NAME TYPE LENGTH
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46. CWF 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).
COBOL ALIAS : MSC
COMMON ALIAS : MSC
DB2 ALIAS : BENE_MDCR_STUS_CD
SAS ALIAS : MS_CD
STANDARD ALIAS : CWF_BENE_MDCR_STUS_CD
TITLE ALIAS : MSC
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.
COMMENTS :
Prior to Version H this field was named:
BENE_MDCR_STUS_CD. The name has been changed
to distinguish this CWF-derived field from the
EDB-derived MSC (BENE_MDCR_STUS_CD).
SOURCE : CWF
CODE TABLE : BENE_MDCR_STUS_TB