Master Data Element Dictionary, version 20240608: NCMMIS 6501 - 7000
Software Version Number (SVN)
NCMMIS Number: 6501
Description: Software Version Number (SVN) specifies a version of software.
Data Type: CHARACTER
Size: X(4)
Functional Area Owner: E-Commerce
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
3A | 3A | 3A FIXED | NCPDP VERSION 3.2 FIXED CLAIM 3A |
0012 | 0012 | PC/PACES12 | PC/PACES II VERSION 12 |
0013 | 0013 | PC/PACES13 | PC/PACES II VERSION 13 |
32 | 32 | 32 VAR | NCPDP VERSION 3.2 VARIABLE CLAIM |
0120 | 0120 | POSV12 | POS VERSION 12 |
0130 | 0130 | POSV13 | POS VERSION 13 |
0140 | 0140 | POSV14 | POS VERSION 14 |
2012 | 2012 | MCEFSVN | MANAGED CARE ENROLLMENT FIELD SOFTWARE VERSION NO. |
Last Update: 3/4/2021 1:49:37 PM
RSS URL Map
NCMMIS Number: 6502
Description:
Data Type:
Size:
Functional Area Owner: Provider
Valid Values:
Last Update: 7/14/2010 2:15:31 PM
Services Code
NCMMIS Number: 6503
Description:
Data Type:
Size:
Functional Area Owner: Provider
Valid Values:
Last Update: 7/14/2010 2:15:45 PM
Endorsement Required Indicator
NCMMIS Number: 6504
Description:
Data Type:
Size:
Functional Area Owner: Provider
Valid Values:
Last Update: 7/14/2010 2:15:45 PM
Preference Sequence Identifier
NCMMIS Number: 6505
Description:
Data Type:
Size:
Functional Area Owner: Provider
Valid Values:
Last Update: 7/14/2010 2:15:45 PM
Preference Type Code
NCMMIS Number: 6506
Description:
Data Type:
Size:
Functional Area Owner: Provider
Valid Values:
Last Update: 7/14/2010 2:15:45 PM
Preference Name
NCMMIS Number: 6507
Description: Preference Name
Data Type: CHARACTER
Size: X(30)
Functional Area Owner: Provider
Valid Values:
Last Update: 3/19/2012 9:18:17 AM
Preference Value
NCMMIS Number: 6508
Description: Preference Value
Data Type: CHARACTER
Size: X(8000)
Functional Area Owner: Provider
Valid Values:
Last Update: 3/19/2012 9:21:01 AM
Active Indicator
NCMMIS Number: 6509
Description: Active Indicator
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Provider
Valid Values:
Last Update: 4/19/2013 1:52:08 PM
Zip Code Location Code
NCMMIS Number: 6510
Description: Code indicating if the zip code is I(n-state) or B(order).
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Provider
Valid Values:
Last Update: 4/18/2013 10:07:39 AM
TPL - Justification Reason Code
NCMMIS Number: 6511
Description: The justification for a beneficiary's Part A or Prat B Medicare Entitlement Dates based on His/Her Disablity insurance Benefits
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Third Party Liability
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
space | space | N/A | BLANK: NOT ENTITLED |
1 | 1 | ENTITLED | BENEFICIARY IS ENTITLED TO MEDICARE COVERAGE DUE TO PRIOR DISABILTY ENTITLEMENT |
Last Update: 3/12/2021 1:31:50 PM
Dental Documentation of Medical Necessity
NCMMIS Number: 6512
Description: Dental Documentation of Medical Necessity describes the reason for the PA request.
Data Type:
Size:
Functional Area Owner: Prior Authorization
Valid Values:
Last Update: 7/14/2010 4:28:14 PM
Adult Non-Covered Service Indicator
NCMMIS Number: 6513
Description: Adult Non-Covered Service Indicator indicates if the requested service for an adult recipient is a non-covered service.
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Prior Authorization
Valid Values:
Last Update: 8/13/2010 9:32:04 AM
Provider Locator Code
NCMMIS Number: 6514
Description: Provider Locator Code specifies the type of address associated with a provider identifying a pay-to, correspondence and one or more service locations.
Data Type: CHARACTER
Size: X(3)
Functional Area Owner: Provider
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
001 | 001 | Pay-to | Pay-to |
002 | 002 | CORSPNDNCE | Correspondence |
003 | 999 | Service | Service |
Last Update: 3/8/2021 4:19:42 PM
Billing Provider Same as Requesting Provider Indicator
NCMMIS Number: 6515
Description: Billing Provider Same as Requesting Provider Indicator allows a provider to indicate that the billing provider is also the requesting provider.
