RIC         1  2                                        C Record Identification Code

VERSION     3  1                                        C Version Number

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                              11,995             LOW-HIGH BASEID Count

H_DOB      12  8  $DTE8FMT                              C Date of birth

                              11,995                      Date as YYYYMMDD

H_DOD      20  8  $DTE8FMT                              C Date of death

                              11,375                      Missing
                                 620                      Date as YYYYMMDD

H_DODSRC   28  2  $SRCFMT                               C Source of date of death

                              11,375                      No date of death
                                   1                   01 From Medicare bill
                                   2                   03 Clerical entry
                                   0                   05 Bill and clerical entry
                                 366                   10 Proven Medicare Benefits record
                                  35                   11 Proven Medicare Benefits record & bills
                                 175                   20 Unproven Medicare Benefits record
                                  40                   21 Unproven Mcare Benefits record & bills
                                   1                   23 Unproven Mcare Benefits rec & clerical
                                   0                   25 Unproven Mcare Benefits rec, bill & cler

H_SEX      30  1  $SEXFMT                               C Sex code

                               5,342                    1 Male
                               6,653                    2 Female

H_RACE     31  1  $RACEFMT                              C Race code

                                  20                    0 Unknown
                              10,121                    1 White
                               1,227                    2 Black
                                 120                    3 Other
                                 146                    4 Asian
                                 292                    5 Hispanic
                                  69                    6 North American Native

H_AGE      32  3                                        N SP age based on CMS date of birth

D_STRAT    35  1  $AGEFMT                               C MCBS Sample age stratum

                               1,064                    1  0-44
                               1,055                    2 45-64
                               2,029                    3 65-69
                               2,075                    4 70-74
                               1,805                    5 75-79
                               1,916                    6 80-84
                               2,051                    7 85 +

H_ENT01    36  1  $ENTFMT                               C Medicare entitlement code for Jan

                                 483                    A Part A Medicare only
                                  60                    B Part B Medicare only
                              11,183                    C Parts A and B Medicare
                                 269                    N No Medicare entitlement

H_ENT02    37  1  $ENTFMT                               C Medicare entitlement code for Feb

                                 475                    A Part A Medicare only
                                  60                    B Part B Medicare only
                              11,133                    C Parts A and B Medicare
                                 327                    N No Medicare entitlement

H_ENT03    38  1  $ENTFMT                               C Medicare entitlement code for Mar

                                 477                    A Part A Medicare only
                                  60                    B Part B Medicare only
                              11,108                    C Parts A and B Medicare
                                 350                    N No Medicare entitlement

H_ENT04    39  1  $ENTFMT                               C Medicare entitlement code for Apr

                                 478                    A Part A Medicare only
                                  58                    B Part B Medicare only
                              11,073                    C Parts A and B Medicare
                                 386                    N No Medicare entitlement

H_ENT05    40  1  $ENTFMT                               C Medicare entitlement code for May

                                 480                    A Part A Medicare only
                                  57                    B Part B Medicare only
                              11,038                    C Parts A and B Medicare
                                 420                    N No Medicare entitlement

H_ENT06    41  1  $ENTFMT                               C Medicare entitlement code for Jun

                                 482                    A Part A Medicare only
                                  55                    B Part B Medicare only
                              11,026                    C Parts A and B Medicare
                                 432                    N No Medicare entitlement

H_ENT07    42  1  $ENTFMT                               C Medicare entitlement code for Jul

                                 456                    A Part A Medicare only
                                  53                    B Part B Medicare only
                              11,040                    C Parts A and B Medicare
                                 446                    N No Medicare entitlement

H_ENT08    43  1  $ENTFMT                               C Medicare entitlement code for Aug

                                 455                    A Part A Medicare only
                                  54                    B Part B Medicare only
                              11,018                    C Parts A and B Medicare
                                 468                    N No Medicare entitlement

H_ENT09    44  1  $ENTFMT                               C Medicare entitlement code for Sep

                                 452                    A Part A Medicare only
                                  54                    B Part B Medicare only
                              10,996                    C Parts A and B Medicare
                                 493                    N No Medicare entitlement

H_ENT10    45  1  $ENTFMT                               C Medicare entitlement code for Oct

                                 449                    A Part A Medicare only
                                  54                    B Part B Medicare only
                              10,973                    C Parts A and B Medicare
                                 519                    N No Medicare entitlement

H_ENT11    46  1  $ENTFMT                               C Medicare entitlement code for Nov

                                 454                    A Part A Medicare only
                                  53                    B Part B Medicare only
                              10,933                    C Parts A and B Medicare
                                 555                    N No Medicare entitlement

H_ENT12    47  1  $ENTFMT                               C Medicare entitlement code for Dec

                                 461                    A Part A Medicare only
                                  53                    B Part B Medicare only
                              10,892                    C Parts A and B Medicare
                                 589                    N No Medicare entitlement

H_DOE      48  8  $DTE8FMT                              C Medicare entitlement start date

