MC_PRICER_CVG_OUT

Description: |
This table contains coverage information from Local Coverage Determination (LCD) and National Coverage Determination (NCD) checks calculated from the Epic Pricer.

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
PRICER_MSG_ID | 1 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | PRICER_MSG_ID | NUMERIC | No |
The unique identifier for the Epic Pricer message record.
2 | CONTRACTOR_NUM | VARCHAR | No |
Contractor number from the Epic Pricer's coverage determination output.
3 | CONTRACTOR_TYPE_C_NAME | VARCHAR | No |
Contractor type from the Epic Pricer's coverage determination output.
May contain organization-specific values: No
Category Entries:
A
B
HHH
DME
4 | REVIEW_NEEDED_YN | VARCHAR | No |
Is Review Needed flag from the Epic Pricer's coverage determination output.
May contain organization-specific values: No
Category Entries:
No
Yes
5 | NOT_COVERED_YN | VARCHAR | No |
Is There Not Covered flag from the Epic Pricer's coverage determination output.
The category values for this column were already listed for column: REVIEW_NEEDED_YN
6 | LCD_CHECK_RESULT_C_NAME | VARCHAR | No |
LCD Check Result from the Epic Pricer's coverage determination output.
May contain organization-specific values: No
Category Entries:
Check Skipped
Covered
Not Covered
Review Needed
Does Not Match Listed Dx
Conditionally Not Covered