Search Data Variables

Eligible Population Indicator: Unknown Eligibility Group — Ever in Calendar Year

Indicates if the managed care entity is associated with an unknown eligibility group; ever in the calendar year.

Emergency Medical Services Provider Taxonomy Indicator — Ever in Calendar Year

Indicates whether the provider’s taxonomy value maps to the emergency medical service provider category; ever in the calendar year.

Emergency Room (ER) Charge Amount ($)

The charge amount (rounded to whole dollars) for emergency room (ER) services provided during the beneficiary's stay.

Emergency Services Provider Classification Indicator — Ever in Calendar Year

Indicates whether any of the provider’s classification code values map to the emergency medical service provider category; ever in the calendar year.

Emergency Use Switch

This variable indicates that the service was provided as part of an emergency use authorization (EUA).

Employer Group Health Plan (EGHP) Calendar Year Indicator

This variable indicates whether an employer group health plan (EGHP) is defined using a calendar year or non-calendar year.

Employer Group Waiver Plan (EGWP) Indicator

This variable indicates whether the plan benefit package is an employer group waiver plan (EGWP).

EGWP plan are not open to general enrollment but rather are offered to beneficiaries through an employer group.

Encounter Data Processing System (EDPS) Create Date

The date that an encounter record was created on the CMS Encounter Data Processing System (EDPS) database.

Encounter record count

RECIPIENT'S TOTAL NUMBER OF ENCOUNTER RECORDS FOR THE CALENDAR YEAR. FOR TYPES OF SERVICE = 1-19, 23-54 AND 99 AND TYPE OF CLAIM = 3 (ENCOUNTER RECORD).

(SAS USERS: ZONED DECIMAL - ZD5)

Encounter record count (MAX TOS 01)

TOTAL NUMBER OF ENCOUNTER RECORDS (TYPE OF CLAIM = 3), RELATED TO CARE PROVIDED BY A CAPITATED (PREPAID) PLAN FOR THE RECIPIENT DURING THECALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATA ELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.

Encounter record count (MAX TOS 02)

Encounter record count (MAX TOS 04)

Encounter record count (MAX TOS 05)

Encounter record count (MAX TOS 07)

Encounter record count (MAX TOS 08)

Encounter record count (MAX TOS 09)

Encounter record count (MAX TOS 10)

Encounter record count (MAX TOS 11)

Encounter record count (MAX TOS 12)

Encounter record count (MAX TOS 13)

Encounter record count (MAX TOS 15)

Encounter record count (MAX TOS 16)

Encounter record count (MAX TOS 19)

Encounter record count (MAX TOS 24)

Encounter record count (MAX TOS 25)

Encounter record count (MAX TOS 26)

Encounter record count (MAX TOS 30)

Encounter record count (MAX TOS 31)

Encounter record count (MAX TOS 33)

Encounter record count (MAX TOS 34)

Encounter record count (MAX TOS 35)

Encounter record count (MAX TOS 36)

Encounter record count (MAX TOS 37)

Encounter record count (MAX TOS 38)

Encounter record count (MAX TOS 39)

Encounter record count (MAX TOS 51)

Encounter record count (MAX TOS 52)

Encounter record count (MAX TOS 53)

Encounter record count (MAX TOS 54)

Encounter record count (Unknown)

TOTAL NUMBER OF ENCOUNTER RECORDS (TYPE OF CLAIM = 3), RELATED TO CARE PROVIDED BY A CAPITATED (PREPAID) PLAN FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATA ELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21 AND 22.

Encounter/Procedure/Diagnosis End date

Encounter/Procedure/Diagnosis end date.

Encounter/Procedure/Diagnosis/Lab/Medication Start or Occurrence Date

Encounter/Procedure/Diagnosis/Lab/Medication start or occurrence date

Encrypted 723 Beneficiary ID (Unique Key)

A unique CCW beneficiary identifier field (BENE_ID) that is specific to the Chronic Condition Warehouse Condition Warehouse

Encrypted 723 CCW Beneficiary ID

A unique CCW beneficiary identifier field (BENE_ID) that is specific to the Chronic Condition Warehouse. This field is encrypted prior to delivery to researchers. The BENE_ID field is used to cross-reference data for each beneficiary across all data files.

Encrypted Assessment ID

This number is assigned when an assessment record is processed in the Chronic Condition Warehouse. This field is encrypted prior to delivery to researchers. It identifies lines that are submitted from the same assessment.

Encrypted Case Number

STATE-ASSIGNED NUMBER WHICH UNIQUELY IDENTIFIES THE MEDICAID CASE TO WHICH THE ENROLLEE BELONGS ON THE LAST DAY OF THE FEDERAL FISCAL YEAR.

USER NOTE: THIS DATA ELEMENT MAY INCLUDE ALPHA CHARACTERS, BUT IT DOES NOT NECESSARILY LINK ALL FAMILY MEMBERS TOGETHER. MAY CHANGE OVER TIME. THE DEFINITION AND AVAILABILITY VARY ACROSS STATES. THERE ARE SINGLE-PERSON CASES (MOSTLY AGED AND BLIND/DISABLED) AND MULTI-PERSON CASES (MOSTLY TANF) IN WHICH EACH MEMBER OF THE CASE HAS THE SAME CASE NUMBER, BUT A UNIQUE MSIS IDENTIFICATION NUMBER. THIS MSIS DATA ELEMENT IS NOT AVAILABLE BEFORE 10/98.

USER NOTE: WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION, THIS DATA ELEMENT IS BLANK-FILLED.

NOTE: IN MAX 2008, A CLARIFICATION NOTE WAS ADDED ABOUT THE VALUE ASSIGNED WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION.

Encrypted CCW Beneficiary ID

The unique CCW identifier for a beneficiary.

The CCW assigns a unique beneficiary identification number to each individual who receives Medicare and/or Medicaid, and uses that number to identify an individual’s records in all CCW data files (e.g., Medicare claims, MAX claims, MDS assessment data).

This number does not change during a beneficiary’s lifetime and each number is used only once.

The BENE_ID is specific to the CCW and is not applicable to any other identification system or data source.

Encrypted CCW Beneficiary Identifier

The Chronic Conditions Data Warehouse (CCW) assigns a unique beneficiary identification number to each individual who receives Medicare and/or Medicaid, and uses that number to identify an individual’s records in all CCW data files (e.g., Medicare claims, Medicare encounter, MAX claims, T-MSIS claims, and MDS assessment data).

This number does not change during a beneficiary’s lifetime and each number is used only once.

The BENE_ID is specific to the CCW and is not applicable to any other identification system or data source.

Encrypted D16Assessment Internal ID

This field is used as a key to uniquely identify an assessment and to tie together all the different tables that compose one assessment record received from a facility.