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 information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
MOA03 is the Claim Payment Remark Code. See Code Source 411.
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
MOA04 is the Claim Payment Remark Code. See Code Source 411.
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
MOA05 is the Claim Payment Remark Code. See Code Source 411.
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
MOA06 is the Claim Payment Remark Code. See Code Source 411.
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
MOA07 is the Claim Payment Remark Code. See Code 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.