AP_CLM_IF_MOE_PX_BILATER

Description:

The bilateral modifier of procedures received by prospective payment systems (PPS) pricers that use the Medicaid Outpatient Editor (MOE). This table extracts the related multiple response item CLM-22322.

Primary Key

Column Name	Ordinal Position
CLAIM_ID	1
GROUP_LINE	2
VALUE_LINE	3

Column Information

	Name	Type	Discontinued?
1	CLAIM_ID	NUMERIC	No
	The unique identifier (.1 item) for the claim info record.
2	GROUP_LINE	INTEGER	No
	The line number for the information associated with this record.
3	VALUE_LINE	INTEGER	No
	The line number of one of the multiple values associated with a specific group of data within this record.
4	MOE_BILATERAL_MOD	VARCHAR	No
	Indicates which bilateral modifier the procedure was priced with if it applies.