Master Data Element Dictionary, version 20240608: NCMMIS 4001 - 4500

Master Data Element Dictionary, version 20240608: NCMMIS 4001 - 4500

Managed Care (MC) Enrollment Tape Date

NCMMIS Number: 4002

Description: Managed Care (MC) Enrollment Tape Date is the date that a submitted tape file was created. It is documented in the header and trailer records.

Data Type: DATE

Size: X(10)

Functional Area Owner: E-Commerce

Valid Values:

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

 

Interactive Card Read Indicator

NCMMIS Number: 4004

Description: Interactive Card Read Indicator specifies whether or not the access number was obtained from a card swipe.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

0

0

NOT READ

CARD NOT READ

1

1

READ

CARD READ

 

Last Update: 3/4/2021 1:49:19 PM

 

Audio Response Unit (ARU) Entry Errors Count

NCMMIS Number: 4005

Description: Audio Response Unit (ARU) Entry Errors Count is the number of errors encountered while entering data. The specific entry error will be positional.

Data Type: DECIMAL

Size: S9(1)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 2:01:39 PM

 

Interactive Transaction Type Code

NCMMIS Number: 4006

Description: Interactive Transaction Type Code specifies the type of transaction that a user wishes to perform.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

1

1

1

SERVICE AUTHORIZATION (SA) AND ELIGIBILITY

2

2

2

ELIGIBILITY INQUIRY ONLY

3

3

3

AUTHORIZATION CONFIRMATION

4

4

4

AUTHORIZATION CANCELATION

5

5

5

DRUG UTILIZATION REVIEW (DUR) CARD SWIPE

6

6

6

DISPENSING VALIDATION SYSTEM

 

Last Update: 3/4/2021 1:49:20 PM

 

Managed Care (MC) Enrollment Submitter Type Code

NCMMIS Number: 4007

Description: Managed Care (MC) Enrollment Submitter Type Code specifies the source of a managed care enrollment submission.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

A

A

ADMIN

ADMINISTRATION

B

B

BROKER

BROKER

L

L

LDSS

LOCAL DISTRICT SOCIAL SERVICES

 

Last Update: 3/4/2021 1:49:21 PM

 

Managed Care (MC) Enrollment Client Pend Indicator

NCMMIS Number: 4008

Description: Managed Care (MC) Enrollment Client Pend Indicator specifies whether or not a client has been added to the pend file.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

N

N

NO

NO

Y

Y

YES

YES

 

Last Update: 3/4/2021 1:49:22 PM

 

Monthly Payment Amount

NCMMIS Number: 4010

Description: Money payment program amount paid.

Data Type: INTEGER

Size: S9(9)

Functional Area Owner: Recipient

Valid Values:

Last Update: 4/27/2010 9:07:59 AM

 

Managed Care (MC) Enrollment Activity Record Type Code

NCMMIS Number: 4011

Description: Managed Care (MC) Enrollment Activity Record Type Code specifies the type of activity record processed for MC enrollment.

Data Type: CHARACTER

Size: X(3)

Functional Area Owner: E-Commerce

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

DLY

DLY

DAILY

DAILY

MTH

MTH

MONTHLY

MONTHLY

 

Last Update: 3/4/2021 1:49:22 PM

 

Interactive Audit Number Sequence Number

NCMMIS Number: 4012

Description: Interactive Audit Number Sequence Number is a number that is assigned sequentially to each transaction received on a given day.

Data Type: DECIMAL

Size: 9(11)V

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 1:56:05 PM

 

Audio Response Unit (ARU) Prior Authorization/Approval (PA) Diagnosis Code

NCMMIS Number: 4014

Description: Audio Response Unit (ARU) Prior Authorization/Approval (PA) Diagnosis Code specifies a type of diagnosis that requires prior approval.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

1

1

VREI

VANCOMYCIN RESISTANT ENTEROCUCCUS INFECTION

2

2

NP

NOSOCOMIAL PNEUMONIA

3

3

CAP

COMMUNITY ACQUIRED PNEUMONIA

4

4

SSI

SKIN/SKIN STRUCTURE INFECTIONS

 

Last Update: 3/4/2021 1:49:23 PM

 

Audio Response Unit (ARU) Drug Dispensed Form Code

NCMMIS Number: 4015

Description: Audio Response Unit (ARU) Drug Dispensed Form Code specifies the form in which a drug will be dispensed.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

1

1

TABLET

TABLET

2

2

ORAL

ORAL

3

3

IV

IV

 

Last Update: 3/4/2021 1:49:24 PM

 

Audio Response Unit (ARU) Have Consulted Indicator

NCMMIS Number: 4016

Description: Audio Response Unit (ARU) Have Consulted Indicator specifies whether or not a consultation has been requested by a provider.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

N

N

NO

NO, CONSULTATION HAS NOT BEEN REQUESTED

Y

Y

YES

YES, CONSULTATION HAS BEEN REQUESTED

 

Last Update: 3/4/2021 1:49:25 PM

 

Audio Response Unit (ARU) Culture Done Indicator

NCMMIS Number: 4017

Description: Audio Response Unit (ARU) Culture Done Indicator specifies whether or not a culture was performed.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

N

N

NO

NO, CULTURE WAS NOT PERFORMED

Y

Y

YES

YES, CULTURE WAS PERFORMED

 

Last Update: 3/4/2021 1:49:25 PM

 

Audio Response Unit (ARU) Sensitivity Indicator

NCMMIS Number: 4018

Description: Audio Response Unit (ARU) Sensitivity Indicator specifies whether or not a client was tested for a sensitivity to the drug.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

N

N

NO

NO, CLIENT WAS NOT TESTED FOR SENSITIVITY

Y

Y

YES

YES, CLIENT WAS TESTED FOR SENSITIVITY

 

Last Update: 3/4/2021 1:49:26 PM

 

Audio Response Unit (ARU) Drug in Hospital Indicator

NCMMIS Number: 4019

Description: Audio Response Unit (ARU) Drug in Hospital Indicator specifies whether or not the client was in the hospital when use of the drug began.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

N

N

NO

NO, RESPONSE IS NOT NEEDED

Y

Y

YES

YES, RESPONSE IS NEEDED

 

Last Update: 3/4/2021 1:49:26 PM

 

Audio Response Unit (ARU) Other Antibiotics Indicator

NCMMIS Number: 4020

Description: Audio Response Unit (ARU) Other Antibiotics Indicator specifies whether or not other antibiotics were prescribed for the client.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

N

N

NO

NO

Y

Y

YES

YES

 

Last Update: 3/4/2021 1:49:27 PM

 

Audio Response Unit (ARU) Drug Prescribed Code

NCMMIS Number: 4021

Description: Audio Response Unit (ARU) Drug Prescribed Code specifies the controlled drug that was prescribed when a prior approval was requested.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values: