The Medicare Durable Medical Equipment (Encounter) file includes Medicare Advantage plans records for medical supplies.
This file includes (variable highlights):
- Part C Benefit Package and Contract number
- Diagnosis (ICD diagnosis)
- HCPCS code
- Organization NPI
- NPI for line supplier
- Date of service (line date)
Special considerations:
- Many Medicare Advantage Plans offer extra coverage in addition to services covered under traditional fee-for-service Medicare (e.g., vision, hearing, dental, and/or health and wellness programs). Encounter data may include records for some of these additional items and services provided under the plan.
