The field identifies the claims that qualify for specific claims processing edits related to benefit enhancement through the Next Generation (NG) Accountable Care Organization (ACO).
There are 5 of these ACO fields (CLM_NEXT_GNRTN_ACO_IND_CD1 - CLM_NEXT_GNRTN_ACO_IND_CD5).
|Base record (no enhancements)|
|1||Population Based Payments (PBP)|
|3||Post Discharge Home Health Visits|
|4||3-Day SNF Waiver|