Master Data Element Dictionary, version 20240608: NCMMIS 9001 - 9500

Master Data Element Dictionary, version 20240608: NCMMIS 9001 - 9500

Carrier Notes Sequence Number

NCMMIS Number: 9001

Description: Carrier Notes Sequence Number

Data Type: INTEGER

Size: S9()

Functional Area Owner: Reference

Valid Values:

Last Update: 3/12/2021 2:18:22 PM

 

Hospital Operational Code

NCMMIS Number: 9002

Description: Hospital Operational Code as found in Category of Service Medicaid Cost Calculation Type of Service Code Intersection table

Data Type: CHARACTER

Size: X(2)

Functional Area Owner: Financial

Valid Values:

Last Update: 3/12/2021 1:58:47 PM

 

Server Name

NCMMIS Number: 9003

Description: Server Name as found in CEMT Batch Log

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Reference

Valid Values:

Last Update: 4/22/2012 1:40:06 PM

 

CICS Message

NCMMIS Number: 9004

Description: CICS Message

Data Type: CHARACTER

Size: X(126)

Functional Area Owner: Reference

Valid Values:

Last Update: 4/22/2012 1:45:21 PM

 

DC Claim Type Code

NCMMIS Number: 9005

Description: DC Claim Type Code as found in C_WS_CLM_LOG_TB

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Claims

Valid Values:

Last Update: 4/22/2012 2:06:56 PM

 

Claim Log Claim Identifier

NCMMIS Number: 9006

Description: Claim Log Claim Identifier as found claim log tables

Data Type: INTEGER

Size: S9()

Functional Area Owner: Claims

Valid Values:

Last Update: 4/22/2012 2:10:18 PM

 

Rejected Transaction Accumulation

NCMMIS Number: 9007

Description: Rejected Transaction Accumulation

Data Type: DECIMAL

Size: S0(9,0)

Functional Area Owner: Claims

Valid Values:

Last Update: 4/22/2012 2:21:10 PM

 

FRC Aprroved Total Number

NCMMIS Number: 9008

Description: FRC Aprroved Total Number

Data Type: INTEGER

Size: S9()

Functional Area Owner: Claims

Valid Values:

Last Update: 4/22/2012 5:29:32 PM

 

FRC Denied Total Number

NCMMIS Number: 9009

Description: FRC Denied Total Number

Data Type: SMALLINT

Size: S9()

Functional Area Owner: Claims

Valid Values:

Last Update: 4/22/2012 5:30:30 PM

 

Pay to Group Name

NCMMIS Number: 9010

Description: Pay to Group Name as found in C_PRV_REVW_SUM_TB

Data Type: CHARACTER

Size: X(35)

Functional Area Owner: Claims

Valid Values:

Last Update: 4/22/2012 5:34:28 PM

 

Reviewer Set DBN

NCMMIS Number: 9011

Description: Reviewer Set DBN as found in C_PRV_REVW_SUM_TB

Data Type: INTEGER

Size: S9()

Functional Area Owner: Claims

Valid Values:

Last Update: 4/22/2012 5:35:52 PM

 

Report Sequence Number

NCMMIS Number: 9012

Description: Report Sequence Number as found in Claims Report Parameter Criteria table

Data Type: SMALLINT

Size: S9()

Functional Area Owner: Claims

Valid Values:

Last Update: 4/22/2012 5:39:14 PM

 

Provider Communication Cross Reference Sequence Number

NCMMIS Number: 9013

Description: Provider Communication Cross Reference Sequence Number as found in Communications to Provider Cross Reference

Data Type: SMALLINT

Size: S9()

Functional Area Owner: Provider

Valid Values:

Last Update: 4/22/2012 5:47:25 PM

 

Provider Communication Message Status Code

NCMMIS Number: 9014

Description: Provider Communication Message Status Code as found in Communications to Provider Cross Reference table

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Provider

Valid Values:

Last Update: 4/22/2012 5:48:26 PM

 

Provider Identifiers

NCMMIS Number: 9015

Description: Provider Identifiers as found in Communications to Provider Cross Reference

Data Type: CHARACTER

Size: X(16000)

Functional Area Owner: Provider

Valid Values:

Last Update: 4/22/2012 5:51:17 PM

 

FRC Description

NCMMIS Number: 9016

Description: Description of the FRC code that makes up a portion of the Cost Center in the Company/Account Code/Cost Center.