                                   1                      Missing
                              11,994                      Date as YYYYMMDD

H_DOT      56  8  $DTE8FMT                              C Medicare entitlement end date

                              11,967                      Missing
                                  28                      Date as YYYYMMDD

H_MEDSTA   64  2  $MSCFMT                               C Medicare status code as of 12/31

                                  13                      Unknown
                               9,795                   10 Aged, no ESRD
                                  56                   11 Aged, ESRD
                               2,088                   20 Disabled, no ESRD
                                  33                   21 Disabled, ESRD
                                  10                   31 ESRD only

H_LAF      66  2  $LAFFMT                               C Status of SSA check (LAF) as of 12/31

                                  17                      Unknown
                                   0                   AD Cur pay-adj for dual entitlement
                                   0                   AF Transfer to another PC or dio
                                   0                   A9 Cur pay-miscellaneous adjustment
                              10,949                    C Current payment status
                                   0                   DW Deferred-Workers' Compensation
                                   0                   D2 DEF-retirement test
                                   0                   D3 DEF-D2 for primary
                                   3                   D6 DEF-recover overpayment
                                   2                   D9 DEF-miscellaneous reason
                                   1                    J Advanced filing-current pay
                                   0                   L2 Advanced filing-worked inside U S
                                   0                   L3 Advanced filing-insured worked in U S
                                   0                    N Not in pay status
                                   0                   PB Delayed-benefit due but not paid
                                   0                    R Cur pay-Part B reinstated
                                   0                   RN Cur pay-Part B reinstated
                                   0                    S SUSP-deferred retirement
                                   2                   SD SUSP-other
                                   0                   SF SUSP-fails to meet residence requirment
                                  50                   SH SUSP-government pension
                                   0                   SP SUSP-public assistance
                                   0                   SW SUSP-Workers' Compensation
                                   0                   S0 SUSP-continuing disability investig
                                   1                   S2 SUSP-fails retirement test
                                   0                   S3 SUSP-primary account S2
                                   4                   S6 SUSP-check returned for address
                                  19                   S7 SUSP-vocational rehab refusal
                                   2                   S8 SUSP-payee not determined
                                   7                   S9 SUSP-miscellaneous reason
                                   0                   TA TERM-prior to entitlement
                                   0                   TJ TERM-prior to entlmt, not stop debit
                                   0                   TR TERM-claim withdrawn
                                   0                   T0 TERM-benefits paid by another agency
                                 587                   T1 TERM-death of beneficiary
                                   0                   T2 TERM-death of primary
                                   0                   T3 TERM-divorce, marriage, remarriage
                                   0                   T4 TERM-dependent child attained age 18
                                   0                   T5 TERM-entitled on another account
                                   0                   T6 TERM-child no longer student, disabled
                                   1                   T8 TERM-recovery from disability
                                   0                   T9 TERM-miscellaneous
                                 325                    U Active uninsured status (no SSA check)
                                   0                   XF Transfer to another PC or DIO
                                   0                   XR Terminated -
                                  15                   X1 TERM-death of insured
                                   0                   X5 TERM-entitled to another benefit
                                  10                   X7 TERM of uninsured
                                   0                   X9 TERM miscellaneous
                                   0                   ZZ Erroneous entitlement

H_RESST    68  2  $STFMT                                C SSA State code of residence as of 12/31

                                 446                   01 Alabama
                                   0                   02 Alaska
                                 232                   03 Arizona
                                 118                   04 Arkansas
                                 803                   05 California
                                  95                   06 Colorado
                                 155                   07 Connecticut
                                   4                   08 Delaware
                                  14                   09 Washington, DC
                                 917                   10 Florida
                                 401                   11 Georgia
                                   0                   12 Hawaii
                                   0                   13 Idaho
                                 372                   14 Illinois
                                  34                   15 Indiana
                                 111                   16 Iowa
                                 115                   17 Kansas
                                 231                   18 Kentucky
                                 119                   19 Louisiana
                                   0                   20 Maine
                                 150                   21 Maryland
                                 221                   22 Massachusetts
                                 644                   23 Michigan
                                 180                   24 Minnesota
                                   0                   25 Mississippi
                                 324                   26 Missouri
                                   0                   27 Montana
                                 111                   28 Nebraska
                                 246                   29 Nevada
                                   3                   30 New Hampshire
                                 342                   31 New Jersey
                                 225                   32 New Mexico
                                 803                   33 New York
                                 596                   34 North Carolina
                                   0                   35 North Dakota
                                 605                   36 Ohio
                                 107                   37 Oklahoma
                                   2                   38 Oregon
                                 651                   39 Pennsylvania
                                 207                   40 Puerto Rico
                                   0                   41 Rhode Island
                                 107                   42 South Carolina
                                   0                   43 South Dakota
                                 328                   44 Tennessee
                                 744                   45 Texas
                                   2                   46 Utah
                                   0                   47 Vermont
                                   0                   48 Virgin Islands
                                 144                   49 Virginia
                                 468                   50 Washington
                                 164                   51 West Virginia
                                 330                   52 Wisconsin
                                 109                   53 Wyoming
                                  15                      Unknown

