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 |
|---|---|---|---|
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 |
|---|---|---|---|
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 |
|---|---|---|---|
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