1 |
BENE_ID |
Encrypted CCW Beneficiary ID |
2 |
BENE_ENROLLMT_REF_YR |
Reference Year (Base) |
3 |
ENRL_SRC |
Enrollment Source |
4 |
SAMPLE_GROUP |
Medicare Sample Group Indicator |
5 |
ENHANCED_FIVE_PERCENT_FLAG |
Enhanced Medicare 5% Sample Indicator |
6 |
CRNT_BIC_CD |
Current Beneficiary Identification Code |
7 |
STATE_CODE |
State code for beneficiary (SSA code) |
8 |
COUNTY_CD |
County code for beneficiary (SSA code) |
9 |
ZIP_CD |
Zip code for beneficiary |
10 |
STATE_CNTY_FIPS_CD_01 |
State and county FIPS code - January |
11 |
STATE_CNTY_FIPS_CD_02 |
State and county FIPS code - February |
12 |
STATE_CNTY_FIPS_CD_03 |
State and county FIPS code - March |
13 |
STATE_CNTY_FIPS_CD_04 |
State and county FIPS code - April |
14 |
STATE_CNTY_FIPS_CD_05 |
State and county FIPS code - May |
15 |
STATE_CNTY_FIPS_CD_06 |
State and county FIPS code - June |
16 |
STATE_CNTY_FIPS_CD_07 |
State and county FIPS code - July |
17 |
STATE_CNTY_FIPS_CD_08 |
State and county FIPS code - August |
18 |
STATE_CNTY_FIPS_CD_09 |
State and county FIPS code - September |
19 |
STATE_CNTY_FIPS_CD_10 |
State and county FIPS code - October |
20 |
STATE_CNTY_FIPS_CD_11 |
State and county FIPS code - November |
21 |
STATE_CNTY_FIPS_CD_12 |
State and county FIPS code - December |
22 |
AGE_AT_END_REF_YR |
Age of beneficiary at end of year |
23 |
BENE_BIRTH_DT |
Beneficiary date of birth |
24 |
VALID_DEATH_DT_SW |
Valid Date of Death Switch |
25 |
BENE_DEATH_DT |
Date of Death |
26 |
SEX_IDENT_CD |
Sex |
27 |
BENE_RACE_CD |
Beneficiary Race Code (Base) |
28 |
RTI_RACE_CD |
Research Triangle Institute (RTI) Race Code |
29 |
COVSTART |
Medicare Coverage Start Date |
30 |
ENTLMT_RSN_ORIG |
Original Reason for Entitlement Code |
31 |
ENTLMT_RSN_CURR |
Current Reason for Entitlement Code |
32 |
ESRD_IND |
End-Stage Renal Disease (ESRD) Indicator |
33 |
MDCR_STATUS_CODE_01 |
Medicare Status Code - January |
34 |
MDCR_STATUS_CODE_02 |
Medicare Status Code - February |
35 |
MDCR_STATUS_CODE_03 |
Medicare Status Code - March |
36 |
MDCR_STATUS_CODE_04 |
Medicare Status Code - April |
37 |
MDCR_STATUS_CODE_05 |
Medicare Status Code - May |
38 |
MDCR_STATUS_CODE_06 |
Medicare Status Code - June |
39 |
MDCR_STATUS_CODE_07 |
Medicare Status Code - July |
40 |
MDCR_STATUS_CODE_08 |
Medicare Status Code - August |
41 |
MDCR_STATUS_CODE_09 |
Medicare Status Code - September |
42 |
MDCR_STATUS_CODE_10 |
Medicare Status Code - October |
43 |
MDCR_STATUS_CODE_11 |
Medicare Status Code - November |
44 |
MDCR_STATUS_CODE_12 |
Medicare Status Code - December |
45 |
BENE_PTA_TRMNTN_CD |
Part A Termination Code |
46 |
BENE_PTB_TRMNTN_CD |
Part B Termination Code |
47 |
BENE_HI_CVRAGE_TOT_MONS |
Part A Months Count |
48 |
BENE_SMI_CVRAGE_TOT_MONS |
Part B Months Count |
49 |
BENE_STATE_BUYIN_TOT_MONS |
State Buy-In Coverage Count |
50 |
BENE_HMO_CVRAGE_TOT_MONS |
HMO Coverage Count |
51 |
PTD_PLAN_CVRG_MONS |
Months of Part D Coverage |
52 |
RDS_CVRG_MONS |
Months of Retiree Drug Subsidy Coverage |
53 |
DUAL_ELGBL_MONS |
Months of Dual Eligibility |
54 |
MDCR_ENTLMT_BUYIN_IND_01 |
Medicare Entitlement/Buy-In Indicator - January |
55 |
MDCR_ENTLMT_BUYIN_IND_02 |
Medicare Entitlement/Buy-In Indicator - February |
56 |
MDCR_ENTLMT_BUYIN_IND_03 |
Medicare Entitlement/Buy-In Indicator - March |
57 |
MDCR_ENTLMT_BUYIN_IND_04 |
Medicare Entitlement/Buy-In Indicator - April |
58 |
MDCR_ENTLMT_BUYIN_IND_05 |
Medicare Entitlement/Buy-In Indicator - May |
59 |
MDCR_ENTLMT_BUYIN_IND_06 |
Medicare Entitlement/Buy-In Indicator - June |
60 |
MDCR_ENTLMT_BUYIN_IND_07 |
Medicare Entitlement/Buy-In Indicator - July |
61 |
MDCR_ENTLMT_BUYIN_IND_08 |
Medicare Entitlement/Buy-In Indicator - August |
62 |
MDCR_ENTLMT_BUYIN_IND_09 |
Medicare Entitlement/Buy-In Indicator - September |
63 |
MDCR_ENTLMT_BUYIN_IND_10 |
Medicare Entitlement/Buy-In Indicator - October |
64 |
MDCR_ENTLMT_BUYIN_IND_11 |
Medicare Entitlement/Buy-In Indicator - November |
65 |
MDCR_ENTLMT_BUYIN_IND_12 |
Medicare Entitlement/Buy-In Indicator - December |
66 |
HMO_IND_01 |
HMO Indicator - January |
67 |
HMO_IND_02 |
HMO Indicator - February |
68 |
HMO_IND_03 |
HMO Indicator - March |
69 |
HMO_IND_04 |
HMO Indicator - April |
70 |
HMO_IND_05 |
HMO Indicator - May |
71 |
HMO_IND_06 |
HMO Indicator - June |
72 |
HMO_IND_07 |
HMO Indicator - July |
73 |
HMO_IND_08 |
HMO Indicator - August |
74 |
HMO_IND_09 |
HMO Indicator - September |
75 |
HMO_IND_10 |
HMO Indicator - October |
76 |
HMO_IND_11 |
HMO Indicator - November |
77 |
HMO_IND_12 |
HMO Indicator - December |