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This variable is contained in the following files: Durable Medical Equipment (Fee-for-Service)
Short SAS Name
LINE_RR_BRD_EXCLSN_IND_SW
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

Comments

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

CodeCode value
Y
Yes (exclude RRB beneficiary from PA)
Null/missing
Subject RRB beneficiary services to prior authorization