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The Texas Department of Insurance, Division of Workers’ Compensation maintains a database of institutional medical billing services for injured employees. It contains charges, payments, and treatment details billed on CMS-1450 forms by hospitals and medical facilities, covering the last five years of service dates. The data includes line-item details for individual bills, which can be grouped using bill ID and selection date.
Requires use of Bill ID and Bill Selection Date to group individual line items into a single bill; a separate header dataset exists for full context.
| # | Column Name |
|---|---|
| 1 | First HCPCS Modifier Billed Code |
| 2 | Fourth HCPCS Modifier Billed Code |
| 3 | Service Adjustment Reason Code 3 |
| 4 | Provider Agreement Line Code |
| 5 | Line Number |
| 6 | Service Adjustment Amount 4 |
| 7 | Third HCPCS Modifier Billed Code |
| 8 |
| Service Adjustment Units 1 |
| 9 | Service Adjustment Group Code 5 |
| 10 | Second HCPCS Modifier Paid Code |
| 11 | Treatment Line Authorization Number |
| 12 | Service Adjustment Group Code 3 |
| 13 | Revenue Billed Code |
| 14 | Bill ID |
| 15 | Second HCPCS Modifier Billed Code |
| 16 | Bill Selection Date |
| 17 | Service Adjustment Amount 2 |
| 18 | Bill Detail ID |
| 19 | Total Amount Paid Per Line |
| 20 | Days/Units Billed |
| 21 | Service Adjustment Units 4 |
| 22 | Service Adjustment Reason Code 5 |
| 23 | Service Adjustment Units 3 |
| 24 | Service Adjustment Reason Code 2 |
| 25 | Service Adjustment Amount 3 |
| 26 | Service Line To Date |
| 27 | Number of Service Adjustments |
| 28 | Service Adjustment Reason Code 4 |
| 29 | Service Line From Date |
| 30 | First HCPCS Modifier Paid Code |
| 31 | HCPCS Line Procedure Paid Code |
| 32 | HCPCS Line Procedure Billed Code |
| 33 | Service Adjustment Reason Code 1 |
| 34 | Revenue Paid Code |
| 35 | Place of Service Line Code |
| 36 | Service Adjustment Amount 5 |
| 37 | Service Adjustment Units 5 |
| 38 | Service Adjustment Units 2 |
| 39 | Service Adjustment Group Code 2 |
| 40 | Service Adjustment Group Code 1 |
| 41 | Procedure Description |
| 42 | Total Charge Per Line |
| 43 | Service Adjustment Amount 1 |
| 44 | Days/Units Code |
| 45 | Contract Line Type Code |
| 46 | Rendering Line Provider National Provider ID |
| 47 | Fourth HCPCS Modifier Paid Code |
| 48 | Third HCPCS Modifier Paid Code |
| 49 | Days/Units Paid |
| 50 | Service Adjustment Group Code 4 |
| 51 | Revenue Unit Rate |