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.