Claim Representative Payee (RP) Indicator Code

This variable is contained in the following files:

Original Medicare (Fee-for-Service) Inpatient

SAS Name

CLM_RP_IND_CD

Comments

This field is used to designate by-passing of the prior authorization processing for claims with a representative payee when an 'R' is present in the field.

This field was added in April 2018.

Source: NCH

Code	Code value
R	bypass representative payee
Null/missing	not applicable