Report the value that defines if family Family Lookup Service is related planning services were provided. MC Planning 11/8/12 Table - int[1] All 98% A2 to Family Planning EXAMPLE: 0 = Unknown / Not Indicator Integer Applicable Value Description 1 Family planning services provided 2 Abortion services provided 3 Sterilization services provided 4 No family planning services provided 0 Unknown / Not Applicable / Not Avail Report the value that defines the Lookup Indicator - element. EXAMPLE: 1 = Yes, Claim MC Related 11/8/12 Table - int[1] All 100% A2 Accident Related Line was related to employment Indicator Integer accident. Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable Service related to Report the value that defines if Early Periodic service was related to EPSDT and Lookup Screening, the type of EPSDT service, such as MC 11/8/12 Table - int[1] All 98% B Indicator Diagnosis and 'screening', 'treatment' or ‘referral’. Integer Treatment EXAMPLE: 0 = Unknown / Not (EPSDT) Applicable Value Description 1 EPSDT Screen 2 EPSDT Treatment 3 EPSDT Referral
MC Family Planning Indicator 11/8/12 Lookup Table - Integer int[1] Service is related to Family Planning Report the value that defines if family planning services were provided. EXAMPLE: 0 = Unknown / Not Applicable All 98% A2 Value Description 1 Family planning services provided 2 Abortion services provided 3 Sterilization services provided 4 No family planning services provided 0 Unknown / Not Applicable / Not Avail MC Related Indicator 11/8/12 Lookup Table - Integer int[1] Indicator - Accident Related Report the value that defines the element. EXAMPLE: 1 = Yes, Claim Line was related to employment accident. All 100% A2 Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable MC Indicator 11/8/12 Lookup Table - Integer int[1] Service related to Early Periodic Screening, Diagnosis and Treatment (EPSDT) Report the value that defines if service was related to EPSDT and the type of EPSDT service, such as 'screening', 'treatment' or ‘referral’. EXAMPLE: 0 = Unknown / Not Applicable All 98% B Value Description 1 EPSDT Screen 2 EPSDT Treatment 3 EPSDT Referral
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