Data Documentation

TAF Pharmacy File
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For most files, a table of variables will display below, with links to the variable definitions. If no table displays, or if you need additional information for a specific variable, please see the CCW website. Data documentation is available for all files and codebooks for many.

If you are unable to locate the information you need, please contact ResDAC.

Base Claim File

NumberSAS NameVariable Name
1 BENE_ID Encrypted CCW Beneficiary Identifier
2 MSIS_ID Encrypted State Assigned Beneficiary Unique Identifier
3 STATE_CD Submitting State Alpha Abbreviation
4 SUBMTG_STATE_CD Submitting State FIPS Code
5 CLM_ID CCW Claim Identifier
6 CLM_NUM_ORIG Original Claim Identifier
7 CLM_NUM_ADJ Adjustment Claim Identifier
8 CLM_TYPE_CD Claim Type Code (TAF)
9 CROSSOVER_CLM_IND Code To Indicate if a Portion of Claim is Paid by Medicare
10 ADJUST_CD Claim Adjustment Code
11 ADJUST_RSN_CD Adjustment Reason Code
12 ADJDCTN_DT Adjudication Date
13 MDCD_PD_DT Medicaid Paid Date
14 CMPND_DRUG_IND Compound Drug Indicator
15 CLL_CNT Claim Line Count - Original
16 CLL_CNT_CALC Claim Line Count - Calculated
17 PRSN_CLM_IND Indicator of a Claim for a Person
18 SRVC_TRKNG_TYPE_CD Service Tracking Type Code
19 FED_SRVC_CTGRY_CD Federally Assigned Service Category Code Added During TAF Production
20 BIRTH_DT Date of Birth
21 PGM_TYPE_CD Program Type Code
22 MC_PLAN_ID Managed Care Plan Identification Number
23 WVR_TYPE_CD Waiver Type Code
24 WVR_ID Waiver Identification Number
25 OTHR_INSRNC_IND Indicator Insured is Covered by Another Plan (Not Medicare or Medicaid)
26 SECT_1115A_DEMO_IND 1115(A) Demonstration Participation Indicator
27 PRSCRBD_DT Prescribed Date (TAF)
28 RX_FILL_DT Prescription Fill Date (TAF)
29 BLG_PRVDR_ID Billing Provider Identification Number (TAF)
30 BLG_PRVDR_NPI Billing Provider NPI
31 BLG_PRVDR_TXNMY_CD Billing Provider Taxonomy Code
32 BLG_PRVDR_SPCLTY_CD Billing Provider Specialty Code
33 PRSCRBNG_PRVDR_ID Prescribing Provider Identification Number
34 PRSCRBNG_PRVDR_NPI Prescribing Provider NPI
35 DSPNSNG_PRVDR_ID Dispensing Provider Identification Number
36 DSPNSNG_PRVDR_NPI Dispensing Provider NPI
37 PRVDR_LCTN_CD Provider Location Code
38 BRDR_STATE_IND Border State Indicator
39 FIXD_PYMT_IND Fixed Payment Indicator
40 SRVC_TRKNG_PYMT_AMT Service Tracking Payment Amount
41 PYMT_LVL_IND Payment Level Indicator - Header or Line
42 BILLED_AMT Total Claim Billed Amount
43 MDCD_ALOWD_AMT Total Medicaid Allowed Amount
44 MDCD_PD_AMT Total Amount Paid By Medicaid
45 MDCD_COPAY_AMT Total Copay Amount Paid by Beneficiary
46 MDCR_DDCTBL_PD_AMT Total Medicare Deductible Amount
47 MDCR_COINSRNC_PD_AMT Total Medicare Coinsurance Amount
48 COINSRNC_AMT Beneficiary Coinsurance Amount
49 COPAY_AMT Beneficiary Copayment Amount
50 DDCTBL_AMT Beneficiary Deductible Amount
51 COPAY_WVD_IND Indicator Signifying Copay was Waived by Provider
52 TP_PD_AMT Total Third Party Liability Paid Amount
53 TP_COINSRNC_PD_AMT Third Party Coinsurance Paid Amount
54 TP_COPAY_PD_AMT Third Party Copayment Paid Amount
55 OTHR_INSRNC_PD_AMT Total Other Than Medicare or Medicaid -Insurance Paid Amount
56 OTHR_TP_CLCTN_CD Other Third Party Collection Code
57 FUNDNG_CD Code To Indicate Source of Non-Federal Funding
58 FUNDNG_SRC_NON_FED_SHR_CD Funding Source Non-Federal Share Code
59 DA_RUN_ID TAF Production Run Identifier (unique for each TAF run)
60 TMSIS_RUN_ID TMSIS State Data Processing Run Identifier
61 RX_VRSN Rx Version Representing the Iteration of the File
62 RX_FIL_DT RX File Date - Represents the Year and Month of the Reporting Period
63 CCW_LD_DT CCW Load Date (Claims)

