Reason for entitlement to Medicare benefits as of CLM_THRU_DT

SAS Name
BENE_MDCR_STUS_CD

This variable indicates how a beneficiary qualifies for Medicare, as of the claim through date.

Comments

Analysts can use this variable to quickly distinguish between the aged, disabled, and ESRD populations.

This field is coded from age, original reason for entitlement, current reason for entitlement and ESRD indicator contained in the enrollment data base at CMS, as of the claim through date.

Source: NCH

Code Code value
10 Aged without end-stage renal disease (ESRD)
11 Aged with ESRD
20 Disabled without ESRD
21 Disabled with ESRD
31 ESRD only