|
TYPE |
LEN |
REQ |
VALUE |
NOTES |
|
PK |
Y |
MSSP Primary Key |
||
|
VARCHAR |
100 |
Y |
Client ID |
Datavant Site Connect’s client identifier. |
|
VARCHAR |
12 |
Y |
HICNO |
CMS Patient Identification (Health Insurance Claim Number) |
|
VARCHAR |
8 |
Mail Date |
Format: YYYYMMDD |
|
|
VARCHAR |
8 |
USPS Returned Mail Indicator |
Y or N |
|
|
VARCHAR |
8 |
Response Date |
Format: YYYYMMDD |
|
|
CHAR |
1 |
Data Sharing Preference |
Y or N |
|
|
CHAR |
1 |
Data Sharing Decision Mechanism |
N, O or R (N = None, O = Office, R = Response by Mail) |
|
|
CHAR |
1 |
Substance Abuse Data Share Preference Indicator |
Y or N |
|
|
CHAR |
1 |
Substance Abuse Data Share Decision Mechanism |
N, O, R (N = None, O = Office, R = Response by Mail) |
|
|
VARCHAR |
100 |
Claims Received |