AP_CLAIM_IF_INFO_MOE

Description: |
Claim level data that can be sent or received by prospective payment systems (PPS) pricers that use the Medicaid Outpatient Editor (MOE).

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
CLAIM_ID | 1 |
LINE | 2 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | CLAIM_ID | NUMERIC | No |
The unique identifier (.1 item) for the claim info record.
2 | LINE | INTEGER | No |
The line number for the information associated with this record. Multiple pieces of information can be associated with this record.
3 | MOE_RELEASE_VERSION | VARCHAR | No |
Editor release version number applicable to this claim.
4 | MOE_CLM_ERROR_NUM | VARCHAR | No |
Number of claim-level edits returned.
5 | MOE_DX_ERROR_NUM | VARCHAR | No |
Number of diagnosis edits returned.
6 | MOE_PX_ERROR_NUM | VARCHAR | No |
Number of procedure edits returned.
7 | MOE_TOTAL_ERRORS | VARCHAR | No |
Total number of edits identified for this claim.
8 | MOE_CLM_DISPOSITION | VARCHAR | No |
Overall disposition of the claim, including claim-level, diagnosis, and procedure edits.
9 | MOE_ERROR_DISP | VARCHAR | No |
Claim disposition flag array; one flag for each disposition.
10 | MOE_HI_CLM_ERR_DISP | VARCHAR | No |
Highest claim-level edit disposition.
11 | MOE_CLM_ERRORS | VARCHAR | No |
Codes that describe any claim-level edits found by the editor.