Data Type: CHARACTER

Size: X(40)

Functional Area Owner: Reference

Valid Values:

Last Update: 4/22/2012 5:55:31 PM

 

First Payment Date

NCMMIS Number: 9017

Description: First Payment Date as found in Company Fund FRC Matching table

Data Type: DATE

Size: X(10)

Functional Area Owner: Financial

Valid Values:

Last Update: 3/12/2021 1:59:31 PM

 

Last Payment Date

NCMMIS Number: 9018

Description: Last Payment Date as found in Company Fund FRC Matching table

Data Type: DATE

Size: X(10)

Functional Area Owner: Financial

Valid Values:

Last Update: 3/12/2021 2:00:00 PM

 

Match Fund Sequence Number

NCMMIS Number: 9019

Description: Used to denote unique combination for a date range of the Company Code/ FRC Code/Revenue Fund/Revenue Account Code

Data Type: SMALLINT

Size: S9()

Functional Area Owner: Financial

Valid Values:

Last Update: 3/12/2021 1:58:27 PM

 

FRC Revenue Account Code

NCMMIS Number: 9020

Description: Account number portion of the Company/Account Code/Cost Center.

Data Type: CHARACTER

Size: X(18)

Functional Area Owner: Financial

Valid Values:

Last Update: 3/12/2021 1:59:22 PM

 

Company Notes Sequence Identifier

NCMMIS Number: 9021

Description: Company Notes Sequence Identifier

Data Type: INTEGER

Size: S9()

Functional Area Owner: Financial

Valid Values:

Last Update: 3/12/2021 1:57:43 PM

 

RCC Code Description

NCMMIS Number: 9022

Description: RCC Code Description as found in Company Responsibility Cost Center Codes

Data Type: CHARACTER

Size: X(40)

Functional Area Owner: Financial

Valid Values:

Last Update: 3/12/2021 1:58:41 PM

 

Revenue Account Description

NCMMIS Number: 9023

Description: Description of Account number portion of the Company/Account Code/Cost Center.

Data Type: CHARACTER

Size: X(40)

Functional Area Owner: Financial

Valid Values:

Last Update: 3/12/2021 1:59:36 PM

 

GS Control Number

NCMMIS Number: 9024

Description: GS Control Number as found in Correlation Audit Number Cross Reference table

Data Type: CHARACTER

Size: X(9)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 1:50:39 PM

 

IP Address

NCMMIS Number: 9025

Description: IP Address as found in Correlation Audit Number Cross Reference

Data Type: CHARACTER

Size: X(15)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 1:58:37 PM

 

IP Port Number

NCMMIS Number: 9026

Description: IP Port Number as found in Correlation Audit Number Cross Reference

Data Type: CHARACTER

Size: X(4)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 2:05:45 PM

 

ISA Control Number

NCMMIS Number: 9027

Description: ISA Control Number as found in Correlation Audit Number Cross Reference

Data Type: CHARACTER

Size: X(9)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 1:55:13 PM

 

ST Control Number

NCMMIS Number: 9028

Description: ST Control Number as found in Correlation Audit Number Cross Reference table

Data Type: CHARACTER

Size: X(9)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 1:58:27 PM

 

DELETED USE DE 9142 ECommerce Transaction Type

NCMMIS Number: 9029

Description: ECommerce Transaction Type as found in Correlation Audit Number Cross Reference

Data Type: CHARACTER

Size: X(3)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 2:06:44 PM

 

