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Record Layout Summary for Medicare Institutional Data
(Version H, Variable Block Data)

How to use this page

Inpatient [IP],Skilled Nursing Facility [SNF],Outpatient [OP],Home Health Agency [HHA],Hospice [Hospice]

SAS NAME Short Description Type Length IP/SNF
text		 OP
text		 HHA
text		 Hospice
text
        SAS SAS SAS SAS
REC_LEN Record Length Count PACK 3 1 1 1 1
REC_LVL NCH Near-Line Record Version Code CHAR 1 2 2 2 2
RIC_CD NCH Near Line Record Identification Code CHAR 1 3 3 3 3
MQA_RIC NCH MQA RIC Code CHAR 1 4 4 4 4
PE_RIC NCH Payment and Edit Record Identification Code CHAR 1 5 5 5 5
TRANS_CD Claim Transaction Code CHAR 1 6 6 6 6
CLM_TYPE NCH Claim Type Code CHAR 2 7 7 7 7
FAC_TYPE Claim Facility Type Code CHAR 1 8 8 8 8
TYPESRVC Claim Service Classification Type Code CHAR 1 9 9 9 9
FREQ_CD Claim Frequency Code CHAR 1 10 10 10 10
QUERY_CD Claim Query Code CHAR 1 11 11 11 11
MQAQUERY NCH MQA Query Patch Code CHAR 1 12 12 12 12
DISP_CD Claim Disposition Code CHAR 2 13 13 13 13
EDITDISP NCH Edit Disposition Code CHAR 2 14 14 14 14
HIC Health Insurance Claim Number CHAR 11 0 0 0 0
CAN Beneficiary Claim Account Number CHAR 9 15 15 15 15
EQ_BIC NCH Category Equatable Beneficiary Identification CHAR 2 16 16 16 16
BIC Beneficiary Identification Code CHAR 2 17 17 17 17
BIC_MDFY NCH Claim BIC Modify H Code CHAR 1 18 18 18 18
ST_SGMT NCH State Segment Code CHAR 1 19 19 19 19
STATE_CD Beneficiary Residence SSA Standard State Code CHAR 2 20 20 20 20
CNTY_CD Beneficiary Residence SSA Standard County Code CHAR 3 21 21 21 21
FROM_DT Claim From Date NUM 8 22 22 22 22
THRU_DT Claim Through Date NUM 8 23 23 23 23
RCPT_DT FI Claim Receipt Date NUM 8 24 24 24 24
ACRTN_DT CWF Claim Accretion Date NUM 8 25 25 25 25
ACRTN_NM CWF Claim Accretion Number PACK 2 26 26 26 26
SCHLD_DT FI Claim Scheduled Payment Date NUM 8 27 27 27 27
FRWRD_DT CWF Forwarded Date NUM 8 28 28 28 28
DAILY_DT NCH Daily Process Date NUM 8 29 29 29 29
WKLY_DT NCH Weekly Claim Processing Date NUM 8 30 30 30 30
FI_NUM FI Number CHAR 5 32 32 32 32
ASGN_NUM CWF Claim Assigned Number CHAR 8 33 33 33 33
FIBATCH CWF Transmission Batch Number CHAR 4 34 34 34 34
BENE_ZIP Beneficiary Mailing Contact ZIP Code CHAR 9 35 35 35 35
SEX Beneficiary Sex Identification Code CHAR 1 36 36 36 36
RACE Beneficiary Race Code CHAR 1 37 37 37 37
BENE_DOB Beneficiary Birth Date NUM 8 38 38 38 38
MS_CD CWF Beneficiary Medicare Status Code CHAR 2 39 39 39 39
SURNAME Claim Patient 6 Position Surname CHAR 6 40 40 40 40
FRSTINIT Claim Patient 1st Initial Given Name CHAR 1 41 41 41 41
MDL_INIT Claim Patient First Initial Middle Name CHAR 1 42 42 42 42
CWFLOCCD Beneficiary CWF Location Code CHAR 1 43 43 43 43
PDGNS_CD Claim Principal Diagnosis Code CHAR 5 44 44 44 44
PMT_AMT Claim Payment Amount PACK 6 46 46 46 46
