Skip to end of banner
Go to start of banner

ME020A

Skip to end of metadata
Go to start of metadata

You are viewing an old version of this page. View the current version.

Compare with Current View Page History

Version 1 Next »

Data ElementAPCD Dervied Dental Claim Match
Description

Indicates that a member record matches an existing dental claims record in the APCD if 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 enrollment period

0 = Dental claim does not match member during the member's enrollment period 

TypeInteger
FormatTinyint
Length
Threshold100%
RequiredYes
Tip / NotesThis is a derived field that should be used to supplement the submitting entity required field, ME020.
Rank
  • No labels