H_RESCTY   70  3  $CTYFMT                               C SSA county code of residence as of 12/31

                                  14                      Unknown
                              11,981                      County code

H_ZIP      73  5  $ZIPFMT                               C Postal zip code of residence as of 12/31

                                  14                      Unknown
                              11,981                      ZIP Code

H_CENSUS   78  2  $CENFMT                               C Census Region of residence as of 12/31

                                 379                   01 New England
                               1,796                   02 Middle Atlantic
                               1,985                   03 East North Central
                                 841                   04 West North Central
                               2,497                   05 South Atlantic
                               1,005                   06 East South Central
                               1,088                   07 West South Central
                                 909                   08 Mountain
                               1,273                   09 Pacific
                                 207                   10 Puerto Rico
                                  15                      Unknown

H_METRO    80  1  $METFMT                               C Metro status

                               3,190                    N Non-metro area
                                  14                    U Unknown
                               8,791                    Y Metro area

H_HSBEG1   81  8  $DTE8FMT                              C Beginning date of latest hospice period

                              11,220                      Missing
                                 775                      Date as YYYYMMDD

H_HSEND1   89  8  $DTE8FMT                              C Ending date of latest hospice period

                              11,220                      Missing
                                 775                      Date as YYYYMMDD

H_HSBEG2   97  8  $DTE8FMT                              C Beginning date of 2nd hospice period

                              11,726                      Missing
                                 269                      Date as YYYYMMDD

H_HSEND2  105  8  $DTE8FMT                              C Ending date of 2nd hospice period

                              11,726                      Missing
                                 269                      Date as YYYYMMDD

H_HSBEG3  113  8  $DTE8FMT                              C Beginning date of 3rd hospice period

                              11,829                      Missing
                                 166                      Date as YYYYMMDD

H_HSEND3  121  8  $DTE8FMT                              C Ending date of 3rd hospice period

                              11,829                      Missing
                                 166                      Date as YYYYMMDD

H_HSBEG4  129  8  $DTE8FMT                              C Beginning date of 4th hospice period

                              11,875                      Missing
                                 120                      Date as YYYYMMDD

H_HSEND4  137  8  $DTE8FMT                              C Ending date of 4th hospice period

                              11,875                      Missing
                                 120                      Date as YYYYMMDD

H_ESRBEG  145  8  $DTE8FMT                              C Beginning date of ESRD period

                              11,824                      Missing
                                 171                      Date as YYYYMMDD

H_ESREND  153  8  $DTE8FMT                              C Ending date of ESRD period

                              11,904                      Missing
                                  91                      Date as YYYYMMDD

H_GHPSW   161  1  $GHPSW                                C Some group health participation in year

                               9,439                    0 No enrollment
                               2,556                    1 Some enrollment

H_PNUM    162  3                                        N Number of GHPs in bene area in 2006

H_MANUM   165  3                                        N Number of MA plans in bene area in 2006

H_PFSNUM  168  3                                        N Number of PFFS plans in bene area in 200

H_PLTP01  171  2  $PLNFMT                               C GHP plan type for Jan

                               9,933                      No enrollment for month
                                  22                   01 Health care prepayment plan
                                  59                   02 Cost HMO
                               1,965                   06 Risk HMO
                                  16                   02 16

H_PLPY01  173  5                                        N Medicare capitation payment for Jan

H_PLTP02  178  2  $PLNFMT                               C GHP plan type for Feb

                               9,793                      No enrollment for month
                                  22                   01 Health care prepayment plan
                                  62                   02 Cost HMO
                               2,089                   06 Risk HMO
                                  29                   02 16

H_PLPY02  180  5                                        N Medicare capitation payment for Feb

H_PLTP03  185  2  $PLNFMT                               C GHP plan type for Mar

                               9,779                      No enrollment for month
                                  22                   01 Health care prepayment plan
                                  61                   02 Cost HMO
                               2,104                   06 Risk HMO
                                  29                   02 16

H_PLPY03  187  5                                        N Medicare capitation payment for Mar

H_PLTP04  192  2  $PLNFMT                               C GHP plan type for Apr

                               9,727                      No enrollment for month
                                  21                   01 Health care prepayment plan
                                  60                   02 Cost HMO
                               2,157                   06 Risk HMO
                                  30                   02 16

H_PLPY04  194  5                                        N Medicare capitation payment for Apr

H_PLTP05  199  2  $PLNFMT                               C GHP plan type for May

                               9,701                      No enrollment for month
                                  21                   01 Health care prepayment plan
                                  59                   02 Cost HMO
                               2,184                   06 Risk HMO
                                  30                   02 16

H_PLPY05  201  5                                        N Medicare capitation payment for May

H_PLTP06  206  2  $PLNFMT                               C GHP plan type for Jun

                               9,703                      No enrollment for month
                                  21                   01 Health care prepayment plan
                                  58                   02 Cost HMO
                               2,183                   06 Risk HMO
                                  30                   02 16