PRPAYAMT NCH Primary Payer Claim Paid Amount PACK 6 47 47 47 47
PRPAY_CD NCH Primary Payer Code CHAR 1 48 48 48 48
CLM_CNTL FI Document Claim Control Number CHAR 23 50 50 50 50
ORIGCNTL FI Original Claim Control Number CHAR 23 51 51 51 51
CANCELCD FI Requested Claim Cancel Reason Code CHAR 1 52 52 52 52
ACTIONCD FI Claim Action Code CHAR 1 53 53 53 53
APRVL_DT FI Claim Process Date NUM 8 54 54 54 54
PROVIDER Provider Number CHAR 6 55 55 55 55
PRSTATE NCH Provider State Code CHAR 2 56 56 56 56
ORGNPINM Organization NPI Number CHAR 8 57 57 57 57
ORGLOCCD Organization Provider Location Code CHAR 2 58 58 58 58
AT_UPIN Claim Attending Physician UPIN Number CHAR 6 59 59 59 59
AT_NPI Claim Attending Physician NPI Number CHAR 8 60 60 60 60
AT_LOC Claim Attending Physician Location Code CHAR 2 61 61 61 61
AT_SRNM Claim Attending Physician Surname CHAR 6 62 62 62 62
AT_GVNNM Claim Attending Physician Given Name CHAR 1 63 63 63 63
AT_MDL Claim Attending Physician Middle Initial Name CHAR 1 64 64 64 64
OP_UPIN Claim Operating Physician UPIN Number CHAR 6 65 65 65 65
OP_NPI Claim Operating Physician NPI Number CHAR 8 66 66 66 66
OP_LOC Claim Operating Physician Location Code CHAR 2 67 67 67 67
OP_SRNM Claim Operating Physician Surname CHAR 6 68 68 68 68
OP_GVN Claim Operating Physician Given Name CHAR 1 69 69 69 69
OP_MDL Claim Operating Physician Middle Initial Name CHAR 1 70 70 70 70
OT_UPIN Claim Other Physician UPIN Number CHAR 6 71 71 71 71
OT_NPI Claim Other Physician NPI Number CHAR 8 72 72 72 72
OT_LOC Claim Other Physician Location Code CHAR 2 73 73 73 73
OT_SRNM Claim Other Physician Surname CHAR 6 74 74 74 74
OT_GVN Claim Other Physician Given Name CHAR 1 75 75 75 75
OT_MDL Claim Other Physician Middle Initial Name CHAR 1 76 76 76 76
MDCD_PRV Medicaid Provider Identification Number CHAR 13 77 77 77 77
MDCDINFO Claim Medicaid Information Code CHAR 4 78 78 78 78
MCOPDSW Claim MCO Paid Switch CHAR 1 79 79 79 79
AUTHRZTN Claim Treatment Authorization Number CHAR 18 80 80 80 80
PTNTCNTL Patient Control Number CHAR 20 81 81 81 81
MDCL_REC Claim Medical Record Number CHAR 17 82 82 82 82
PRO_CNTL Claim PRO Control Number CHAR 12 83 83 83 83
PRO_DT Claim PRO Process Date NUM 8 84 84 84 84
STUS_CD Patient Discharge Status Code CHAR 2 85 85 85 85
DGNS_E Claim Diagnosis E Code CHAR 5 86 86 86 86
PPS_IND Claim PPS Indicator Code CHAR 1 88 88 88 88
TOT_CHRG Claim Total Charge Amount PACK 6 89 89 89 89
EDCNT NCH Edit Code Count NUM 2 91 91 91 91
PATCNT NCH Patch Code Count NUM 2 92 92 92 92
MCOCNT MCO Period Count NUM 1 93 93 93 93
PAYCNT Claim PAYERID Count NUM 1 94 94 94 94
DEMCNT Claim Demonstration ID Count NUM 1 95 95 95 95
DGNCNT Claim Diagnosis Code Count NUM 2 96 96 96 96
PRCNT Claim Procedure Code Count NUM 2 97 97 - 97
CONCNT Claim Related Condition Code Count NUM 2 98 98 98 98
OCRCNT Claim Related Occurrence Code Count NUM 2 99 99 99 99
