Master Data Element Dictionary, version 20240608: NCMMIS 8001 - 8500
TPL - Free Form Text
NCMMIS Number: 8001
Description: The free form text field allows the user to enter text to be added to the on-demand letter.
Data Type: CHARACTER
Size: X(2000)
Functional Area Owner: Third Party Liability
Valid Values:
Last Update: 3/12/2021 1:33:10 PM
TPL - Other Documentation Requested 1
NCMMIS Number: 8002
Description: Used for Recovery Case On-Demand letters to allow user to enter a free form Text field 1 for other documentation/information requested
Data Type: CHARACTER
Size: X(80)
Functional Area Owner: Third Party Liability
Valid Values:
Last Update: 3/12/2021 1:34:11 PM
TPL - Other Documentation Requested 2
NCMMIS Number: 8003
Description: Used for Recovery Case On-Demand letters to allow user to enter a free form Text field 2 for other documentation/information requested
Data Type: CHARACTER
Size: X(80)
Functional Area Owner: Third Party Liability
Valid Values:
Last Update: 3/12/2021 1:35:05 PM
TPL - Other Documentation Requested 3
NCMMIS Number: 8004
Description: Used for Recovery Case On-Demand letters to allow user to enter a free form Text field 3 for other documentation/information requested
Data Type: CHARACTER
Size: X(80)
Functional Area Owner: Third Party Liability
Valid Values:
Last Update: 3/12/2021 1:33:10 PM
Remittance Advice Message Type Code
NCMMIS Number: 8005
Description: Remittance Advice Message Type Code
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Reference
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
A | A | ALL | ALL |
M | M | MULTI | MUTIL PAYER |
P | P | PROVIDER | PROVIDER |
T | T | TAXONOMY | TAXONOMY |
Last Update: 3/12/2021 2:16:50 PM
Diagnosis Long Description
NCMMIS Number: 8006
Description: Diagnosis Long Description Text
Data Type: CHARACTER
Size: X(320)
Functional Area Owner: Reference
Valid Values:
Last Update: 9/3/2011 9:45:27 AM
MC On Demand Letter ID
NCMMIS Number: 8007
Description: Managed care rate type code
Data Type: CHARACTER
Size: X(05)
Functional Area Owner: Managed Care-Use_Recipient
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
R5001 | R5001 | Exempt Req | CA or CCNC/CA Exemption Request Received - Decision has been made letter |
R5002 | R5002 | Comp Recvd | CA or CCNC/CA Complaint Received Acknowledgment Letter to Recipient |
R5003 | R5003 | More Info | CA or CCNC/CA Compliant Received, More Info Needed |
R5004 | R5004 | Record Req | Medical Record Request - Additional Information Required |
Last Update: 3/9/2011 3:36:35 PM
RPHR Overall History Status
NCMMIS Number: 8008
Description: Indicates whether request is Pending or Completed
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Financial
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
C | C | COMPLETED | HISTORY REQUEST COMPLETED |
N | N | NEW | HISTORY REQUEST NEW OR UPDATED PENDING |
P | P | PENDING | HISTORY REQUEST PENDING DUE TO ERROR |
Last Update: 3/12/2021 1:56:52 PM
RPHR Claim History Category
NCMMIS Number: 8009
Description: Indicates whether request is for a fee for service claim or encounter claim
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Financial
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
C | C | FEE FOR SE | FEE FOR SERVICE CLAIM |
E | E | ENCOUNTER | ENCOUNTER CLAIM |
Last Update: 3/12/2021 1:56:52 PM
TPL - Letter Send-To Type Code
NCMMIS Number: 8010
Description: The Letter Send-To Type Code is the code used to determine which recovery case contact type to send the letter to.
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Third Party Liability
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
1 | 1 | ATTY_INSAD | ATTORNEY OR INSURANCE ADJUSTER CONTACT TYPE |
2 | 2 | EMPLOYER | EMPLOYER CONTACT TYPE |
3 | 3 | CARRIER | CARRIER CONTACT TYPE |
4 | 4 | REPRESENT | REPRESENTATIVE CONTACT TYPE |
5 | 5 | OTHER | OTHER CONTACT TYPE |
Last Update: 3/12/2021 1:32:02 PM
Budget Available Code
NCMMIS Number: 8011
Description: Budget Availability Code will be used to determine if the budget can be used for fund availability. It will indicate when the budget has been loaded from North Carolina Accounting System, NCAS, approved by the State for use, and when the budget is closed for an adjudication cycle.
Data Type: CHARACTER
Size: X(1)
Functional Area Owner: Reference
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
A | A | APPROVED | APPROVED FOR USE |
C | C | CLOSED | CLOSED. CLAIM ADJUDICATION CYCLE COMPLETED |
L | L | LOADED | LOADED BUT NOT APPROVED |
Last Update: 3/12/2021 2:16:51 PM
Budget Paid Amount
NCMMIS Number: 8012
Description: Budget Paid Amount is the total amount used to pay claims for the selected budget.
Data Type: CURRENCY
Size: S9()
Functional Area Owner: Reference
Valid Values:
Last Update: 3/31/2011 10:24:58 AM
Paypoint Detail Payment Method
NCMMIS Number: 8013
Description: Method of payment by customer
Data Type: SMALLINT
Size: S9(2)
Functional Area Owner: Financial
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
1 | 1 | CC | Credit Card (General) |
2 | 2 | E-Check | E-Check (TeleCheck) |
3 | 3 | PINlessDbt | PINless Debit, Credit Card, Debit (Concord) |
4 | 4 | E-Check | E-Check |
6 | 6 | CCDebit | Credit Card, Debit (Vital) |
7 | 7 | TPP | Third Party Payments (ACH Credit, POS, Cash) |
8 | 8 | NFTF | Non-Face-to-Face Platform (TeleCheck) |
Last Update: 3/12/2021 1:56:53 PM
Paypoint Detail Payment Code
NCMMIS Number: 8014
Description: Payment Code
Data Type: SMALLINT
Size: S9(2)
Functional Area Owner: Financial
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
1 | 1 | PrimaryPay | Primary Payment |
2 | 2 | ConvFee | Convenience Fee |
4 | 4 | Charge | Chargeback Primary |
5 | 5 | PreNote | PreNote |
6 | 6 | ChargebkFe | Chargeback Convenience Fee |
Last Update: 3/12/2021 1:56:54 PM
Paypoint Detail Payment Command Code
NCMMIS Number: 8015
Description: Payment Commnad Code
Data Type: SMALLINT
Size: S9(2)
Functional Area Owner: Financial
Valid Values:
From Value | Thru Value | Short Description | Long Description |
|---|---|---|---|
1 | 1 | Payment | Payment |
3 | 3 | SalePreAut | Sale With Pre-Authorization |
4 | 4 | ChargeBkPr | Chargeback Primary |
5 | 5 | Refund | Refund |
6 | 6 | Void | Void |
9 | 9 | Chargeback | Chargeback |