Release Notes:
Data Element
Version 2010B
| Data Element Name: | Patient HIC# |
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| Collected For: | All Records, CMS Only , Collected by CMS for patients with a Payment Source - Medicare who have a standard HIC number. |
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| Definition: | The patient's Medicare health insurance claim number. |
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| Suggested Data Collection Question: | What is the patient’s Medicare/HIC number?
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| Format: | | Length: | 7 - 12 |
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| Type: | Character |
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| Occurs: | 1 |
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| 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 9’s. 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
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| 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.
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| Suggested Data Sources: |
- Emergency department record
- Face sheet
- UB-04, Field Location: 60A, B or C, whichever line corresponds to the Medicare entry
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| Additional Notes: |
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| Guidelines for Abstraction: |
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Patient HIC#
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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