NAME TYPE LENGTH
------------------------------------- ------
7. MEDPAR Beneficiary CHAR 2
Medicare Status Code
The CWF-derived reason for a beneficiary's entitlement to
Medicare benefits, as of the reference date (CLM_THRU_DT).
DB2 ALIAS : UNDEFINED
SAS ALIAS : MS_CD
STANDARD ALIAS : MEDPAR_BENE_MDCR_STUS_CD
LENGTH : 2
DERIVATIONS :
CWF derives MSC from the following:
1. Date of birth
2. Claim through date
3. Original/Current reasons for entitlement
4. ESRD indicator
5. Beneficiary claim number
Items 1,3,4,5 come from the CWF beneficiary
master record; Item 2 comes from the FI/Carrier
claim record. MSC is assigned as follows:
MSC OASI DIB ESRD AGE BIC
_____ ______ _____ ______ _____ _____
10 YES N/A NO 65 AND OVER N/A
11 YES N/A YES 65 AND OVER N/A
20 NO YES NO UNDER 65 N/A
21 NO YES YES UNDER 65 N/A
31 NO NO YES ANY AGE T.
SOURCE : NCH
CODE TABLE : BENE_MDCR_STUS_TB