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This variable is contained in the following files:
SAS Name
CLM_PPS_IND_CD
The code indicating whether or not:
(1) the claim is from the prospective payment system (PPS), and/or
(2) the beneficiary is a deemed insured MQGE (Medicare Qualified Government Employee)
| Code | Code value |
|---|---|
| Blank | Not a PPS bill |
| 2 | PPS bill; claim contains PPS indicator |
Source: NCH