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