MOA Medicare Outpatient Adjudication
To convey claim-level data related to the adjudication of Medicare claims not related to an inpatient setting
Position
Element
Name
Type
Requirement
Min
Max
Repeat
Percentage expressed as a decimal
MOA01 is the reimbursement rate.
Monetary amount.
MOA02 is the claim Health Care Financing Administration Common Procedural Coding System (HCPCS) payable amount.
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
MOA03 is the Health Care Financing Administration Claim Payment Remark code.
See Code Source 411.
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
MOA04 is the Health Care Financing Administration Claim Payment Remark code.
See Code Source 411.
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
MOA05 is the Health Care Financing Administration Claim Payment Remark code.
See Code Source 411.
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
MOA06 is the Health Care Financing Administration Claim Payment Remark code.
See Code Source 411.
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
MOA07 is the Health Care Financing Administration Payment Remark code. See Source 411.
Monetary amount.
MOA08 is the End Stage Renal Disease (ESRD) payment amount.
Monetary amount.
MOA09 is the professional component amount billed but not payable.