Master Data Element Dictionary, version 20240608: NCMMIS 4502 - 5000

TPL - SSA Case Type

NCMMIS Number: 4502

Description: TPL SSA Case Type specifies the type of request sent to the Social Security Administration (SSA) for Social Security Income benefits.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Third Party Liability

Valid Values:

From Value	Thru Value	Short Description	Long Description

From Value	Thru Value	Short Description	Long Description
A	A	INITIAL	INITIAL APPLICATION
R	R	REDETERM	REDETERMINATION
SPACE	SPACE	UNSPEC	UNSPECIFIED

Last Update: 3/12/2021 1:30:25 PM

TPL - Social Security Administration (SSA) Application Date

NCMMIS Number: 4503

Description: Social Security Administration (SSA) Application Date is the date that an application for Social Security Income benefits was completed.

Data Type: DATE

Size: X(10)

Functional Area Owner: Third Party Liability

Valid Values:

Last Update: 3/12/2021 1:33:12 PM

TPL - Void Date

NCMMIS Number: 4504

Description: TPL Void Date is the date that a recipient was voided from the policy.

Data Type: DATE

Size: X(10)

Functional Area Owner: Third Party Liability

Valid Values:

Last Update: 3/12/2021 1:34:11 PM

TPL - Void Indicator

NCMMIS Number: 4505

Description: Void Indicator specifies whether or not a policy was voided and is no longer valid.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Third Party Liability

Valid Values:

From Value	Thru Value	Short Description	Long Description

From Value	Thru Value	Short Description	Long Description
N	N	NOT VOIDED	HAS NOT BEEN VOIDED, STILL ACTIVE
Y	Y	VOIDED	VOIDED, NO LONGER VALID

Last Update: 3/12/2021 1:30:25 PM

TPL - Social Security Administration SSA Social Security Number SSN

NCMMIS Number: 4506

Description: Social Security Administration (SSA) Social Security Number (SSN) is the Social Security number for a person that filed an application for Social Security Income benefits.

Data Type: CHARACTER

Size: X(9)

Functional Area Owner: Third Party Liability

Valid Values:

Last Update: 3/12/2021 1:33:05 PM

Frame Eye/Bridge/Temple Size Code

NCMMIS Number: 4512

Description: Frame Eye/Bridge/Temple Size Code is the combination of Eye Size, Bridge Size and Temple Length specific to an eyeglass frame.

Data Type: CHARACTER

Size: X(2)

Functional Area Owner: Prior Authorization

Valid Values:

From Value	Thru Value	Short Description	Long Description

From Value	Thru Value	Short Description	Long Description
AA	AA	48-22-145	48-22-145
AB	AB	50-20-145	50-20-145
AC	AC	50-24-145	50-24-145
AD	AD	52-20-145	52-20-145
AE	AE	52-24-145	52-24-145
A1	A1	42-18-140	42-18-140
A2	A2	42-20-140	42-20-140
A3	A3	42-22-140	42-22-140
A4	A4	44-18-140	44-18-140
A5	A5	44-20-140	44-20-140
A6	A6	44-22-140	44-22-140
A7	A7	46-20-140	46-20-140
A8	A8	46-22-140	46-22-140
A9	A9	48-20-145	48-20-145
B1	B1	46-16-135	46-16-135
B2	B2	44-17-135	44-17-135
B3	B3	53-17-140	53-17-140
B4	B4	51-17-135	51-17-135
B5	B5	48-17-135	48-17-135
B6	B6	48-17-130	48-17-130
B7	B7	45-17-130	45-17-130
B8	B8	55-17-145	55-17-145
B9	B9	59-17-150	59-17-150
C1	C1	63-17-150	63-17-150
C2	C2	55-18-145	55-18-145
C3	C3	51-14-140	51-14-140
C4	C4	53-14-140	53-14-140
C5	C5	52-16-140	52-16-140
C6	C6	53-16-140	53-16-140
C7	C7	56-16-145	56-16-145
C8	C8	53-17-135	53-17-135
C9	C9	56-17-145	56-17-145
D1	D1	52-17-140	52-17-140
D2	D2	55-18-150	55-18-150
D3	D3	55-16-145	55-16-145
D4	D4	48-17-138	48-17-138
D5	D5	45-17-135	45-17-135
D6	D6	53-14-145	53-14-145
D7	D7	41-18-125	41-18-125
YA	YA	48-21-145	48-21-145
YB	YB	50-21-150	50-21-150
YC	YC	50-23-150	50-23-150
Y1	Y1	40-19-135	40-19-135
Y2	Y2	40-21-135	40-21-135
Y3	Y3	42-19-140	42-19-140
Y4	Y4	42-21-140	42-21-140
Y5	Y5	44-19-140	44-19-140
Y6	Y6	44-21-140	44-21-140
Y7	Y7	46-19-145	46-19-145
Y8	Y8	46-21-145	46-21-145
Y9	Y9	48-19-145	48-19-145
1A	1A	45-18-std	45-18-std
1B	1B	50-20-std	50-20-std
11	11	50-17-135	50-17-135
12	12	52-17-140	52-17-140
13	13	49-18-135	49-18-135
14	14	52-18-140	52-18-140
15	15	58-18-145