This field at the line level to designate bypassing of the prior authorization processing for claims with a representative payee when an 'R' is present in the field.
Comments
This field comes from the REV-RP-IND-CD that is present on the first claim record RP-IND-CD on the first claim then take the first found code (R) on any of the other claims that make up the stay.
Note that there is also a Claim Representative Payee (RP) Indicator Code (SAS variable called CLM_RP_IND_CD).
This field comes from the REV-RP-IND-CD that is present on the first claim record RP-IND-CD on the first claim then take the first found code (R) on any of the other claims that make up the stay.
Note that there is also a Claim Representative Payee (RP) Indicator Code (SAS variable called CLM_RP_IND_CD).
This field is first available in 2015.
Source: NCH