NAME TYPE LENGTH ------------------------------------- ------ Line Processing Indicator CHAR 1 Code The code indicating the reason a line item on the noninstitutional claim was allowed or denied. SHORT NAME: PRCNGIND LONG NAME: LINE_PRCSG_IND_CD CODES: Line Processing Indicator Table ------------------------------- A = Allowed B = Benefits exhausted C = Noncovered care D = Denied (existed prior to 1991; from BMAD) I = Invalid data L = CLIA (eff 9/92) M = Multiple submittal--duplicate line item N = Medically unnecessary O = Other P = Physician ownership denial (eff 3/92) Q = MSP cost avoided (contractor #88888) - voluntary agreement (eff. 1/98) R = Reprocessed--adjustments based on subsequent reprocessing of claim S = Secondary payer T = MSP cost avoided - IEQ contractor (eff. 7/76) U = MSP cost avoided - HMO rate cell adjustment (eff. 7/96) V = MSP cost avoided - litigation settlement (eff. 7/96) X = MSP cost avoided - generic Y = MSP cost avoided - IRS/SSA data match project Z = Bundled test, no payment (eff. 1/1/98) SOURCE: CWF