RECIPIENT'S TOTAL NUMBER OF PREMIUM PAYMENT CLAIMS FOR THE CALENDAR YEAR, FOR TYPES OF SERVICE = 20-23. (SAS USERS: ZONED DECIMAL - ZD5)
Comments
USER NOTE: RECORDS WITH TYPES OF SERVICE = 20-23 SHOULD HAVE TYPE OF CLAIM = 2 (CAPITATED PAYMENT). IF NOT, IT IS MORE LIKELY THAT TYPE_ OF_SERVICE IS CORRECT. SO, WE COUNT RECORDS HERE WITH TYPES OF SERVICE = 20-23 AND ANY VALUE FOR TYPE OF CLAIM.
USER NOTE: RECORDS WITH TYPES OF SERVICE = 20-23 SHOULD HAVE TYPE OF CLAIM = 2 (CAPITATED PAYMENT). IF NOT, IT IS MORE LIKELY THAT TYPE_ OF_SERVICE IS CORRECT. SO, WE COUNT RECORDS HERE WITH TYPES OF SERVICE = 20-23 AND ANY VALUE FOR TYPE OF CLAIM.
SOURCE: MSIS CLAIMS FILES.