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Provider Number (OSCAR/CCN)

CLM_BLG_PRVDR_OSCAR_NUM

A NUMBER ASSIGNED TO A BILLING PROVIDER BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) VERIFYING THAT THE PROVIDER IS MEDICARE CERTIFIED AND FOR WHAT TYPES OF SERVICES . NOTE: THE OSCAR WAS RENAMED TO CMS CERTIFICATION NUMBER (CCN) IN 2007 BY CMS.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.contained.where(
id = %root.provider.reference.substring(1)
).identifier.where(
system = 'http://terminology.hl7.org/NamingSystem/CCN'
).value
Coverage / Claim Type
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM
Source Column
CLM_BLG_PRVDR_OSCAR_NUM
Sources
  • FISS
  • NCH
Profiles
  • Basis
  • Regular
  • CMS

Notes

This will sometimes be populated on Practitioners, even though individuals cannot be assigned an OSCAR number.

Mappings

CCLF
  • CCLF1.PRVDR_OSCAR_NUM
  • CCLF1.CLM_BLG_PRVDR_OSCAR_NUM
  • CCLF2.PRVDR_OSCAR_NUM
  • CCLF2.CLM_FAC_PRVDR_OSCAR_NUM
  • CCLF3.PRVDR_OSCAR_NUM
  • CCLF3.CLM_BLG_PRVDR_OSCAR_NUM
  • CCLF4.PRVDR_OSCAR_NUM
  • CCLF4.CLM_BLG_PRVDR_OSCAR_NUM
CCW
  • PRVDR_NUM
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