DATA ELEMENT DESCRIPTION
UB92 Data Element Name: Patient Control Number
1500 Field Number: 01
UHDDS - Data Element Name:
Record Positions:
1-20
Format - Length:
Effective Date:
1/1/99
Revision Number – Date: 2, 3/17/04
Definition:
X (20)
The number assigned to the patient’s medical encounter by the hospital. Unique to
each encounter.
Codes and Values:
Edit Applications:
Edits:
0101 Duplicate record key, check patient control number and discharge date
0102 Patient control number is missing
Uses of Data:
Allows VT Explor and submitting hospital to identify questionable records.
Notes:
Not a public field. Not released to Vermont Department of Health (VDH) or
data vendors.
Other:
4
DATA ELEMENT DESCRIPTION
UB92 Data Element Name: Medical Record Number
1500 Field Number: 14
UHDDS - Data Element Name: Medical Record Number
Record Positions:
82-98
Format - Length:
Effective Date:
1/1/04
Revision Number – Date: 1, 3/17/04
Definition:
X (17)
The number assigned to the patient’s medical record by the hospital. Unique and
permanent to each patient.
Codes and Values:
Edit Applications:
Edits:
0301 Medical record number is missing
Uses of Data:
Allows VT Explor and submitting hospital to identify questionable records.
May be used in the future to set readmit flag.
Eventually this field may also be used to track patient’s continuum of care, and
to examine individual patterns of care.
Notes:
Not a public field. Not released to Vermont Department of Health (VDH) or
data vendors.
Other:
19
DATA ELEMENT DESCRIPTION
UB92 Data Element Name: Social Security Number
1500 Field Number: 161
UHDDS - Data Element Name: Social Security Number
Record Positions:
1243-1251
Format - Length:
Effective Date:
1/1/04
Revision Number – Date:
Definition:
9(9)
Unique number assigned to each patient by the Social Security Administration.
Codes and Values:
Nine digits, numeric only.
Edit Applications:
Edits:
3301 Social Security Number is missing.
3302 Social Security Number in invalid format.
Notes:
Other:
Not a public data element. Not released to Vermont Department of Health.
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DATA ELEMENT DESCRIPTION
UB92 Data Element Name: Certificate/Social Security/Health Insurance Claim/Identification
Number
Vermont Explor Data Element Name: HIC Number
1500 Field Number: 64, 146, 151
UHDDS - Data Element Name:
Record Positions:
461-479, 1086-1104, 1165-1183
Format - Length:
X(12)
Effective Date:
1/1/2004
Revision Number – Date:
Definition:
Insured’s unique identification number assigned by Medicare.
Codes and Values:
Medicare will accept up to 12 characters in this field. Assign to Field 64 if
Medicare is the primary payer, to Field 146 if secondary, and to Field 151 if
tertiary.
Medicare requirements:
The format for the HIC # is dependent upon the total number of characters. For example, A123456 would be
considered 7 characters and would need to meet the format for 7 characters. The most commonly used HIC
numbers are 10 characters and the alpha letter goes in the beginning.
7 characters:
First value must be UPPERCASE alpha character, followed by 6 digits
8 characters:
First 2 values must be UPPERCASE alpha followed by 6 digits
9 characters:
First 3 values must be UPPERCASE alpha followed by 6 digits OR
First 2 values must be UPPERCASE alpha followed by 7 digits
10 characters:
First value must be UPPERCASE alpha followed by 9 digits
OR 9 numeric digits followed by 1 UPPERCASE alpha character
11 characters:
Nine numeric digits followed by one UPPERCASE alpha followed by one digit
OR 9 numeric digits followed by 2 UPPERCASE alpha characters
OR 2 UPPERCASE alpha characters followed by 9 numeric digits
12 characters
First 3 values must be UPPERCASE alpha followed by 9 digits OR
First 2 values must be UPPERCASE alpha followed by 10 digits
Edit Applications:
Edits:
5301 HIC number is missing
5302 HIC number in invalid format
Notes:
Required for JCAHO reporting. Applies only to Vermont Explor members
participating in the QualityWorks program.
46