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

This field indicates whether Railroad Board (RRB) beneficiary durable medical equipment (DME) claim line should be excluded from Prior Authorization processing


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
Yes (exclude RRB beneficiary from PA)
Subject RRB beneficiary services to prior authorization