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APCD Dervied Dental Claim Match

Flag appended when a dental service occurred for this member during an active enrollment period for the member.  Methodology:  Date of service (DC035) is within member enrollment and disenrollment dates (ME162A and ME163A).

Values:  

1 = Dental claim matches member record during the member's  Dental claims were processed during member’s enrollment period

0 = Dental claim does not match member during the member's enrollment period  Dental claims were not processed during member’s enrollment period

Integer

Tinyint

100%

Computed

This is a derived field that should be used to supplement the submitting entity required field, ME020.

042