Master Data Element Dictionary, version 20240608: NCMMIS 6001 - 6500

Master Data Element Dictionary, version 20240608: NCMMIS 6001 - 6500

Cash Receipt Related Disposition Number

NCMMIS Number: 6001

Description: The Cash Receipt Related Disposition number provides the AR FCN or Recipient Premium Invoice Number or TPL Recovery Case Number or TCN that was processed against the funds on a Cash Receipt

Data Type: CHARACTER

Size: X(20)

Functional Area Owner: Financial

Valid Values:

Last Update: 3/12/2021 1:59:33 PM

 

Payment Reduction Released Date

NCMMIS Number: 6002

Description: The Payment Reduction Date specifies the released date of the financial transaction reduction amount back to the customer.

Data Type: DATE

Size: X(10)

Functional Area Owner: Financial

Valid Values:

Last Update: 3/12/2021 1:57:29 PM

 

Payment Reduction Released By User ID

NCMMIS Number: 6003

Description: The Payment Reduction Released By User Id specifies the is of the authorized user that released the financial transaction reduction amount back to the customer.

Data Type: CHARACTER

Size: X(08)

Functional Area Owner: Financial

Valid Values:

Last Update: 3/12/2021 1:58:29 PM

 

HMO Paid Amount

NCMMIS Number: 6004

Description: Encounter Paid Amount.

Data Type: CURRENCY

Size: S9(9)V99

Functional Area Owner: Claims

Valid Values:

Last Update: 6/30/2010 8:29:48 AM

 

TPL Indicator

NCMMIS Number: 6005

Description: Indicates if the 'Other Payer' info submitted on a claim is TPL related.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Claims

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: 3/15/2022 11:51:16 AM

 

Medicare Indicator

NCMMIS Number: 6006

Description: Indicates if the 'Other Payer' info submitted on a claim is Medicare related.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Claims

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: 3/15/2022 11:51:16 AM

 

National Provider Identification NPI Reactivation Date

NCMMIS Number: 6007

Description: National Provider Identification NPI Reactivation Date on NPPES file

Data Type: DATE

Size: X(10)

Functional Area Owner: Provider

Valid Values:

Last Update: 11/7/2013 11:32:22 AM

 

Billing Provider Name

NCMMIS Number: 6008

Description: The field represents the Provider Name that is submitted on a claim.

Data Type: CHARACTER

Size: X(35)

Functional Area Owner: Claims

Valid Values:

Last Update: 3/15/2012 2:46:40 PM

 

Referral/Override Inquiry Indicator

NCMMIS Number: 6009

Description: Referral/Override Inquiry Indicator indicates if the user is inquiring on a Referral or Override.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/12/2010 5:20:12 PM

 

Referral Results Indicator

NCMMIS Number: 6010

Description: Referral Results Indicator indicates if the user wishes to see results with for the role of referring provider, referred to provider, or both.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/12/2010 5:20:13 PM

 

Mail Attachment Indicator

NCMMIS Number: 6011

Description: Mail Attachment Indicator indicates if the approval request has any attachments that will be mailed.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/13/2010 12:30:51 PM

 

Electronic Attachment Indicator

NCMMIS Number: 6012

Description: Electronic Attachment Indicator indicates if the approval request has any attachments that will be uploaded.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/13/2010 12:30:52 PM

 

Email Attachment Indicator

NCMMIS Number: 6013

Description: Email attachment indicator indicates if the approval request has any attachments that will be submitted via email.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/13/2010 12:30:52 PM

 

Fax Attachment Indicator

NCMMIS Number: 6014

Description: Fax Attachment Indicator indicates if the approval request has any attachments that will be faxed.

Data Type: CHARACTER

Size: X(1)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/13/2010 12:30:53 PM

 

Pre-Selected Letter Text Code

NCMMIS Number: 6015

Description: Pre-Selected Letter Text Code indicates which pre-selected letter text to insert in a letter.

