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Provider Participating Indicator Code

CLM_RNDRG_PRVDR_PRTCPTG_CD

INDICATION A PROVIDER IS PARTICIPATING OR ACCEPTING ASSIGNMENT FOR THIS CLAIM. [HRMZ] CODE INDICATING WHETHER OR NOT A PROVIDER IS PARTICIPATING OR ACCEPTING ASSIGNMENT FOR THIS LINE ITEM SERVICE ON THE NONINSTITUTIONAL CLAIM. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.item.extension.where(
  url = 'https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-RNDRG-PRVDR-PRTCPTG-CD'
).value.code
Coverage / Claim Type
  • Carrier
  • DME
Source View
V2_MDCR_CLM_LINE
Source Column
CLM_RNDRG_PRVDR_PRTCPTG_CD
Reference Table
https://bluebutton.cms.gov/fhir/CodeSystem/PRTCPTNG-IND-CD
Sources
  • NCH
  • VMS
Profiles
  • CMS
  • Basis
  • Regular

Example 

1

Mappings

CCW
  • PRTCPTNG_IND_CD

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