Edit Matrix

The VWC Edit Matrix, based on the VWC Element Requirement Table, conveys which data elements have edits that may be applied to them. 

Below is a description of the tables included in the Edit Matrix.

DN Error Table Provides the standard error messages associated with each Data Element (DN).

Match Data: The VWC Match Data is used to identify a transaction as a new claim, to create or "match" to an existing claim for duplicate checking, updating and processing. On a specific claim, a primary "match" data element value may or can change and prevent a match. For this reason, VWC has identified primary “match” data element(s) and secondary “match” data elements. When there is no match on one of the primary “match" data elements (usually on a change or correction transaction), secondary "match" data elements are used to match a claim. 

Population Restrictions Table: The VWC FROI/SROI Population Restrictions Table elaborates on the data elements specific data population or accepted values for standard error messages. The ‘Population Restriction’ listed for each Data Element on this table is associated with a specific Error Message. The Population Restrictions Table communicates the Data Element Number (DN), Data Element Name, Error Message Number, Error Message Text and Population Restriction. The Population Restriction column in the table indicates the specific reason for the generation of the error messages indicated, including MTC limitation, if applicable.

Sequencing: This table provides the VWC MTC sequencing. The table conveys to the trading partner the sequencing rules that clarify how VWC will apply Edit 063 - Invalid Event Sequence.

Valid Values Table: The Valid Values Table identifies the code values that are not statutorily valid in the jurisdiction. A 'N' in the capture column indicates that the data element is not captured in the jurisdiction. A 'Y' in the capture column indicates that the data element is captured by the jurisdiction. A code value that has been grayed out indicates that the code is 'Not Statutorily Valid' by the jurisdiction. Jurisdictions may return Error Message-‘042-Not Statutorily Valid’ on grayed out values. The code values that are not grayed out are the code values that are statutorily valid and will be processed by the jurisdiction. See Section 2 for statutorily valid codes that are valid but will not be processed by jurisdiction.