ResDAC is currently experiencing a high volume of requests, which may delay response and processing times. We are working to address the backlog as quickly as possible and appreciate your patience.
This variable is contained in the following files:
SAS Name
LINE_RR_BRD_EXCLSN_IND_SW
This field indicates whether Railroad Board (RRB) beneficiary durable medical equipment (DME) claim line should be excluded from Prior Authorization processing
| Code | Code value |
|---|---|
| Y | Yes (exclude RRB beneficiary from PA) |
| Null/missing | Subject RRB beneficiary services to prior authorization |
This field informs the SSMs and CWF if the RRB beneficiary claim should either be included or excluded from Prior Authorization (PA) processing. Ex: If the field is valued “Y”, and it is RRB beneficiary claim, it will be excluded from PA processing.
This field was new in April 2019.
Source: NCH