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Billing Provider Zip Code

CLM_BLG_PRVDR_ZIP5_CD

A FIVE-DIGIT ZIP CODE DEFINED BY THE UNITED STATES POSTAL SERVICE (USPS) THAT IDENTIFIES A DESTINATION POST OFFICE OR DELIVERY AREA ASSOCIATED WITH A BENEFICIARY, PROVIDER, OR CLAIM ADDRESS. REFERENCE TABLE: GEO_ZIP5_CD

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.contained.where(
id = %root.provider.reference.substring(1)
).address.postalCode
Coverage / Claim Type
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM
Source Column
CLM_BLG_PRVDR_ZIP5_CD
Sources
  • FISS
  • MCS
  • NCH
  • VMS
Profiles
  • Basis
  • Regular
  • CMS

Example

77550

Mappings

CCW
  • PRVDR_ZIP
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