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ME020A

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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.
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