H_PLPY06  208  5                                        N Medicare capitation payment for Jun

H_PLTP07  213  2  $PLNFMT                               C GHP plan type for Jul

                               9,673                      No enrollment for month
                                  21                   01 Health care prepayment plan
                                  58                   02 Cost HMO
                               2,212                   06 Risk HMO
                                  31                   02 16

H_PLPY07  215  5                                        N Medicare capitation payment for Jul

H_PLTP08  220  2  $PLNFMT                               C GHP plan type for Aug

                               9,651                      No enrollment for month
                                  20                   01 Health care prepayment plan
                                  58                   02 Cost HMO
                               2,235                   06 Risk HMO
                                  31                   02 16

H_PLPY08  222  5                                        N Medicare capitation payment for Aug

H_PLTP09  227  2  $PLNFMT                               C GHP plan type for Sep

                               9,652                      No enrollment for month
                                  19                   01 Health care prepayment plan
                                  59                   02 Cost HMO
                               2,234                   06 Risk HMO
                                  31                   02 16

H_PLPY09  229  5                                        N Medicare capitation payment for Sep

H_PLTP10  234  2  $PLNFMT                               C GHP plan type for Oct

                               9,657                      No enrollment for month
                                  19                   01 Health care prepayment plan
                                  59                   02 Cost HMO
                               2,229                   06 Risk HMO
                                  31                   02 16

H_PLPY10  236  5                                        N Medicare capitation payment for Oct

H_PLTP11  241  2  $PLNFMT                               C GHP plan type for Nov

                               9,653                      No enrollment for month
                                  19                   01 Health care prepayment plan
                                  58                   02 Cost HMO
                               2,234                   06 Risk HMO
                                  31                   02 16

H_PLPY11  243  5                                        N Medicare capitation payment for Nov

H_PLTP12  248  2  $PLNFMT                               C GHP plan type for Dec

                               9,659                      No enrollment for month
                                  19                   01 Health care prepayment plan
                                  60                   02 Cost HMO
                               2,227                   06 Risk HMO
                                  30                   02 16

H_PLPY12  250  5                                        N Medicare capitation payment for Dec

H_PDTP01  255  1  $DPLNFMT                              C Part D plan type for Jan

                                   5                      Unknown
                               5,162                    0 No Part D enrollment
                               1,896                    1 MA-PD plan
                               4,932                    2 PDP

H_PDPY01  256  5                                        N Part D capitation payment for Jan

H_PDLS01  261  1  $DLISFMT                              C LIS Indicator for Jan

                                 274                      Unknown
                               8,619                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  42                    3 50% premium subsidy
                                  43                    4 75% premium subsidy
                               2,992                    5 100% premium subsidy

H_PDRS01  262  1  $DRDSFMT                              C RDS Indicator for Jan

                                 274                      Unknown
                               9,944                    N Employer not subsidized for the benefici
                               1,777                    Y Employer subsidized for the beneficiary

H_PDTP02  263  1  $DPLNFMT                              C Part D plan type for Feb

                                   5                      Unknown
                               5,181                    0 No Part D enrollment
                               1,900                    1 MA-PD plan
                               4,909                    2 PDP

H_PDPY02  264  5                                        N Part D capitation payment for Feb

H_PDLS02  269  1  $DLISFMT                              C LIS Indicator for Feb

                                 331                      Unknown
                               8,571                    1 No premium subsidy
                                  26                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  45                    4 75% premium subsidy
                               2,985                    5 100% premium subsidy

H_PDRS02  270  1  $DRDSFMT                              C RDS Indicator for Feb

                                 331                      Unknown
                               9,885                    N Employer not subsidized for the benefici
                               1,779                    Y Employer subsidized for the beneficiary

H_PDTP03  271  1  $DPLNFMT                              C Part D plan type for Mar

                                   5                      Unknown
                               5,192                    0 No Part D enrollment
                               1,920                    1 MA-PD plan
                               4,878                    2 PDP

H_PDPY03  272  5                                        N Part D capitation payment for Mar

H_PDLS03  277  1  $DLISFMT                              C LIS Indicator for Mar

                                 356                      Unknown
                               8,559                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  43                    4 75% premium subsidy
                               2,975                    5 100% premium subsidy

H_PDRS03  278  1  $DRDSFMT                              C RDS Indicator for Mar

                                 356                      Unknown
                               9,858                    N Employer not subsidized for the benefici
                               1,781                    Y Employer subsidized for the beneficiary

H_PDTP04  279  1  $DPLNFMT                              C Part D plan type for Apr

                                   5                      Unknown
                               5,208                    0 No Part D enrollment
                               1,939                    1 MA-PD plan
                               4,843                    2 PDP

H_PDPY04  280  5                                        N Part D capitation payment for Apr