SPNCNT Claim Occurrence Span Code Count NUM 2 100 100 100 100
VALCNT Claim Value Code Count NUM 2 101 101 101 101
REVCNT Claim Revenue Center Code Count NUM 2 102 102 102 102
ADMSN_DT Claim Admission Date NUM 8 104 - - -
TYPE_ADM Claim Inpatient Admission Type Code CHAR 1 105 - - -
SRC_ADMS Claim Source Inpatient Admission Code CHAR 1 106 - - -
AD_DGNS Claim Admitting Diagnosis CHAR 5 107 - - -
PTNTSTUS NCH Patient Status Indicator Code CHAR 1 109 - - 104
APRVL_CD NCH Inpatient Pro Approval CHAR 1 110 - - -
PRO_FROM NCH IP PRO Approval Service From Date NUM 8 111 - - -
PRO_THRU NCH Inpatient PRO Approval Service Thru Date NUM 8 112 - - -
GRC_DAY NCH Inpatient PRO Approval Grace Day Count NUM 1 113 - - -
PER_DIEM Claim Pass Thru Per Diem Amount PACK 6 114 - - -
DED_AMT NCH Beneficiary Inpatient Deductible Amount PACK 6 115 - - -
COIN_AMT NCH Beneficiary Part A Coinsurance Liability Amount PACK 6 116 - - -
BLDDEDAM NCH Beneficiary Blood Deductible Liability Amount PACK 6 117 106 - -
BLDTCHRG NCH Blood Total Charge Amount PACK 6 118 - - -
BLDNCHRG NCH Blood Non-Covered Charge Amount PACK 6 119 - - -
PCCHGAMT NCH Professional Component Charge Amount PACK 6 120 109 - -
NCCHGAMT NCH Inpatient Noncovered Charge Amount PACK 6 121 - - -
TDEDAMT NCH Inpatient Total Deduction Amount PACK 6 122 - - -
PPS_CPTL Claim Total PPS Capital Amount PACK 6 123 - - -
CPTL_HSP Claim PPS Capital HSP Amount PACK 6 124 - - -
CPTL_FSP Claim PPS Capital FSP Amount PACK 6 125 - - -
CPTLOUTL Claim PPS Capital Outlier Amount PACK 6 126 - - -
DISP_SHR Claim PPS Capital Disproportionate Share PACK 6 127 - - -
IME_AMT Claim PPS Capital IME Amount PACK 6 128 - - -
CPTL_EXP Claim PPS Capital Exception Amount PACK 6 129 - - -
HLDHRMLS Claim PPS Old Capital Hold Harmless Amount PACK 6 130 - - -
DSCHFRCT Claim PPS Capital Discharge Fraction Percent PACK 3 131 - - -
DRGWTAMT Claim PPS Capital DRG Weight Number PACK 4 132 - - -
UTIL_DAY Claim Utilization Day Count PACK 2 134 - - 109
CR_DAY Claim Cost Report Days Count PACK 2 135 - - -
COIN_DAY Beneficiary Total Coinsurance Days Count PACK 2 136 - - -
COYR1DAY Claim Coinsurance Year 1 Day Count PACK 2 137 - - -
COYR1AMT NCH Coinsurance Year 1 Rate Amount PACK 6 138 - - -
COYR2DAY Claim Coinsurance Year 2 Day Count PACK 2 139 - - -
COYR2AMT NCH Coinsurance Year 2 Rate Amount PACK 6 140 - - -
LRD_USE Beneficiary LRD Used Count PACK 2 141 - - -
NUTILDAY Claim Non Utilization Days Count PACK 3 142 - - -
PSYCHDAY Beneficiary Prior Psychiatric Day Count PACK 2 143 - - -
BLDFRNSH NCH Blood Pints Furnished Quantity PACK 2 144 114 - -
BLD_RPLC NCH Blood Pints Replaced Quantity PACK 2 145 115 - -
BLDNRPLC NCH Blood Pints Not Replaced Quantity PACK 2 146 116 - -
BLDDEDPT NCH Blood Deductible Pints Quantity PACK 2 147 117 - -
QLFYFROM NCH Qualified Stay From Date NUM 8 148 - 105 -
QLFYTHRU NCH Qualify Stay Through Date NUM 8 149 - 106 -
