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Medicare enrollment information related to whether participant is enrolled in Medicare Advantage or traditional fee-for-service Medicare (including whether the participant is enrolled in Medicare Part A, Part B or both) in a given calendar month.
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Place of service information indicating the type of health care location (e.g., inpatient hospital, emergency department), including place of service codes, where applicable
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Contact information identifying the facility or professional rendering the service (e.g., facility or professional name and address, city, state, zip code and/or phone number)
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Revenue center codes and text description, where applicable
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All relevant dates, including dates of service, admission, discharge, transfer, or death, and “from” dates and “thru” dates for services spanning multiple days.
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Discharge disposition or discharge status codes, where applicable
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Diagnosis codes (ICD-9 and ICD-10)
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Diagnosis-related group codes (e.g., MS-DRG codes)
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Procedure codes (including CPT/HCPCS and ICD-9 and ICD-10 procedure codes)
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Meta-data, including the claims file and calendar year (or year and quarter, where applicable) from which the data come (e.g., carrier file from quarter 2 of 2015)
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