H_PDLS04  285  1  $DLISFMT                              C LIS Indicator for Apr

                                 398                      Unknown
                               8,528                    1 No premium subsidy
                                  24                    2 25% premium subsidy
                                  39                    3 50% premium subsidy
                                  41                    4 75% premium subsidy
                               2,965                    5 100% premium subsidy

H_PDRS04  286  1  $DRDSFMT                              C RDS Indicator for Apr

                                 398                      Unknown
                               9,812                    N Employer not subsidized for the benefici
                               1,785                    Y Employer subsidized for the beneficiary

H_PDTP05  287  1  $DPLNFMT                              C Part D plan type for May

                                   5                      Unknown
                               5,352                    0 No Part D enrollment
                               1,907                    1 MA-PD plan
                               4,731                    2 PDP

H_PDPY05  288  5                                        N Part D capitation payment for May

H_PDLS05  293  1  $DLISFMT                              C LIS Indicator for May

                                 441                      Unknown
                               8,482                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  40                    4 75% premium subsidy
                               2,970                    5 100% premium subsidy

H_PDRS05  294  1  $DRDSFMT                              C RDS Indicator for May

                                 441                      Unknown
                               9,750                    N Employer not subsidized for the benefici
                               1,804                    Y Employer subsidized for the beneficiary

H_PDTP06  295  1  $DPLNFMT                              C Part D plan type for Jun

                                   5                      Unknown
                               5,366                    0 No Part D enrollment
                               1,902                    1 MA-PD plan
                               4,722                    2 PDP

H_PDPY06  296  5                                        N Part D capitation payment for Jun

H_PDLS06  301  1  $DLISFMT                              C LIS Indicator for Jun

                                 457                      Unknown
                               8,460                    1 No premium subsidy
                                  26                    2 25% premium subsidy
                                  37                    3 50% premium subsidy
                                  42                    4 75% premium subsidy
                               2,973                    5 100% premium subsidy

H_PDRS06  302  1  $DRDSFMT                              C RDS Indicator for Jun

                                 457                      Unknown
                               9,732                    N Employer not subsidized for the benefici
                               1,806                    Y Employer subsidized for the beneficiary

H_PDTP07  303  1  $DPLNFMT                              C Part D plan type for Jul

                                   5                      Unknown
                               5,350                    0 No Part D enrollment
                               1,919                    1 MA-PD plan
                               4,721                    2 PDP

H_PDPY07  304  5                                        N Part D capitation payment for Jul

H_PDLS07  309  1  $DLISFMT                              C LIS Indicator for Jul

                                 478                      Unknown
                               8,428                    1 No premium subsidy
                                  26                    2 25% premium subsidy
                                  38                    3 50% premium subsidy
                                  41                    4 75% premium subsidy
                               2,984                    5 100% premium subsidy

H_PDRS07  310  1  $DRDSFMT                              C RDS Indicator for Jul

                                 478                      Unknown
                               9,723                    N Employer not subsidized for the benefici
                               1,794                    Y Employer subsidized for the beneficiary

H_PDTP08  311  1  $DPLNFMT                              C Part D plan type for Aug

                                   5                      Unknown
                               5,350                    0 No Part D enrollment
                               1,930                    1 MA-PD plan
                               4,710                    2 PDP

H_PDPY08  312  5                                        N Part D capitation payment for Aug

H_PDLS08  317  1  $DLISFMT                              C LIS Indicator for Aug

                                 501                      Unknown
                               8,403                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  38                    3 50% premium subsidy
                                  39                    4 75% premium subsidy
                               2,989                    5 100% premium subsidy

H_PDRS08  318  1  $DRDSFMT                              C RDS Indicator for Aug

                                 501                      Unknown
                               9,697                    N Employer not subsidized for the benefici
                               1,797                    Y Employer subsidized for the beneficiary

H_PDTP09  319  1  $DPLNFMT                              C Part D plan type for Sep

                                   5                      Unknown
                               5,343                    0 No Part D enrollment
                               1,927                    1 MA-PD plan
                               4,720                    2 PDP

H_PDPY09  320  5                                        N Part D capitation payment for Sep

H_PDLS09  325  1  $DLISFMT                              C LIS Indicator for Sep

                                 529                      Unknown
                               8,384                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  39                    3 50% premium subsidy
                                  39                    4 75% premium subsidy
                               2,979                    5 100% premium subsidy

H_PDRS09  326  1  $DRDSFMT                              C RDS Indicator for Sep

                                 529                      Unknown
                               9,667                    N Employer not subsidized for the benefici
                               1,799                    Y Employer subsidized for the beneficiary

H_PDTP10  327  1  $DPLNFMT                              C Part D plan type for Oct

                                   5                      Unknown
                               5,321                    0 No Part D enrollment
                               1,945                    1 MA-PD plan
                               4,724                    2 PDP

H_PDPY10  328  5                                        N Part D capitation payment for Oct

H_PDLS10  333  1  $DLISFMT                              C LIS Indicator for Oct

                                 558                      Unknown
                               8,368                    1 No premium subsidy
                                  26                    2 25% premium subsidy
                                  39                    3 50% premium subsidy
                                  37                    4 75% premium subsidy
                               2,967                    5 100% premium subsidy