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

10

10

LETR TXT 1

LETTER TEXT 1

11

11

LETR TXT 2

LETTER TEXT 2

12

12

LETR TXT 3

LETTER TEXT 3

13

13

LETR TXT 4

LETTER TEXT 4

14

14

LETR TXT 5

LETTER TEXT 5

15

15

LETR TXT 6

LETTER TEXT 6

16

16

LETR TXT 7

LETTER TEXT 7

17

17

LETR TXT 8

LETTER TEXT 8

18

18

LETR TXT 9

LETTER TEXT 9

 

Last Update: 11/20/2023 8:46:46 AM

 

Contact Lens Other Type

NCMMIS Number: 6016

Description: Contact Lens Other Type describes the type of contact lens.

Data Type: CHARACTER

Size: X(30)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/13/2010 2:15:33 PM

 

Last Recipient Seen Date

NCMMIS Number: 6017

Description: Date Recipient Seen is the date the visual aid provider saw the recipient for services.

Data Type: DATE

Size: X(10)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/13/2010 2:16:24 PM

 

Claim Line Number

NCMMIS Number: 6018

Description: Prior Approval (PA) Line Number specifies the line number for service on a prior approval. It identifies service lines that can be adjudicated separately when appended to the prior approval number.

Data Type: SMALLINT

Size: S9

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 10/5/2011 9:47:25 AM

 

Incarcerated Indicator

NCMMIS Number: 6019

Description: Incarcerated Indicator indicates if the recipient is currently in jail.

Data Type:

Size:

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/14/2010 11:41:57 AM

 

Reviewer Unit Code

NCMMIS Number: 6020

Description: Reviewer Unit Code is the business location of the reviewer.

Data Type: CHARACTER

Size: X(3)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 4/18/2013 8:41:10 AM

 

First Databank Drug Code Type

NCMMIS Number: 6021

Description: Drug Code Type' speicifies the list of available drug code types. This is a conditional field and will be used in conjunction with the 'Drug Code' field. This field is only applicable for Inquiring on Pharmarcy Claims.

Data Type:

Size:

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/14/2010 11:42:19 AM

 

Prior Approval Sequence Number

NCMMIS Number: 6022

Description: Internal number used to create a unique row

Data Type:

Size:

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/14/2010 11:43:20 AM

 

Prior Approval Appeal Status Code

NCMMIS Number: 6023

Description: Code defining the status of the appeal

Data Type: CHARACTER

Size: X(3)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 4/18/2013 8:42:15 AM

 

Prior Approval Appeal Date

NCMMIS Number: 6024

Description: Date that the status went into effect

Data Type: DATE

Size: X(10)

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 4/18/2013 8:42:57 AM

 

Recurrent Disease Code

NCMMIS Number: 6025

Description: Recurrent Disease Indicator indicates if the disease is recurring.

Data Type:

Size:

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/14/2010 11:42:17 AM

 

TNM Indicator

NCMMIS Number: 6026

Description: TNM Indicator indicates the TNM classification of a tumor.

Data Type:

Size:

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/14/2010 11:42:17 AM

 

Stage Code

NCMMIS Number: 6027

Description: Stage Code indicates the stage of the recipient's cancer

Data Type:

Size:

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/14/2010 11:42:17 AM

 

Cervical Neoplasia Indicator

NCMMIS Number: 6028

Description: Cervical Neoplasia Indicator indicates if the recipient has cervical cancer.

Data Type:

Size:

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/14/2010 11:42:17 AM

 

Survival Rate 5 Year Percent

NCMMIS Number: 6029

Description: Survival Rate 5 Year Percent indicates the estimated 5 year survival rate of the recipient.

Data Type:

Size:

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/14/2010 11:42:17 AM

 

Contacts Manufacturer Code

NCMMIS Number: 6030

Description: Contacts Manufacturer Code indicates the standard Medicaid contacts manufacturer.

Data Type:

Size:

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/14/2010 11:42:17 AM

 

Contacts Type Code

NCMMIS Number: 6031

Description: Contact Lens Type indicates the type of contact lens requested.

Data Type:

Size:

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/14/2010 11:42:17 AM

 

Contacts Request Reason Code

NCMMIS Number: 6032

Description: Contact Lens Request Reason Code indicates the reason the contact lenses were requested.

Data Type:

Size:

Functional Area Owner: Prior Authorization

Valid Values:

Last Update: 7/14/2010 11:42:17 AM

 

Contacts Name

NCMMIS Number: 6033

Description: Name of the contacts

Data Type:

Size:

Functional Area Owner: Prior Authorization