NAME TYPE LENGTH ------------------------------------- ------ Claim PPS Indicator Code CHAR 1 Effective with Version H, the code indicating whether or not the (1) claim is PPS and/or (2) the beneficiary is a deemed insured Medicare Qualified Government Employee (MQGE). NOTE: Beginning with NCH weekly process date 10/3/97 through 5/29/98, this field was pop- ulated with only the PPS indicator. Beginning with NCH weekly process date 6/5/98, this field was additionally populated with the deemed MQGE indicator. Claims processed prior to 10/3/97 will contain spaces. SHORT NAME: PPS_IND LONG NAME: CLM_PPS_IND_CD CODES: Claim PPS Indicator Table ------------------------- ***Effective NCH weekly process date 10/3/97 - 5/29/98*** 0 = not PPS bill (claim contains no PPS indicator) 2 = PPS bill ( claim contains PPS indicator) ***Effective NCH weekly process date 6/5/98*** 0 = not applicable (claim contains neither PPS nor deemed insured MQGE status indicators) 1 = Deemed insured MQGE (claim contains deemed insured MQGE indicator but not PPS indicator) 2 = PPS bill ( claim contains PPS indicator but no deemed insured MQGE status indicator) 3 = Both PPS and deemed insured MQGE (contains both PPS and deemed insured MQGE indicators) SOURCE: CWF