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Short SAS Name
PPS_IND
SAS Name
CLM_PPS_IND_CD

The code indicating whether or not:

(1) the claim is from the prospective payment system (PPS), and/or

(2) the beneficiary is a deemed insured MQGE (Medicare Qualified Government Employee)

Comments

Source: NCH

CodeCode value
Blank
Not a PPS bill
2
PPS bill; claim contains PPS indicator