NAME TYPE LENGTH ------------------------------------- ------ 8. AGE NUM 3 BENEFICIARY'S AGE AT END OF THE REFERENCE YEAR. IN THE EVENT THAT THE BENEFICIARY EXPIRED DURING THE REFERENCE YEAR, THE AGE AT DATE OF DEATH IS USED. THIS DATE IS VERIFIED USING BOTH THE DATE OF DEATH AND VALID DATE OF DEATH INDICATOR SWITCH FROM THE CMS 100% DENOMINATOR FILE. 3 DIGITS CODES: AGE > 115, CODED AS 115 CCW FIELD SOURCE AND DERIVATION: Primary = Beneficiary Summary File Processing Calculation, Including Beneficiary Year of Birth as given on the UEDB and the Reference Year of the Beneficiary Summary File being created. If Age>115, Age=115 (maximum age allowed) If Age<0, Age=missing (erroneous date of birth) If the beneficiary died during the reference year, the beneficiary's birth date is substracted from the beneficiary's death date to calculate age, if the beneficiary is alive, the beneficiary's date of birth is substracted from 12/31 of the reference year to calculate the beneficiary's age CMS DENOMINATOR DIFFERENCE: Secondary Processing: 1) RIC-J; Field Name: BENE_ENTLMT_RSN_CD 2) RIC-A; Field Name: BENE_MDCR_STUS_CD If Age >= 98, Age=98 (maximum age allowed). The date of birth given by the input file is used to determine this field value. If the input file does not provide a valid date of birth for a beneficiary, then the following rules are used to set the beneficiary's age: (1) If there is no recorded entitlement history and no recorded Medicare status history information found in the EDB for the beneficiary, then the value in this field is set to 65. (2) If there is entitlement reason history found but no Medicare status code history found in the EDB, and if the latest entitlement reason history indicates that the beneficiary's reason for entitlement is not 'aged', then the value in this field is set to 62. (3) If there is Medicare status code history found for the beneficiary but no entitlement reason history for the beneficiary has been found from the EDB, and if the latest Medicare status code history indicates that the beneficiary's Medicare status was not 'aged' or 'aged with ESRD', then the value of thisfield is set to 62. (4) If none of 1, 2, or 3 above applies to the beneficiary, then the value in this field is set to 65.