Data elements
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Commercial claims and encounters +
, Medicare supplemental and coordination of benefits +
, Inpatient Admissions +
, Facility Header +
, Inpatient Services +
, Outpatient Services +
, Outpatient Drug Claims +
, Populations +
, Annual Summary Enrollment +
, Detail Enrollment +
, ADMTYP +
, Admission Type +
, BILLTYP +
, Facility Bill Type Code +
, DRG +
, Diagnosis Related Group +
, DSTATUS +
, Discharge Status +
, DX1-15 +
, Diagnosis 1-15 +
, MDC +
, Major Diagnostic Category +
, PDX +
, Diagnosis Principal +
, PPROC +
, Procedure Principal +
, PROC1-15 +
, Procedure 1-15 +
, EECLASS +
, Employee Classification +
, EESTATU +
, Employment Status +
, AGE +
, Age of Patient +
, AGEGRP +
, Age Group +
, DATATYP +
, Data Type +
, DATTYP1-12 +
, Data Type Month 1-12 +
, PROCGRP +
, Procedure Group +
, PROCMOD +
, Procedure Code Modifier +
, PROCTYP +
, Procedure Code Type +
, REVCODE +
, Revenue Code +
, AWP +
, Average Wholesale Price +
, COB +
, COB and Other Savings +
, COINS +
, Coinsurance +
, COPAY +
, Copayment +
, DEDUCT +
, Deductible +
, DISPFEE +
, Dispensing Fee +
, HOSPPAY +
, Payments Hospital +
, HOSPNET +
, Net Payments Hospital +
, INGCOST +
, Ingredient Cost +
, NETPAY +
, Payments Net +
, PAY +
, Payment +
, PHYSNET +
, Net Payments Physician +
, PHYSPAY +
, Payments Physician +
, SALETAX +
, Sales Tax +
, TOTCOB +
, COB and Other Savings Total Case +
, TOTCOINS +
, Coinsurance Total Case +
, TOTCOPAY +
, Copayment Total Case +
, TOTDED +
, Deductible Total Case +
, TOTNET +
, Payments Net Case +
, TOTPAY +
, Payments Total Case +
, CAP_SVC +
, Capitated Service-Claim Indicator +
, CASEID +
, Case and Services Link +
, FACHDID +
, Facility Header Record ID +
, FACPROF +
, Facility-Professional Claim Indicator +
, PAIDNTWK +
, Network Paid Indicator +
, QTY +
, Quantity of Services +
, RX +
, Cohort Drug Indicator +
, SEQNUM +
, Sequence Number +
, VERSION +
, Version +
, person-specific clinical utilization +
, expenditures +
, enrollment across inpatient +
, outpatient +
, prescription drug +
, carve-out services +
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