Flag appended when a medical service occurred for this member during an active enrollment period for the member. Methodology: Date of service (MC059) is within member enrollment and disenrollment dates (ME162A and ME163A).
Values:
1 = Medical claim matches member record during the member's enrollment period
0 = Medical claim does not match member during the member's enrollment period
Type
Integer
Format
Tinyint
Length
Threshold
100%
Required
Computed
Tip / Notes
This is a derived field that should be used to supplement the submitting entity required field, ME018.
Add Comment