NAME TYPE LENGTH ------------------------------------- ------ 13. PART A TERMINATION CODE CHAR 1 THIS CODE SPECIFIES THE REASON PART A ENTITLEMENT WAS TERMINATED. SHORT NAME: A_TRM_CD LONG NAME: BENE_PTA_TRMNTN_CD CODES: EFFECTIVE 1992 0 = NOT TERMINATED 1 = DEAD 2 = NON-PAYMENT OF PREMIUM 3 = VOLUNTARY WITHDRAWAL 9 = OTHER TERMINATION CCW FIELD SOURCE AND DERIVATION: Denominator Field #24 (Beneficiary Validated Day of Death Indicator) RIC-C; Field Name: BENE_PTA_ENTLMT_STUS_CD The Medicare Part A Entitlement Termination Reason Code value for this field is determined either by the most recent Medicare Part A history (prior to the end of the reference year or date of death if the beneficiary died during the reference year) found for the beneficiary on the UEDB, or it is derived from Beneficiary Validated Day of Death Indicator. The following ordered rules determine the value for this field: (1) The default value for this field is ‘0.’ If this field is not modified by any of the following rules, then the value of this field will remain ‘0’, (2) If Beneficiary Validated Day of Death Indicator is set to ‘V’ (beneficiary has a validated day of death), then this field is set to ‘1’, (3) If Beneficiary Validated Day of Death Indicator has no value (i.e., the field is blank, because the beneficiary does not have a validated day of death), then the following rules are applied to this field: (a) If there is no recorded history of Medicare Part A found for the beneficiary on the UEDB, this field keeps the value ‘0’ assigned in step (1), (b) If recorded Medicare Part A history for the beneficiary is found on the UEDB, then the following rules are applied to this field: (i) If the Medicare Part A entitlement status in the most recent Medicare Part A history (prior to the end of the reference year or date of death if the beneficiary died during the reference year) is ‘T’ (Terminated for Non- Payment of Premiums), then this field is set to ‘2’, (ii) If the Medicare Part A entitlement status in the most recent Medicare Part A history (prior to the end of the reference year or date of death if the beneficiary died during the reference year) is ‘W’ (Voluntary Withdrawal from Premium Coverage), then this field is set to ‘3’, (iii) If the Medicare Part A entitlement status in the most recent Medicare Part A history (prior to the end of the reference year or date of death if the beneficiary died during the reference year) is ‘C’ (No Longer Entitled Due to Disability Cessation), ‘F’ (Terminated Due to Invalid Enrollment or Enrollment Voided), ‘S’ (Terminated, No Longer Entitled Under ESRD Provision), or ‘X’ (Free Part A Terminated or Refused Hospital Insurance), then this field is set to ‘9.’