DATA SHARING PROJECT

 

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Claim Administration

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Location of Loss

The information in this section describes the location where the claim occurred.  All fields in this section are required.

  Field No.   Field Name   Entry Description
  20   Type of
  Institution
  Required Optional for corporate files.  Enter the code from the following table for the type of institution where the incident occurred (or where the patient was located at the time of incident)

  Code   Type of Institution   Code   Type of Institution
  01   Hospital   09   Lab outside hospital
  02   Hospital outpatient facility   10   Blood bank
  03   Emergicenter   11   HMO
  04   Surgicenter   12   Birthing Center
  05   Nursing home   13   Prison
  06   Practitioner's office   97   Telephone treatment
  07   Patient's home   98   Other
  08   Other outpatient facility   99   Not in institution

Table 5-A


  Field No.   Field Name   Entry Description
  21   Incident
  Location
  Optional Optional for corporate files.  Enter the code for the location where the incident occurred from the following table.

EDIT - If the type of institution is coded as "01" (hospital) or "05" (nursing home), then the incident location cannot be coded "99".  The incident location must be coded "99" when a claim occurs in the patient's home ("07")


  Code   Incident Location   Code   Incident Location
  01   Patient's room   12   Pharmacy
  02   Labor and delivery room   13   Laboratory
  03   Operating room   14   Dispensary
  04   Recovery room   15   Other department in hospital
  05   Critical care unit   16   Rehabilitation center
  06   Special procedure room   17   Radiation therapy department
  07   Nursery   18   Catheterization lab
  08   Radiology department   19   Morgue
  09   Physical therapy department   97   Unknown
  10   Emergency department   98   Other
  11   Outpatient department   99   Not in inpatient facility

Table 5-B


  Field No.   Field Name   Entry Description
  22   Type of Hospital   Required This field is required if location was a hospital ("01") or hospital outpatient facility ("02").

EDIT - If the type of institution is coded as "01" (hospital) or "05" (nursing home), then the incident location cannot be coded "99".  The incident location must be coded "99" when a claim occurs in the patient's home ("07").


  Code   Type of Hospital Description
  n   Non-teaching hospital A hospital that does not have resident physicians.
  t   Teaching hospital A hospital having resident physicians.
  blank   - Not occurring in a hospital setting.

Table 5-C

 

* A list of teaching hospitals can be found at www.aamc.org/teachinghospitals.htm

  Field No.   Field Name   Entry Description
  23   State   Required Enter the code for the state in which the loss occurred from the following table.

    State     State     State     State
  ak   Alaska   id   Idaho   mt   Montana   ri   Rhode Island
  al   Alabama   il   Illinois   nc   North Carolina   sc   South Carolina
  ar   Arkansas   in   Indiana   nd   North Dakota   sd   South Dakota
  az   Arizona   ks   Kansas   ne   Nebraska   tn   Tennessee
  ca   California   ky   Kentucky   nh   New Hampshire   tx   Texas
  co   Colorado   la   Louisiana   nj   New Jersey   ut   Utah
  ct   Connecticut   ma   Massachusetts   nm   New Mexico   va   Virginia
  dc   D.C.   md   Maryland   nv   Nevada   vt   Vermont
  de   Delaware   me   Maine   ny   New York   wa   Washington
  fl   Florida   mi   Michigan   oh   Ohio   wi   Wisconsin
  ga   Georgia   mn   Minnesota   ok   Oklahoma   wv   West Virginia
  hi   Hawaii   mo   Missouri   or   Oregon   wy   Wyoming
  ia   Iowa   ms   Mississippi   pa   Pennsylvania   zz   Other

Table 5-D

 

Data Sharing Reference Manual
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