MOA Medicare Outpatient Adjudication

Opt

AtMax 1

To convey claim-level data related to the adjudication of Medicare claims not related to an inpatient setting

Elements

Position	Element	Name		Type	Min/Max	Repeat

1	954	Percent	Opt	Decimal	1/10	Exact 1
2	782	Monetary Amount	Opt	Decimal	1/18	Exact 1
3	127	Reference Identification	Opt	Alphanumeric	1/30	Exact 1
4	127	Reference Identification	Opt	Alphanumeric	1/30	Exact 1
5	127	Reference Identification	Opt	Alphanumeric	1/30	Exact 1
6	127	Reference Identification	Opt	Alphanumeric	1/30	Exact 1
7	127	Reference Identification	Opt	Alphanumeric	1/30	Exact 1
8	782	Monetary Amount	Opt	Decimal	1/18	Exact 1
9	782	Monetary Amount	Opt	Decimal	1/18	Exact 1

ID954

NamePercent

LengthMin 1 / Max 10

Position1

RequirementOpt