County Board Chairmans Name

NCMMIS Number: 9030

Description: County Board Chairmans Name as found in County Address table

Data Type: CHARACTER

Size: X(35)

Functional Area Owner: Recipient

Valid Values:

Last Update: 4/23/2012 7:15:55 AM

 

County Director Name

NCMMIS Number: 9031

Description: County Director Name as found in County Address

Data Type: DECIMAL

Size: X(35)

Functional Area Owner: Recipient

Valid Values:

Last Update: 4/23/2012 7:17:22 AM

 

Budget Location Code Description

NCMMIS Number: 9032

Description: Budget Location Code Description as found in District Locations

Data Type: CHARACTER

Size: X(40)

Functional Area Owner: Recipient

Valid Values:

Last Update: 4/23/2012 7:45:24 AM

 

QC Benefit Plan Request Number

NCMMIS Number: 9033

Description: QC Benefit Plan Request Number as found in DMH Quality Control Benefit Plan Table

Data Type: INTEGER

Size: S9()

Functional Area Owner: MAR

Valid Values:

Last Update: 4/23/2012 7:55:53 AM

 

QC Benefit Plan Request Sequence Number

NCMMIS Number: 9034

Description: QC Benefit Plan Request Sequence Number as found in DMH Quality Control Benefit Plan Table

Data Type: SMALLINT

Size: S9()

Functional Area Owner: MAR

Valid Values:

Last Update: 4/23/2012 7:50:51 AM

 

QC Benefit Plan Request Description

NCMMIS Number: 9035

Description: Description of the request to be processed. More notes for reviewer.

Data Type: CHARACTER

Size: X(50)

Functional Area Owner: MAR

Valid Values:

Last Update: 4/23/2012 8:03:52 AM

 

Unique Characteristic Additional Description

NCMMIS Number: 9036

Description: Additional descriptor - provides additonal information used to distinguish a drug product, such as trademarked dosage forms,special packaging, and other unique characteristics.

Data Type: CHARACTER

Size: X(20)

Functional Area Owner: Recipient

Valid Values:

Last Update: 4/23/2012 8:19:29 AM

 

Drugierarchical Ingredient Code HIC Code

NCMMIS Number: 9037

Description: Drug HIC code as found in Drug HIC Table

Data Type: CHARACTER

Size: X(6)

Functional Area Owner: Recipient

Valid Values:

Last Update: 4/24/2012 11:17:48 AM

 

Reference Deductible Amount Maximum Annual Medicaid Individual

NCMMIS Number: 9038

Description: Reference Deductible Amount (Maximum Annual Medicaid Individual) is the maximum amount that an individual is liable to pay for pharmacy services per year.

Data Type: CURRENCY

Size: S9(7)V

Functional Area Owner: Reference

Valid Values:

Last Update: 4/23/2012 9:04:29 AM

 

Mail Order Count

NCMMIS Number: 9039

Description: Mail Order Count as found in Drug Plan Parameter Table

Data Type: INTEGER

Size: S9(3,0)

Functional Area Owner: Recipient

Valid Values:

Last Update: 4/23/2012 10:43:45 AM

 

Maximum Dollar Amount

NCMMIS Number: 9040

Description: Maximum Dollar Amount as found in Drug Plan Parameter Table

Data Type: DECIMAL

Size: S9(7,2)

Functional Area Owner: Recipient

Valid Values:

Last Update: 4/23/2012 10:46:05 AM

 

Pharmacy Count

NCMMIS Number: 9041

Description: Pharmacy Count as found in Drug Plan Parameter Table

Data Type: DECIMAL

Size: S9(3,0)

Functional Area Owner: Recipient

Valid Values:

Last Update: 4/23/2012 10:48:15 AM

 

Preferred Drug List PDL Marketbasket Identifier

NCMMIS Number: 9042

Description: Preferred Drug List PDL Marketbasket Identifier as found in the Drug preferred list table

Data Type: CHARACTER

Size: X(4)

Functional Area Owner: Recipient