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Prior Authorization
Valid Values:
Last Update: 4/22/2013 10:56:56 AM
TPL - Non-Entitlement Status
NCMMIS Number: 6516
Description: The reason for the beneficiary's current non-entitlement to Part-A/Part B Medicare Benefits. Occurs when there is no Part A/Part B entitlement start and Termination date. See also 7901 and 7902
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Third Party Liability
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
D | D | DENIED | COVERAGE WAS DENIED |
F | F | VOIDED | TERMINATED DUE TO INVALID ENROLLMENT OR ENROLLMENT VOIDED |
H | H | NOT-ELIGIB | NOT-ELIGIBLE FOR FREE PART A OR DID NOT ENROLL FOR PREMIUM PART A |
N | N | NOT A VALI | NOT A VALID SSA HOC, BUT USED BY HCFA'S THIRD PARTY SYSTEM TO INDICATE A 'POTENTIAL'PTA ENTITLEMENT DATE |
R | R | REFUSED | REFUSED BENEFITS |
Last Update: 3/12/2021 1:31:50 PM
TPL - Accrete Adjustment Code
NCMMIS Number: 6517
Description: Code that indicate the type of third party Part A/Part B accretion adjustment action taken and the reason for the adjustment
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Third Party Liability
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
space | space | N/A | BLANK: NOT APPLICABLE |
C | C | RECONCILLA | OPM ACCRETED THE BENEFICIARY DURING THE 8/82 AND 9/82 OPM/SPACE RECONCILIATION BILLING |
E | E | START DATE | THE PREVIOUS START DATE WAS ADJUSTED TO AN EARLIER DATE |
J | J | 5 | THE ACCRETION WAS CREATED IN THE 3/77 OR 5/77 MBR/SPACE RECONCILLATION BILLING |
L | L | 2 | THE PREVIOUS START DATE WAS ADJUSTED TO A LATER DATE |
R | R | ACCRETE CR | THE ACCRETION WAS CREATED IN THE 4/87 MBR/SPACE RECONCILIATION BILLING |
S | S | HISTORY OV | THE NEW ACCRETION DATE WAS ADJUSTED TO A LATER DATE DUE TO A PRIOR HISTORY OVERLAP INVOLVING THE SAME AGENCIES |
V | V | 1 | THE PREVIOUS START DATE WAS ADJUSTED DUE TO AN OPM RIC V TRANSACTION |
7 | 7 | 4 | A NEW OPM INITIATED ACCRETION CONTAINS AN ADJUSTED DATE THAT IS LATER THAN REQUESTED DUE TO POLICY |
8 | 8 | 3 | THE NEW ACCRETION DATE WAS ADJUSTED TO A LATER DATE DUE TO A PRIOR HISTORY OVERLAP INVOLVING DIFFERENT AGENCIES |
Last Update: 3/12/2021 1:31:50 PM
Correspondence Address Line Number
NCMMIS Number: 6518
Description: Correspondence Address Line Number indicates the number of lines of correspondence providers associated with a PA record.
Data Type: NUMERIC
Size: X(2)
Functional Area Owner: Prior Authorization
Valid Values:
Last Update: 7/16/2010 11:51:01 AM
Comments Line Number
NCMMIS Number: 6519
Description: Comments Line Number indicates the number of lines of comments associated with a PA record.
Data Type: NUMERIC
Size: X(2)
Functional Area Owner: Prior Authorization
Valid Values:
Last Update: 7/16/2010 11:51:19 AM
Viral Load Date
NCMMIS Number: 6520
Description: Viral Load Date is the date of the viral load test.
Data Type: DATE
Size: X(10)
Functional Area Owner: Prior Authorization
Valid Values:
Last Update: 4/19/2013 1:52:46 PM
Ad Hoc report request identifying number
NCMMIS Number: 6521
Description: Internal number used to create a unique row
Data Type:
Size:
Functional Area Owner: Prior Authorization
Valid Values:
Last Update: 7/21/2010 11:20:49 AM
Report Request User Id
NCMMIS Number: 6522
Description: Report Request User Id is the system ID of the user requesting the report.
Data Type: CHARACTER
Size: X(7)
Functional Area Owner: Prior Authorization
Valid Values:
Last Update: 4/18/2013 10:08:41 AM
Report Request TimeStamp
NCMMIS Number: 6523
Description: Audit Timestamp specifies the date and time an add, update, or delete was performed on a datastore.
Data Type:
Size:
Functional Area Owner: Prior Authorization
Valid Values:
Last Update: 7/21/2010 11:20:49 AM
Report Type Code
NCMMIS Number: 6524
Description: Report Type Code is the specific report being requested.