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Release Notes:
Data Element
Version 2010A1

Data Element Name: Patient HIC#
Collected For: All Records, CMS Only , Collected by CMS for patients with a Payment Source - Medicare who have a standard HIC number.
Definition:The patient's Medicare health insurance claim number.
Suggested Data Collection Question:What is the patientís Medicare/HIC number?

Format:
Length:7 - 12
Type:Character
Occurs:1
Allowable Values:

General Rules:

  • No embedded dashes or spaces or special characters
  • Must have both alpha and numeric characters
  • Alpha characters must be upper case
  • Length cannot be more than 12 or less than 7 characters
  • For alphanumeric values, do not allow all numeric values to be 9ís. For example do not allow 1 alpha + 999999999, etc.
If First Character is Numeric
Suffix rules:
  • If the first character is numeric, (0-9), then the first 9 characters must be numeric. For example:
    • IF HIC # length = 10, THEN Rule = 9 numeric + 1 alpha
    • IF HIC # length = 11, THEN Rule = 9 numeric + 1 alpha + 1 numeric OR 9 numeric + 2 alpha
If First Character is Alpha
Prefix rules:
  • If the first character is alpha, (0-9), there must be 1-3 alpha characters followed by 6 or 9 numbers. For example:
    • IF HIC # length = 7, THEN Rule = 1 alpha + 6 numeric
    • IF HIC # length = 8, THEN Rule = 2 alpha + 6 numeric
    • IF HIC # length = 9, THEN Rule = 3 alpha + 6 numeric
    • IF HIC # length = 10, THEN Rule = 1 alpha + 9 numeric
    • IF HIC # length = 11, THEN Rule = 2 alpha + 9 numeric
    • IF HIC # length = 12, THEN Rule = 3 alpha + 9 numeric
Notes for Abstraction:
  • Patient HIC# is required for data transmission of all cases submitted to the QIO Clinical Warehouse with a Payment Source - Medicare that have a standard HIC#. (Refer to data element Payment Source-Medicare)
  • Refer to the CMS National Hospital Quality Measure Data Transmission sub-section, within the Transmission section, for further guidance.
Suggested Data Sources:
  • Emergency department record
  • Face sheet
  • UB-04, Field Location: 60A, B or C, whichever line corresponds to the Medicare entry
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • None

Patient HIC#
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)