AP_CLM_IF_MOE_PX_VALIDITY

Description:

Procedure validity indicators received by prospective payment systems (PPS) pricers that use the Medicaid Outpatient Editor (MOE). This table extracts the related multiple response item CLM-22315.

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_PX_VALIDITY	VARCHAR	No
	Indicator of if the procedure is valid, or what is causing it to be invalid.