H_PDRS10  334  1  $DRDSFMT                              C RDS Indicator for Oct

                                 558                      Unknown
                               9,637                    N Employer not subsidized for the benefici
                               1,800                    Y Employer subsidized for the beneficiary

H_PDTP11  335  1  $DPLNFMT                              C Part D plan type for Nov

                                   5                      Unknown
                               5,317                    0 No Part D enrollment
                               1,954                    1 MA-PD plan
                               4,719                    2 PDP

H_PDPY11  336  5                                        N Part D capitation payment for Nov

H_PDLS11  341  1  $DLISFMT                              C LIS Indicator for Nov

                                 595                      Unknown
                               8,344                    1 No premium subsidy
                                  25                    2 25% premium subsidy
                                  40                    3 50% premium subsidy
                                  37                    4 75% premium subsidy
                               2,954                    5 100% premium subsidy

H_PDRS11  342  1  $DRDSFMT                              C RDS Indicator for Nov

                                 595                      Unknown
                               9,599                    N Employer not subsidized for the benefici
                               1,801                    Y Employer subsidized for the beneficiary

H_PDTP12  343  1  $DPLNFMT                              C Part D plan type for Dec

                                   5                      Unknown
                               5,391                    0 No Part D enrollment
                               1,932                    1 MA-PD plan
                               4,667                    2 PDP

H_PDPY12  344  5                                        N Part D capitation payment for Dec

H_PDLS12  349  1  $DLISFMT                              C LIS Indicator for Dec

                                 627                      Unknown
                               8,324                    1 No premium subsidy
                                  26                    2 25% premium subsidy
                                  40                    3 50% premium subsidy
                                  37                    4 75% premium subsidy
                               2,941                    5 100% premium subsidy

H_PDRS12  350  1  $DRDSFMT                              C RDS Indicator for Dec

                                 627                      Unknown
                               9,738                    N Employer not subsidized for the benefici
                               1,630                    Y Employer subsidized for the beneficiary

H_MCSW    351  1  $SWFMT                                C Some Medicaid eligibility for the year

                               9,440                    N No participation
                               2,555                    Y Some participation

H_MCDE01  352  1  $MCDCFMT                              C Medicaid eligibility for Jan

                                   0                    A State Part A buy-in
                                 901                    B State Part B buy-in
                                  32                    C State Part A and B buy-in
                                  98                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,616                    N No buy-in this month
                               1,071                    Q State Part B QMB buy-in
                                 277                    S State Part B SLMB buy-in

H_MCDE02  353  1  $MCDCFMT                              C Medicaid eligibility for Feb

                                   0                    A State Part A buy-in
                                 903                    B State Part B buy-in
                                  32                    C State Part A and B buy-in
                                  98                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,618                    N No buy-in this month
                               1,069                    Q State Part B QMB buy-in
                                 275                    S State Part B SLMB buy-in

H_MCDE03  354  1  $MCDCFMT                              C Medicaid eligibility for Mar

                                   0                    A State Part A buy-in
                                 899                    B State Part B buy-in
                                  32                    C State Part A and B buy-in
                                  99                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,628                    N No buy-in this month
                               1,064                    Q State Part B QMB buy-in
                                 273                    S State Part B SLMB buy-in

H_MCDE04  355  1  $MCDCFMT                              C Medicaid eligibility for Apr

                                   0                    A State Part A buy-in
                                 893                    B State Part B buy-in
                                  32                    C State Part A and B buy-in
                                  98                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,639                    N No buy-in this month
                               1,059                    Q State Part B QMB buy-in
                                 274                    S State Part B SLMB buy-in

H_MCDE05  356  1  $MCDCFMT                              C Medicaid eligibility for May

                                   0                    A State Part A buy-in
                                 894                    B State Part B buy-in
                                  31                    C State Part A and B buy-in
                                  99                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,641                    N No buy-in this month
                               1,057                    Q State Part B QMB buy-in
                                 273                    S State Part B SLMB buy-in

H_MCDE06  357  1  $MCDCFMT                              C Medicaid eligibility for Jun

                                   0                    A State Part A buy-in
                                 895                    B State Part B buy-in
                                  31                    C State Part A and B buy-in
                                  99                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,646                    N No buy-in this month
                               1,047                    Q State Part B QMB buy-in
                                 277                    S State Part B SLMB buy-in

H_MCDE07  358  1  $MCDCFMT                              C Medicaid eligibility for Jul

                                   0                    A State Part A buy-in
                                 895                    B State Part B buy-in
                                  31                    C State Part A and B buy-in
                                  98                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,644                    N No buy-in this month
                               1,051                    Q State Part B QMB buy-in
                                 276                    S State Part B SLMB buy-in

H_MCDE08  359  1  $MCDCFMT                              C Medicaid eligibility for Aug

