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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