In this example we will be attempting to classify opioid useage.
- ClaimID Unique: Identifier for a claim
- Accident DateID*: Number of days since the accident occurred from an arbitrary date
- Claim Setup DateID*: Number of days since the Resolution Manager sets up the claim from an arbitrary date
- Report To DateID*: Number of days since the employer notifies insurance of a claim from an arbitrary date
- Employer Notification DateID*: Number of days since the claimant notifies employer of an injury from an arbitrary date
- Benefits State: The jurisdiction whose benefits are applied to a claim
- Accident State: State in which the accident occurred
- Industry ID: Broad industry classification categories
- Claimant Age: Age of the injured worker
- Claimant Sex: Sex of the injured worker
- Claimant State: State in which the claimant resides
- Claimant Marital Status: Marital status of the injured worker
- Number Dependents: Number of dependents the claimant has
- Weekly Wage: An average of the claimant’s weekly wages as of the injury date.
- Employment Status Flag:
- Valid employment status codes are:
- F – Regular full-time employee
- P – Part-time employee
- U – Unemployed
- S – On strike
- D – Disabled
- R – Retired
- O – Other
- L – Seasonal worker
- V – Volunteer worker
- A – Apprenticeship full-time
- B – Apprenticeship part-time
- C – Piece worker
- RTW Restriction Flag: A Y/N flag, used to indicate whether the employees responsibilities upon returning to work were limited as a result of his/her illness or injury.
- Max Medical Improvement DateID: DateID of Maximum Medical Improvement, after which further recovery from or lasting improvements to an injury or disease can no longer be anticipated based on reasonable medical probability.
- Percent Impairment: Indicates the percentage of anatomic or functional abnormality or loss, for the body as a whole, which resulted from the injury and exists after the date of maximum medical improvement
- Post Injury Weekly Wage: The weekly wage of the claimant after returning to work, post-injury, and/or the claim is closed.
- NCCI Job Code: A code that is established to identify and categorize jobs for workers’ compensation.
- Surgery Flag: Indicates if the claimant’s injury will require or did require surgery
- Disability Status:
- Temporary Total Disability (TTD)
- Temporary Partial Disability (TPD)
- Permanent Partial Disability (PPD)
- Permanent Total Disability (PTD)
- SIC Group: Standard Industry Classification group for the client
- NCCI BINatureOfLossDescription: Description of the end result of the bodily injury (BI) loss occurrence
- Accident Source Code: A code identifying the object or source which inflicted the injury or damage.
- Accident Type Group: A code identifying the general action which occurred resulting in the loss
- Neurology Payment Flag: Indicates if there were any payments made for diagnosis and treatment of disorders ofthe nervous system without surgical intervention
- Neurosurgery Payment Flag: Indicates if there were any payments made for services by physicians specializing in the diagnosis and treatment of disorders of the nervous system, including surgical intervention if needed
- Dentist Payment Flag: Indicates if there were any payments made for prevention, diagnosis, and treatment of diseases of the teeth and gums
- Orthopedic Surgery Payment Flag: Indicates if there were any payments made for surgery dealing with the skeletal system and preservation and restoration of its articulations and structures.
- Psychiatry Payment Flag: Indicates if there were any payments made for treatment of mental, emotional, or behavioral disorders.
- Hand Surgery Payment Flag: Indicates if there were any payments made for surgery only addressing one or both hands.
- Optometrist Payment Flag: Indicates if there were any payments made to specialists who examine the eye for defects and faults of refraction and prescribe correctional lenses or exercises but not drugs or surgery
- Podiatry Payment Flag: Indicates if there were any payments made for services from a specialist concerned with the care of the foot, including its anatomy, medical and surgical treatment, and its diseases.
- HCPCS A Codes - HCPCS Z Codes: Count of the number of HCPCS codes that appear on the claim within each respective code group
- ICD Group 1 - ICD Group 21: Count of the number of ICD codes that appear on the claim w/in each respective code group
- Count of the number of codes on the claim
- CPT Category - Anesthesia
- CPT Category - Eval_Mgmt
- CPT Category - Medicine
- CPT Category - Path_Lab
- CPT Category - Radiology
- CPT Category - Surgery
- Count of the number of NDC codes on the claim within eachrespective code class
- NDC Class - Benzo
- NDC Class - Misc (Zolpidem)
- NDC Class - Muscle Relaxants
- NDC Class - Stimulants
- Opioids Used A True (1) or False (0) indicator for whether or not the claimant