                                   0                    A State Part A buy-in
                                 902                    B State Part B buy-in
                                  31                    C State Part A and B buy-in
                                  97                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,645                    N No buy-in this month
                               1,048                    Q State Part B QMB buy-in
                                 272                    S State Part B SLMB buy-in

H_MCDE09  360  1  $MCDCFMT                              C Medicaid eligibility for Sep

                                   0                    A State Part A buy-in
                                 900                    B State Part B buy-in
                                  31                    C State Part A and B buy-in
                                  96                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,651                    N No buy-in this month
                               1,045                    Q State Part B QMB buy-in
                                 272                    S State Part B SLMB buy-in

H_MCDE10  361  1  $MCDCFMT                              C Medicaid eligibility for Oct

                                   0                    A State Part A buy-in
                                 896                    B State Part B buy-in
                                  31                    C State Part A and B buy-in
                                  95                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,651                    N No buy-in this month
                               1,049                    Q State Part B QMB buy-in
                                 273                    S State Part B SLMB buy-in

H_MCDE11  362  1  $MCDCFMT                              C Medicaid eligibility for Nov

                                   0                    A State Part A buy-in
                                 890                    B State Part B buy-in
                                  31                    C State Part A and B buy-in
                                  94                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,667                    N No buy-in this month
                               1,044                    Q State Part B QMB buy-in
                                 269                    S State Part B SLMB buy-in

H_MCDE12  363  1  $MCDCFMT                              C Medicaid eligibility for Dec

                                   0                    A State Part A buy-in
                                 871                    B State Part B buy-in
                                  30                    C State Part A and B buy-in
                                  94                    D State Part A and B QMB buy-in
                                   0                    E State Part A and B SLMB buy-in
                               9,708                    N No buy-in this month
                               1,030                    Q State Part B QMB buy-in
                                 262                    S State Part B SLMB buy-in

H_MACY01  364  3  $MACYFMT                              C Buy-in agency for Jan

                               9,616                    N Unknown, or no buy-in
                               2,379              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY02  367  3  $MACYFMT                              C Buy-in agency for Feb

                               9,618                    N Unknown, or no buy-in
                               2,377              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY03  370  3  $MACYFMT                              C Buy-in agency for Mar

                               9,628                    N Unknown, or no buy-in
                               2,367              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY04  373  3  $MACYFMT                              C Buy-in agency for Apr

                               9,639                    N Unknown, or no buy-in
                               2,356              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY05  376  3  $MACYFMT                              C Buy-in agency for May

                               9,641                    N Unknown, or no buy-in
                               2,354              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY06  379  3  $MACYFMT                              C Buy-in agency for Jun

                               9,646                    N Unknown, or no buy-in
                               2,349              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY07  382  3  $MACYFMT                              C Buy-in agency for Jul

                               9,644                    N Unknown, or no buy-in
                               2,351              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY08  385  3  $MACYFMT                              C Buy-in agency for Aug

                               9,645                    N Unknown, or no buy-in
                               2,350              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY09  388  3  $MACYFMT                              C Buy-in agency for Sep

                               9,651                    N Unknown, or no buy-in
                               2,344              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY10  391  3  $MACYFMT                              C Buy-in agency for Oct

                               9,651                    N Unknown, or no buy-in
                               2,344              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY11  394  3  $MACYFMT                              C Buy-in agency for Nov

                               9,667                    N Unknown, or no buy-in
                               2,328              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_MACY12  397  3  $MACYFMT                              C Buy-in agency for Dec

                               9,708                    N Unknown, or no buy-in
                               2,287              S00-S99 State Agency code
                                   0              000-999 State Agency code

H_HOSSW   400  1  $UTLFMT                               C One or more hospice bills in CY

                              11,665                    0 No utilization this type
                                 330                    1 Some utilization this type

H_INPSW   401  1  $UTLFMT                               C One or more inpatient discharges in CY

                               9,765                    0 No utilization this type
                               2,230                    1 Some utilization this type

H_SNFSW   402  1  $UTLFMT                               C One or more SNF admissions in CY

                              11,368                    0 No utilization this type
                                 627                    1 Some utilization this type

H_HHASW   403  1  $UTLFMT                               C 1 = one or more HHA visits in CY

                              11,037                    0 No utilization this type
                                 958                    1 Some utilization this type

H_OUTSW   404  1  $UTLFMT                               C One or more outpatient visits in CY

                               5,192                    0 No utilization this type
                               6,803                    1 Some utilization this type

H_PBSW    405  1  $UTLFMT                               C One or more Part B claims in CY

                               2,633                    0 No utilization this type
                               9,362                    1 Some utilization this type

H_PTARMB  406  7                                        N Total Part A reimbursement in CY ($)

H_PTBRMB  413  7                                        N Total Part B reimbursement in CY ($)

H_PTAPRM  420  8                                        N Total Pt. A premium SP paid in CY ($.CC)

H_PTBPRM  428  8                                        N Total Pt. B premium SP paid in CY ($.CC)

