
Functional Area Owner: Managed Care-Use_Recipient
Valid Values:
Last Update: 4/23/2010 3:10:17 PM
Specialty Drug Pricing Indicator
NCMMIS Number: 5016
Description: A State-determined upper payment limit for select single source specialty drugs
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Reference
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
N | N | No | No Specialty Pricing Discount |
Y | Y | Yes | Apply Specialty Pricing Discount |
Last Update: 3/12/2021 2:16:13 PM
Group Assignment Code
NCMMIS Number: 5017
Description: Code that indicates the group to which the scopy procedure belongs.
Data Type: CHARACTER
Size: X(5)
Functional Area Owner: Reference
Valid Values:
Last Update: 9/10/2011 8:47:12 AM
Security Page Section Name
NCMMIS Number: 5018
Description: Security Page Section Name is a narrative description of a user interface page section.
Data Type: CHARACTER
Size: X(30)
Functional Area Owner: Reference
Valid Values:
Last Update: 12/16/2009 4:30:50 PM
Medicare Crossover Percentage
NCMMIS Number: 5019
Description: Percentage applied to Medicare Part B crossover claims for payment calculation.
Data Type: DECIMAL
Size: 9(3)V99
Functional Area Owner: Reference
Valid Values:
Last Update: 3/26/2010 11:07:06 AM
Hospice Region Code
NCMMIS Number: 5020
Description: Region code used for hospice pricing.
Data Type: CHARACTER
Size: X(3)
Functional Area Owner: Reference
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
00A | 00A | 00A | DURHAM |
00B |