MOA Outpatient Adjudication

Batch

To provide claim level data related to the adjudication of outpatient claims

Elements

PositionElementNameTypeMin/MaxRepeat
1954Percentage as DecimalOptDecimal1/101
2782Monetary AmountOptDecimal1/181
3127Reference IdentificationOptAlphanumeric1/801
4127Reference IdentificationOptAlphanumeric1/801
5127Reference IdentificationOptAlphanumeric1/801
6127Reference IdentificationOptAlphanumeric1/801
7127Reference IdentificationOptAlphanumeric1/801
8782Monetary AmountOptDecimal1/181
9782Monetary AmountOptDecimal1/181

Element Details

ID954
NamePercentage as Decimal
LengthMin 1 / Max 10
Position1
RequirementOpt