Master Data Element Dictionary, version 20240608: NCMMIS 0001 - 0500

Master Data Element Dictionary, version 20240608: NCMMIS 0001 - 0500

Document Control Number DCN

NCMMIS Number: 0001

Description: Document Control Number (DCN) is the number assigned to identify a document when it is imaged.

Data Type: CHARACTER

Size: X(12)

Functional Area Owner: Reference

Valid Values:

Last Update: 10/9/2018 6:24:16 PM

 

Interactive Submitter GUID

NCMMIS Number: 0002

Description: Interactive Submitter GUID

Data Type: CHARACTER

Size: X(32)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 2:03:57 PM

 

Interactive Submitter NC Identifier

NCMMIS Number: 0003

Description: Interactive Submitter NC Identifier

Data Type: CHARACTER

Size: X(32)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 1:51:08 PM

 

Payment Number

NCMMIS Number: 0004

Description: Payment Number is a number used to identify a payment. For system checks and EFT payments, the number is application generated by incrementing a system parameter (F5011). For manual checks, it is the number pre-printed on the check stock.

Data Type: CHARACTER

Size: X(15)

Functional Area Owner: Financial

Valid Values:

Last Update: 3/12/2021 1:57:31 PM

 

Payment Type Code

NCMMIS Number: 0005

Description: Payment Type Code specifies the method used to convey a payment to a provider. Payments may be made via check or Electronic Funds Transfer (EFT).

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Recipient

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

C

C

CHECK PYMT

PAYMENT MADE TO PROVIDER VIA CHECK

E

E

EFT PYMT

PYMT MADE TO PROV VIA ELECTRONIC FUNDS TRANSFER

 

Last Update: 8/18/2022 8:56:00 AM

 

Provider Upload Document Type Code

NCMMIS Number: 0006

Description: Type of document uploaded by the provider

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Provider

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

A

A

SIGNAGREE

AGREEMENT SIGNED BY THE INDIVIDUAL PROVIDER

E

E

ENROLLADD

PROVIDER ENROLLMENT ADD

F

F

FINGERPRNT

PROVIDER FINGER PRINT EVIDENCE

L

L

PSVLAC

PRIMARY SOURCE VERIFICATION UPLOADED FOR LICENSE, ACCREDITATION, CERTIFICATION

P

P

PRV_PE

DOCUMENTS UPLOADED BY THE PROVIDER ON THE UPLOAD DOCUMENTS PAGE

R

R

BUMPUPFP

THE NOTIFICATION AND ELECTRONIC FINGERPRINT SUBMISSION RELEASE OF INFORMATION FORM (PM18802-R0002) LETTER HAS BEEN SENT TO A BUMPED UP PROVIDER.

 

Last Update: 9/26/2022 1:34:42 PM

 

TPL - Buy-In Premium Amount

NCMMIS Number: 0007

Description: TPL Buy-In Premium Amount is a debit amount that the state of North Carolina owes the Federal government for an accrete or ongoing transaction or a credit or refund amount due to the state of North Carolina if the transaction is a delete record.

Data Type: CURRENCY

Size: S9(8)V99

Functional Area Owner: Third Party Liability

Valid Values:

Last Update: 3/12/2021 1:33:13 PM

 

TPL - Buy-In CMS Bill Date

NCMMIS Number: 0008

Description: TPL Buy-In CMS Bill Date represents the month, century, and year in which the Center for Medicare/Medicaid services (CMS) bills the State of North Carolina for all client's under the Buy-In program.

Data Type: DATE

Size: X(10)

Functional Area Owner: Third Party Liability

Valid Values:

Last Update: 3/12/2021 1:33:51 PM

 

TPL - Buy-In CMS Billing Begin Date

NCMMIS Number: 0009

Description: TPL Buy-In CMS Billing Begin Date is the beginning date used to calculate the refund or premium amount due for a transaction.

