CLP_NY_MEDICAID_INFO

Description:

This table contains information about data that will be used when processing claims on the eMedNY 150003 paper claim form for New York Medicaid.

Primary Key

Column Name	Ordinal Position
CLAIM_PRINT_ID	1

Column Information

	Name	Type	Discontinued?
1	CLAIM_PRINT_ID	NUMERIC	No
	The unique identifier for the claim record.
2	EMEDNY_PAYMENT_SOURCE_MCARE_C_NAME	VARCHAR	No
	This is the single-digit source code indicator that indicates Medicare's involvement in paying for these charges on the eMedNY 150003 claim form. May contain organization-specific values: No Category Entries: No Medicare Involvement Member Has Medicare Part B; Medicare Approved the Service Member Has Medicare Part B; Medicare Denied Payment
3	EMEDNY_PAYMENT_SOURCE_OTHER_C_NAME	VARCHAR	No
	This is a single-digit code indicating whether the patient has a coverage besides Medicare and Medicaid on the eMedNY 150003 claim form. May contain organization-specific values: No Category Entries: No Other Insurance Involvement Member Has Other Insurance Coverage Member Participation
4	EMEDNY_PAYMENT_SOURCE_INS_CODE	VARCHAR	No
	This is the two-digit insurance code for the commercial coverage, if any, on the eMedNY 150003 claim form.