RR Submission Version Data A(December 2012)

data.healthcare.gov | Last Updated 16 May 2014

This table contains all the column names and their descriptions for the RR_SUBMISSION_VERSION_DATA_A CSV. This CSV contains the Table A data contained in each submitted Part 1 Rate Summary Form.

This dataset has the following 52 columns:

Column NameAPI Column NameData TypeDescriptionSample Values
RR_SUBMISSION_VERSION_IDrr_submission_version_idtextVersion Identifier for this Rate Review Submission
BASE_PERIOD_START_DATEbase_period_start_datecalendar_dateDate that is the beginning of the experience Base Period
BASE_PERIOD_END_DATEbase_period_end_datecalendar_dateDate that is the end of the experience Base Period
INP_MEMBER_MONTHSinp_member_monthsnumberNumber of Member Months of experience in Inpatient Service Category during base period
INP_TOTAL_ALLOWEDinp_total_allowednumberTotal amount of Claims incurred in Inpatient Service Category on an allowable basis during base period
INP_NET_CLAIMSinp_net_claimsnumberNet amount of Claims incurred in Inpatient Service Category on an allowable basis during base period
INP_COST_SHARINGinp_cost_sharingnumberAmount of Cost Sharing for Inpatient Service Category during base period
INP_COST_SHARE_PMPMinp_cost_share_pmpmnumberCost Sharing Per Member Per Month (PMPM) for Inpatient Service Category during base period
INP_NET_PMPMinp_net_pmpmnumberNet Claims Per Member Per Month (PMPM) for Inpatient Service Category during Projection Period
INP_PMPMinp_pmpmnumberAllowed Per Member Per Month (PMPM) for Inpatient Service Category during base period
OUTP_MEMBER_MONTHSoutp_member_monthsnumberNumber of Member Months of experience in Outpatient Service Category during base period
OUTP_TOTAL_ALLOWEDoutp_total_allowednumberTotal amount of Claims incurred in Outpatient Service Category on an allowable basis during base period
OUTP_NET_CLAIMSoutp_net_claimsnumberNet amount of Claims incurred in Outpatient Service Category on an allowable basis during base period
OUTP_COST_SHARINGoutp_cost_sharingnumberAmount of Cost Sharing for Outpatient Service Category during base period
OUTP_COST_SHARE_PMPMoutp_cost_share_pmpmnumberCost Sharing Per Member Per Month (PMPM) for Outpatient Service Category during base period
OUTP_NET_PMPMoutp_net_pmpmnumberNet Claims Per Member Per Month (PMPM) for Outpatient Service Category during base period
OUTP_PMPMoutp_pmpmnumberAllowed Per Member Per Month (PMPM) for Outpatient Service Category during base period
PROF_MEMBER_MONTHSprof_member_monthsnumberNumber of Member Months of experience in Professional Service Category during base period
PROF_TOTAL_ALLOWEDprof_total_allowednumberTotal amount of Claims incurred in Professional Service Category on an allowable basis during base period
PROF_NET_CLAIMSprof_net_claimsnumberNet amount of Claims incurred in Professional Service Category on an allowable basis during base period
PROF_COST_SHARINGprof_cost_sharingnumberAmount of Cost Sharing for Professional Service Category during base period
PROF_COST_SHARE_PMPMprof_cost_share_pmpmnumberCost Sharing Per Member Per Month (PMPM) for Professional Service Category during base period
PROF_NET_PMPMprof_net_pmpmnumberNet Claims Per Member Per Month (PMPM) for Outpatient Service Category during base period
PROF_PMPMprof_pmpmnumberAllowed Per Member Per Month (PMPM) for Outpatient Service Category during base period
PRES_MEMBER_MONTHSpres_member_monthsnumberNumber of Member Months of experience in Prescription Drugs Service Category during base period
PRES_TOTAL_ALLOWEDpres_total_allowednumberTotal amount of Claims incurred in Prescription Drugs Service Category on an allowable basis during base period
PRES_NET_CLAIMSpres_net_claimsnumberNet amount of Claims incurred in Inpatient Service Category on an allowable basis during base period
PRES_COST_SHARINGpres_cost_sharingnumberAmount of Cost Sharing for Prescription Drugs Service Category during base period
PRES_COST_SHARE_PMPMpres_cost_share_pmpmnumberCost Sharing Per Member Per Month (PMPM) for Prescription Drugs Service Category during base period
PRES_NET_PMPMpres_net_pmpmnumberNet Claims Per Member Per Month (PMPM) for Prescription Drugs Service Category during base period
PRES_PMPMpres_pmpmnumberAllowed Per Member Per Month (PMPM) for Prescription Drugs Service Category during base period
OTH_MEMBER_MONTHSoth_member_monthsnumberNumber of Member Months of experience in Other Service Category during base period
OTH_TOTAL_ALLOWEDoth_total_allowednumberTotal amount of Claims incurred in Other Service Category on an allowable basis during base period
OTH_NET_CLAIMSoth_net_claimsnumberNet amount of Claims incurred in Inpatient Service Category on an allowable basis during base period
OTH_COST_SHARINGoth_cost_sharingnumberAmount of Cost Sharing for Other Service Category during base period
OTH_COST_SHARE_PMPMoth_cost_share_pmpmnumberCost Sharing Per Member Per Month (PMPM) for Other Service Category during base period
OTH_NET_PMPMoth_net_pmpmnumberNet Claims Per Member Per Month (PMPM) for Other Service Category during base period
OTH_PMPMoth_pmpmnumberAllowed Per Member Per Month (PMPM) for Other Service Category during base period
CAP_MEMBER_MONTHScap_member_monthsnumberNumber of Member Months of experience for all items Capitated during base period
CAP_TOTAL_ALLOWEDcap_total_allowednumberTotal amount of Claims incurred for all items Capitated on an allowable basis during base period
CAP_NET_CLAIMScap_net_claimsnumberNet amount of Claims incurred for all items Capitated on an allowable basis during base period
CAP_COST_SHARINGcap_cost_sharingnumberAmount of Cost Sharing for all items Capitated during base period
CAP_COST_SHARE_PMPMcap_cost_share_pmpmnumberCost Sharing Per Member Per Month (PMPM) for all items Capitated during base period
CAP_NET_PMPMcap_net_pmpmnumberNet Claims Per Member Per Month (PMPM) for all items Capitated during base period
CAP_PMPMcap_pmpmnumberAllowed Per Member Per Month (PMPM) for all items Capitated during base period
TOT_MEMBER_MONTHStot_member_monthsnumberTotal Number of Member Months of experience for all Service Categories during base period
TOT_TOTAL_ALLOWEDtot_total_allowednumberTotal amount of Claims incurred for all Service Categories on an allowable basis during base period
TOT_NET_CLAIMStot_net_claimsnumberNet amount of Claims incurred for all Service Categories on an allowable basis during base period
TOT_COST_SHARINGtot_cost_sharingnumberAmount of Cost Sharing for all Service Categories during base period
TOT_COST_SHARE_PMPMtot_cost_share_pmpmnumberCost Sharing Per Member Per Month (PMPM) for all Service Categories during base period
TOT_NET_PMPMtot_net_pmpmnumberNet Claims Per Member Per Month (PMPM) for all Service Categories during base period
TOT_PMPMtot_pmpmnumberAllowed Per Member Per Month (PMPM) for all Service Categories during base period