NCOVFROM NCH Verified Noncovered Stay From Date NUM 8 150 - - -
NCOVTHRU NCH Verified Noncovered Stay Through Date NUM 8 151 - - -
GURPMTDT NCH Provider Guaranteed Payment Start Date NUM 8 152 - - -
URNTCDT NCH Utilization Review Notice Received Date NUM 8 153 - - -
CARETHRU NCH Active or Covered Level Care Thru Date NUM 8 154 - - -
EXHST_DT NCH Beneficiary Medicare Benefits Exhausted Date NUM 8 155 - - 106
DSCHRGDT NCH Beneficiary Discharge Date NUM 8 156 - 107 107
NOPAY_CD Claim Medicare Non Payment Reason Code CHAR 1 158 - - -
DRG_CD Claim Diagnosis Related Group Code CHAR 3 159 - - -
OUTLR_CD Claim Diagnosis Related Group Outlier Stay Code CHAR 1 160 - - -
OUTLRPMT NCH DRG Outlier Approved Payment Amount PACK 6 161 - - -
KRON_IND Claim KRON Indicator Code CHAR 1 162 - - -
EDITIND NCH Edit Trailer Indicator Code CHAR 1 164 121 110 112
EDIT_CD NCH Edit Code CHAR 4 165 122 111 113
PATCHIND NCH Patch Trailer Indicator Code CHAR 1 166 123 112 114
PATCHCD NCH Patch Code CHAR 2 167 124 113 115
PATCHDT NCH Patch Applied Date NUM 8 168 125 114 116
MCOIND NCH MCO Trailer Indicator Code CHAR 1 169 126 115 117
MCONUM MCO Contract Number CHAR 5 170 127 116 118
MCOOPTN MCO Option Code CHAR 1 171 128 117 119
MCOEFFDT MCO Period Effective Date NUM 8 172 129 118 120
MCOTRMDT MCO Period Termination Date NUM 8 173 130 119 121
MCOPAYID MCO PAYERID Number CHAR 9 174 131 120 122
PAYERIND NCH PAYERID Trailer Indicator Code CHAR 1 175 132 121 123
PAYIDCD Claim PAYERID Code CHAR 1 176 133 122 124
PAYIDNUM Claim PAYERID Number CHAR 9 177 134 123 125
DEMOIND NCH Demonstration Trailer Indicator Code CHAR 1 178 135 124 126
DEMONUM Claim Demonstration Identification Number CHAR 2 179 136 125 127
DEMOTXT Claim Demonstration Information Text CHAR 15 180 137 126 128
DGNSIND NCH Diagnosis Trailer Indicator Code CHAR 1 181 138 127 129
DGNS_CD Claim Diagnosis Code CHAR 5 182 139 128 130
PRCDRIND NCH Procedure Trailer Indicator Code CHAR 1 184 141 - 132
PRCDR_CD Claim Procedure Code CHAR 4 185 142 - 133
PRCDR_DT Claim Procedure Performed Date NUM 8 187 144 - 135
CONDIND NCH Condition Trailer Indicator Code CHAR 1 188 145 130 136
RLT_COND Claim Related Condition Code CHAR 2 189 146 131 137
OCRNCIND NCH Occurrence Trailer Indicator Code CHAR 1 190 147 132 138
OCRNC_CD Claim Related Occurrence Code CHAR 2 191 148 133 139
OCRNCDT Claim Related Occurrence Date NUM 8 192 149 134 140
SPANIND NCH Span Trailer Indicator Code CHAR 1 193 150 135 141
SPAN_CD Claim Occurrence Span Code CHAR 2 194 151 136 142
SPANFROM Claim Occurrence Span From Date NUM 8 195 152 137 143
SPANTHRU Claim Occurrence Span Through Date NUM 8 196 153 138 144
VALIND NCH Value Trailer Indicator Code CHAR 1 197 154 139 145
VAL_CD Claim Value Code CHAR 2 198 155 140 146
VAL_AMT Claim Value Amount PACK 6 199 156 141 147
REVIND NCH Revenue Center Trailer Indicator Code CHAR 1 200 157 142 148