What does this mean when they say that the rail has 15 MOA built in?
View Quote
What they mean is that the mount is slightly lower in the front than in the rear. This tilts the scope a little, so that you can shoot long range, without bottoming out the scopes' elevation adjustment.
wouldn't this increased elevation MOA be different depending on the placement forward and back on the rail?
View Quote
Nope. A "straight" rail would be parallel to the bore, while a "15 MoA" rail is on an intersecting plane. The whole rail will be 15 MoA off parallel, so it wouldn't matter where on the rail the optic is mounted. Rails with elevation built-in are designed for shooting at REALLY long range with a high-magnification scope, so you'd be much better off using a regular straight rail with an Aimpoint, IMHO.