Claim PPS Indicator Code

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

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