LINE FILE

NumberSAS NameVariable Name
1 BENE_ID Encrypted CCW Beneficiary Identifier
2 MSIS_ID Encrypted State Assigned Beneficiary Unique Identifier
3 STATE_CD Submitting State Alpha Abbreviation
4 SUBMTG_STATE_CD Submitting State FIPS Code
5 CLM_ID CCW Claim Identifier
6 LINE_NUM Sequential Claim Line Number
7 CLM_NUM_ORIG Original Claim Identifier
8 LINE_NUM_ORIG Original Claim Line Number (TAF)
9 CLM_NUM_ADJ Adjustment Claim Identifier
10 LINE_NUM_ADJ Adjustment Claim Line Number
11 ADJDCTN_DT Adjudication Date
12 LINE_CLAIM_STUS_CD Claim Line Status Code
13 LINE_ADJUST_CD Claim Line Adjustment Code
14 BNFT_TYPE_CD Benefit Type Code
15 TOS_CD Type of Service Code
16 XIX_SRVC_CTGRY_CD CMS-64 Form Category of Service for the Paid Claim
17 XXI_SRVC_CTGRY_CD CMS-21 Form Category of Service for the Paid Claim
18 CMS_64_FED_CTGRY_CD CMS-64 Form Code for Federal Reimbursement
19 RX_FILL_DT Prescription Fill Date (TAF)
20 NDC National Drug Code
21 NDC_UOM_CD NDC Unit of Measure Code
22 NDC_QTY NDC Quantity Dispensed
23 MTRC_DCML_QTY Metric Decimal Quantity of Product
24 NDC_QTY_ALOWD NDC Quantity Allowed
25 DAYS_SUPPLY Days Supply (TAF)
26 NEW_RX_REFILL_NUM New Prescription Indicator (00) or Number of Refills
27 BRND_GNRC_CD Brand - Generic Code
28 DOSAGE_FORM_CD Medication Dosage Form Code
29 REBT_ELGBL_CD Rebate Eligible Code
30 DRUG_UTLZTN_CD Drug Utilization Code
31 RSN_SRVC_CD Reason for Service Code
32 PROF_SRVC_CD Professional Service Code
33 RSLT_SRVC_CD Result of Service Code
34 IMNZTN_TYPE_CD Immunization Type Code
35 DSPNSNG_FEE_AMT Dispensing Fee Amount
36 LINE_BILLED_AMT Line Billed Amount
37 LINE_MDCD_ALOWD_AMT Line Medicaid Allowed Amount
38 LINE_MDCD_PD_AMT Line Medicaid Paid Amount
39 LINE_MDCD_FFS_EQUIV_AMT Line Medicaid Fee For Service Equivalent Amount
40 LINE_MDCR_PD_AMT Line Medicare Paid Amount
41 LINE_MDCR_DDCTBL_PD_AMT Line Medicare Deductible Amount
42 LINE_MDCR_COINSRNC_PD_AMT Line Medicare Coinsurance Amount
43 LINE_COPAY_AMT Line Beneficiary Copayment Amount
44 LINE_TP_PD_AMT Line Third Party Liability Paid Amount
45 LINE_OTHR_INSRNC_PD_AMT Line Other Than Medicare or Medicaid -Insurance Paid Amount
46 DA_RUN_ID TAF Production Run Identifier (unique for each TAF run)
47 TMSIS_RUN_ID TMSIS State Data Processing Run Identifier