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This variable is contained in the following files:
SAS Name
INFRMTL_ENCTR_IND_SW
The indicator switch used to identify if a beneficiary is enrolled in a Managed Care Organization (MCO).
| Code | Code value |
|---|---|
| Y | Yes, beneficiary is a Managed care enrollee (hospital expects to receive payment from an MCO) |
| N | No, beneficiary is not a MCO enrollee |
If any claim that comprises the Stay has a condition code (CLM_RLT_COND_CD) equal to '04' populate the MEDPAR Informational Encounter Switch with a 'Y'. If no '04' condition code, populate field with an 'N'. This field is new in 2011.
Source: NCH