Medicare enrollment information related to whether participant is enrolled in Medicare Advantage or traditional fee-for-service Medicare (including whether the participant is enrolled in Medicare Part A, Part B or both) in a given calendar month. | |
Place of service information indicating the type of health care location (e.g., inpatient hospital, emergency department), including place of service codes, where applicable | |
Contact information identifying the facility or professional rendering the service (e.g., facility or professional name and address, city, state, zip code and/or phone number) | |
Revenue center codes and text description, where applicable | |
All relevant dates, including dates of service, admission, discharge, transfer, or death, and “from” dates and “thru” dates for services spanning multiple days. | |
Discharge disposition or discharge status codes, where applicable | |
Diagnosis codes (ICD-9 and ICD-10) | |
Diagnosis-related group codes (e.g., MS-DRG codes) | |
Procedure codes (including CPT/HCPCS and ICD-9 and ICD-10 procedure codes) | |
Meta-data, including the claims file and calendar year (or year and quarter, where applicable) from which the data come (e.g., carrier file from quarter 2 of 2015) |