Acronyms
MHD
What is MO HealthNet?
These were traditionally ME Codes 71-75.
What are CHIP ME Codes?
These are Managed Care Provider Types
What is Provider Type 81?
Medical, Outpatient, Inpatient, Dental are examples of this.
What is Claim Type?
Before you start writing a report, you have to select one of these. It is where the data lives.
What is a package?
COA
What is Category of Aid?
These are ME Codes 80 and 89.
What are Women's Health ME Codes?
This the Genral Hospital Provider Type.
What is Provider Type 01?
It could be Paid, Denied, or Void.
What is Claim Status?
You can pull data into a single query as long as they all exist within this.
What is a Namespace?
NEMT
What is Non-Emergency Medical Transportation?
ME Codes 18, 43, 44, 45, and 61 are all related to this.
What is pregnancy?
This is a Pharmacy Provider Type.
What is Provider Type 60?
Some claims require these to pay for a service. They often have date, provider, and procedure restrictions.
What is Prior Authorization?
If you wanted to match two queries on a field and bring them into a single query, you would use this.
What is a Join?
eMMIS
What is Electronic Missouri Medicaid Information Systems?
That is the Adult Expansion Group (AEG) ME Code.
What is ME E2?
This Provider Type is for a Dentist.
What is Provider Type 40?
This tells you whether a line paid or denied among other things.
What is Charge Source Code?
This is usually the last step in building a report. If you forget to build this, your output comes back blank.
What is Page?
TMSIS
What is Transformed Medicaid Statistical Information System?
ME you say? That doesn't exist in IBM EDW. It is know by this instead.
What is Aid Category Code?
When a Provider is enrolled with a Managed Care Plan but not Fee For Service, they use this Provider Type.
What is Provider Type 83?
It's not a location. It's the first two digits of a Claim ICN.
What is Claim Region Code?
You would drag this into the data item if you wanted to derive your own field.
What is a Query Calculation?