Data Type: DATE

Size: X(10)

Functional Area Owner: Third Party Liability

Valid Values:

Last Update: 3/12/2021 1:35:08 PM

 

Drug Rebate Adjustment Code

NCMMIS Number: 0010

Description: Drug Rebate Adjustment Code is an NCTracks defined adjustment code used to record the modifications made to a Drug Rebate accounts receivable item by either a state or fiscal agent or the drug manufacturer.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Financial

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

B

B

CREDIT

CREDIT ISSUED

D

D

SETTLE DSP

DISPUTE SETTLEMENT

H

H

CMS CHG

CMS SUPPLIED URA CHANGE

M

M

PYMT DIFF

PAYMENT DIFFERENCE DUE TO RATE CHANGE FROM LABELER

P

P

CLAIM ADJ

CLAIMS BASED UNIT ADJUSTMENT

R

R

RESTORE WO

RESTORE WRITTEN-OFF AMOUNT

U

U

UNIT DISC

UNIT DISCREPANCY CORRECTION

V

V

BNCD CHECK

REVERSE PAYMENT RECEIVED ON BOUNCED CHECK

W

W

WRITE OFF

WRITTEN OFF AMOUNT

Z

Z

RECEIVED

PAYMENT AMOUNT RECEIVED

0

0

ORIG INV

ORIGINAL INVOICED AMOUNT

1

1

NEWLY RBT

PREVIOUSLY NOT REBATABLE - NOW REBATABLE

 

Last Update: 3/12/2021 1:55:45 PM

 

OA Application Returned Date

NCMMIS Number: 0011

Description: Date on which application was returned to OA for review

Data Type: DATE

Size: X(10)

Functional Area Owner: Provider

Valid Values:

Last Update: 5/11/2015 3:56:17 PM

 

Provider Designate Status Code

NCMMIS Number: 0012

Description: Provider Status Code

Data Type: CHARACTER

Size: (X)1

Functional Area Owner: Provider

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

A

A

ASSIGNED

ASSIGNED TO A DESIGNATED CLERK

R

R

READYFOROA

READY FOR OFFICE ADMINISTRATOR TO SIGN AND SUBMIT APPLICATION

 

Last Update: 3/8/2021 4:22:43 PM

 

Provider Organization Change Request Date

NCMMIS Number: 0013

Description: Provider Organization Change Request Date

Data Type: DATE

Size: X(10)

Functional Area Owner: Provider

Valid Values:

Last Update: 5/15/2015 12:09:27 AM

 

Provider Organization Change Type Code

NCMMIS Number: 0014

Description: Provider Organization Change Type Code

Data Type: CHARACTER

Size: (X)1

Functional Area Owner: Provider

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

A

A

ADDRESS

ADDRESS

N

N

NAME

NAME

 

Last Update: 3/8/2021 4:22:43 PM

 

Error Data Received

NCMMIS Number: 0015

Description: Error Data Received is the actual data content of an invalid data field as entered by a provider and received by the Medicaid Eligibility Verification System (MEVS).

Data Type: CHARACTER

Size: X(11)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 1:59:47 PM

 

Provider Change Status Code

NCMMIS Number: 0016

Description: Provider Change Status Code

Data Type: CHARACTER

Size: (X)1

Functional Area Owner: Provider

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

1

1

PENDING

PENDING (ALL PROVIDERS WITH THE SAME EIN HAVE NOT YET BEEN UPDATED)

2

2

COMPLETED

COMPLETED (ALL PROVIDERS WITH THE SAME EIN HAVE BEEN UPDATED)

3

3

VOID

VOID (ENTRY HAS BEEN VOIDED)

 

Last Update: 3/8/2021 4:22:44 PM

 

Interactive Text Area Byte

NCMMIS Number: 0017

Description: Interactive Text Area Byte is a byte of the text of an input or output transaction.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: E-Commerce

Valid Values:

Last Update: 3/4/2021 2:05:34 PM

 

Prior Approval Business Location Code

NCMMIS Number: 0018

Description: Prior Approval Business Location Code identifies a location where Prior Approval requests are routed for manual review.

Data Type: CHARACTER

Size: X(2)

Functional Area Owner: Reference

Valid Values:

Last Update: 2/18/2010 7:39:27 AM

 

TPL Insurance Category Code

NCMMIS Number: 0019

Description: Type of insurance category whether its Health, Prescription drug etc. For ITP the information will for Third party coverage and hence the authorization number is added.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Recipient

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

P

P

PRIMARY

PRIMARY COVERAGE

S

S

SECONDARY

SECONDARY COVERAGE

 

Last Update: 8/18/2022 8:53:32 AM

 

Reference Cancellation Reason Code

NCMMIS Number: 0020

Description: Reference Cancellation Reason Code specifies the reason why a drug, supply, or other medical item is not covered for payment.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Reference

Valid Values:

From Value

Thru Value

Short Description

Long Description

From Value

Thru Value

Short Description

Long Description

0

0

NOT CANC

NOT CANCELLED

1

1

PRODDISCNT

PRODUCT DISCONTINUED BY MANUFACTURER