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CIP - CLAIM INPATIENT
Inpatient hospital facility claims and managed care encounter records.
CLT - CLAIM LONG-TERM CARE
Institutional long-term care facility claims and managed care encounter records.
COT - CLAIM OTHER
Professional, Dental, Outpatient Institutional claims and encounter, capitation payments and other financial transactions.
CRX - CLAIM PHARMACY
Pharmacy claims and managed care encounter records.
ELG - ELIGIBLE
Enhanced information about beneficiary enrollment and eligibility including person level demographic and eligibility data.
MCR - MANAGED CARE PLAN INFORMATION
New file of Managed Care Organizations (MCO) plan level participation and characteristics data.
PRV - PROVIDER
New file of provider enrollment with Medicaid and MCOs including demographics and characteristics data.
TPL - THIRD-PARTY LIABILITY
New file of beneficiary level third-party liability (TPL) data and insurance carrier level data.