H_LATDCH  436  8  $DTE8FMT                              C Discharge date of latest inpatient stay

                               9,765                      Missing
                               2,230                      Date as YYYYMMDD

H_LATDRG  444  3  $DRGFMT                               C DRG code for latest inpatient stay

                               9,765                      Unknown, or no discharge
                               2,230                      DRG

H_DISDES  447  2  $STATUS                               C Discharge dest for latest inpatient stay

                               9,765                      Missing
                               1,207                   01 Discharged to home/self care
                                   7                   02 Discharged to other short-term hospital
                                 446                   03 Discharged to skilled nursing facility
                                  32                   04 Discharged to intermediate care facility
                                  13                   05 Disch to another type of institution
                                 289                   06 Discharged to home care of organized HMO
                                  13                   07 Left against medical advice/stopped care
                                   0                   08 Disch home under care of IV therapy prov
                                 120                   20 Expired (did not recover Christian Sci)
                                   4                   30 Still patient
                                   0                   40 Expired at home (hospice claims only)
                                   0                   41 Expired in hospital, SNF, ICF or hospice
                                   0                   42 Expired in unknown place (hospice only)
                                  33                   50 Hospice - home (eff. 10/96)
                                  23                   51 Hospice - medical facility (eff. 10/96)
                                  25                   61 Disch w/i facility to swing-bed SNF (99)
                                   0                   71 Disch to other facility for O/P svcs(99)
                                   0                   72 Disch to this facility for O/P svcs (99)
                                  18                      Other destination

H_INPSTY  449  2                                        N No. of inpatient stays for CY

H_INPDAY  451  3                                        N No. of inpatient covered days for CY

H_INPCHG  454  7                                        N Inpatient charges for CY ($)

H_INPCCH  461  7                                        N Inpatient covered charges for CY ($)

H_INPRMB  468  7                                        N Inpatient reimbursement for CY ($)

H_INPCDY  475  2                                        N Inpatient coinsurance days used in CY

H_INPCAM  477  5                                        N Total inpatient coinsurance amt CY ($)

H_SNFSTY  482  2                                        N Total SNF stays in CY

H_SNFDAY  484  3                                        N Total SNF covered days in CY

H_SNFCHG  487  7                                        N Total SNF charges in CY  ($)

H_SNFCCH  494  7                                        N Total SNF covered charges in CY ($)

H_SNFRMB  501  7                                        N Total SNF reimbursement in CY ($)

H_SNFCDY  508  3                                        N Total SNF coinsurance days in CY

H_SNFCAM  511  7                                        N Total SNF coinsurance amount in CY ($)

H_HHAVST  518  5                                        N Total HHA visits in CY

H_HHACCH  523  7                                        N Total HHA covered charges in CY ($)

H_HHACHO  530  7                                        N Total HHA other covered charges CY ($)

H_HHRMBA  537  7                                        N Total HHA reimbursement in CY ($), Pt. A

                 Notes: Prior to 1998 this was included in H_HHARMB.
                        First available in 1998

H_HHRMBB  544  7                                        N Total HHA reimbursement in CY ($), Pt. B

                 Notes: Prior to 1998 this was included in H_HHARMB.
                        First available in 1998

H_HSDAYS  551  3                                        N Total covered hospice days in CY

H_HSTCHG  554  7                                        N Total hospice charges CY ($)

H_HSREIM  561  7                                        N Total hospice reimbursement in CY ($)

H_OUTBIL  568  3                                        N Total outpatient bills in CY

H_OUTCHG  571  7                                        N Total outpatient covered charges CY ($)

H_OUTRMB  578  7                                        N Total outpatient reimbursement CY ($)

H_PMTCLM  585  4                                        N Total physician/supplier claims in CY

H_PMTLIN  589  4                                        N Total phys./supplier line items in CY

H_PMTSCH  593  7                                        N Total submitted phys/supplier charge ($)

H_PMTACH  600  7                                        N Total allowed phys/supplier charges ($)

H_PMTRMB  607  7                                        N Total phys/supplier reimbursement ($)

H_PMTVST  614  3                                        N Total office visits in CY

H_PMTCHO  617  7                                        N Total office visit charges in CY ($)

H_DMECLM  624  4                                        N Total DME supplier claims in CY

                 Notes: Prior to 1998 this was included in H_PMTCLM.
                        First available in 1998

H_DMELIN  628  4                                        N Total DME supplier line items in CY

                 Notes: Prior to 1998 this was included in H_PMTLIN.
                        First available in 1998

H_DMESCH  632  7                                        N Total DME supplier submitted charges ($)

                 Notes: Prior to 1998 this was included in H_PMTSCH.
                        First available in 1998

H_DMEACH  639  7                                        N Total DME supplier allowed charges ($)

                 Notes: Prior to 1998 this was included in H_PMTACH.
                        First available in 1998

H_DMERMB  646  7                                        N Total DME supplier reimbursement ($)

                 Notes: Prior to 1998 this was included in H_PMTRMB.
                        First available in 1998

